Category Archives: Psychiatry and Psychology

Spring books preview: health & medicine

Seasonal catalog cover spring 2016We’re excited about the books we’ll be publishing this spring—and we’re pleased to start off the new year with a series of posts that highlight our forthcoming titles. Be sure to check out the online edition of JHUP’s entire Spring 2016 catalog, and remember that promo code “HDPD” gets you a 30% discount on all pre-publication orders. Today we feature spring books on health and medicine; click on the title to read more about the book or to place an order:


dawes150 Years of ObamaCare
Daniel E. Dawes
foreword by David Satcher, 16th US Surgeon General


Guinan_jkt.inddAdventures of a Female Medical Detective
In Pursuit of Smallpox and AIDS
Mary Guinan, PhD, MD
with Anne D. Mather


grantWhy Can’t I Stop?
Reclaiming Your Life from a Behavioral Addiction
Jon E. Grant, JD, MD, MPH, Brian L. Odlaug, PhD, MPH, and Samuel R. Chamberlain, MD, PhD


goldenOvercoming Destructive Anger
Strategies That Work
Bernard Golden, PhD


trainorCalming Your Anxious Child
Words to Say and Things to Do
Kathleen Trainor, PsyD


noonanWhen Someone You Know Has Depression
Words to Say and Things to Do
Susan J. Noonan, MD, MPH
foreword by Timothy J. Petersen, PhD, Jonathan E. Alpert, MD, PhD, and Andrew A. Nierenberg, MD


grimesSeductive Delusions
How Everyday People Catch STIs
second edition
Jill Grimes, MD


trimbleThe Intentional Brain
Motion, Emotion, and the Development of Modern Neuropsychiatry
Michael R. Trimble, MD


slavney16Psychiatric Polarities
Methodology and Practice
Phillip R. Slavney, M.D., and Paul R. McHugh, M.D.


Use discount code “HDPD” to receive a 30% discount on pre-publication orders for JHUP’s spring 2016 titles.
To order, click on the book titles above or call 800-537-5487.

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Filed under Consumer Health, Health and Medicine, Neuroscience, Psychiatry and Psychology, Public Health, Publishing News

Five steps to survive the holiday blues

Guest post by Merry Noel Miller, MD

I was a Christmas baby, was given a Christmas-y name, and have always considered it “my” time of year. And yet this was the period of the year that I most dreaded after losing my husband.

millerThe holidays are supposed to be the happiest time of the year. But for many they are the hardest. For some they can trigger depression and anxiety.

For those who are alone, who have suffered losses, whose relationships are not what they want them to be, it can be very difficult to get through this “merry” time of year. They may long for holidays past, and feel surges of grief for those who are gone. Loneliness may feel more intense.

I hear it from my patients every year. Some feel sad that their lives are not what they want them to be. They compare themselves to others that they see around them and the idealized images depicted in the media. They wince inside as they hear others talk about their holiday celebrations.

Others are overextended both emotionally and financially at this time of year. They feel drained, exhausted, and eager for the holidays to pass. They may feel obligated to attend gatherings that they do not enjoy. They dread the possibility of family conflicts. They may feel inadequate as they encounter family and friends. They may eat too much, drink too much, sleep too little, and neglect to exercise.

Here are strategies on how to get through the holidays emotionally intact:

  1. Plan ahead. Seek balance between times with others and time alone. We vary in terms of what we need to refuel ourselves. Think about what your individual needs are. Avoid the urge to withdraw excessively, or the sense of obligation to do too much. Say no to invitations if you do not want to go, without guilt, and leave parties when you are ready. You have the right to make choices.
  1. Set limits on your spending, your eating, your drinking. Make a budget and stick to it. Be conscious about your diet and alcohol consumption. Many who are down are tempted to drink and eat more, and may temporarily feel better while drinking, but it tends to worsen the mood and can lead to depression.
  1. Make time to exercise. A daily walk can do wonders for your mood. If it is too cold outside, you could find indoor locations (e.g. the mall) where you could walk. Something as simple as a 30-minute walk can really boost your spirits.
  1. Reach out to others. Invite a lonely neighbor to do something with you. Consider volunteering. There are many others who struggle with the holidays, too, and you can get a boost from the pleasure of helping others. Don’t wait for others to approach you, let your friends and family know if you would like to do more with them during this time of year.
  1. Indulge yourself in healthy pleasures. Read that book you’ve been wanting to find time for. Watch movies during your off time. Consider taking a drive or a trip somewhere.

I have both personal and professional experiences that have opened my eyes to the emotional challenges that we face throughout our lifetimes. This motivated me to spend my life as a psychiatrist specializing in women’s mental health, and to write the new self-help book Finding Your Emotional Balance: A Guide for Women. During the stressful periods of our lives, we can find ways to keep ourselves balanced with some healthy strategies.

Merry Noel Miller, MD, is a professor of psychiatry at Quillen College of Medicine, East Tennessee State University and the author of Finding Your Emotional Balance: A Guide for Women.

 

 

 

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Filed under Emotional Health, Holidays, Mental Health, Psychiatry and Psychology

Va. Tech professor on post-traumatic writing

The most recent issue of the journal American Imago featured four essays focused on grief and loss. The issue, titled “Memory and Remembrance: Essays in Psychoanalytic Autobiography,” contains “Lockout: Spacing Trauma and Recovery in the Aftermath of the Virginia Tech Shootings,” an essay written by Virginia Tech University faculty member Stefanie Hofer. She lost her husband, Jamie Bishop, on April 16, 2007 during the deadliest school rampage in the US history. Hofer joined us to talk about her post-traumatic writing and how it has helped her to persevere and heal.

 

Podcast transcript

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Filed under Emotional Health, Health and Medicine, Journals, Podcasts, Psychiatry and Psychology

Fall books preview: health & medicine, part two

Fall 2015 very largeWe’re excited about the books we’ll be publishing this fall—and pleased to share this series of “Fall Books Preview” blog posts! Be sure to check out the online edition of JHUP’s entire Fall 2015 catalog, and remember that promo code “HDPD” gets you a 30% discount on pre-pub orders. Today we continue with our forthcoming books in health and medicine, including several new editions in our award-winning Johns Hopkins Press Health Book series:


mondimore15Adolescent Depression: A Guide for Parents
second edition
Francis Mark Mondimore, MD, and Patrick Kelly, MD

In Adolescent Depression, psychiatrists Francis Mark Mondimore, MD, and Patrick Kelly, MD, explain that serious depression in adolescents goes beyond “moodiness.” Depression is in fact an illness—one that can be effectively treated. Incorporating the latest research from the field, the authors describe the many forms of depression and the many symptoms of depression in young people—from sadness to irritability, self-harm, drug and alcohol abuse, and violent rages.

Praise for the first edition:

“I heartily recommend this book to parents and relatives of adolescents who have or may have mood disorders. It . . . helps parents to understand the complexities of the problem [and] is optimistic of the likelihood of improvement with correct diagnosis and treatment.”—Marcia Slomowitz, MD, Journal of Clinical Psychiatry

“An outstanding work that surpasses anything else I have read for parents on clinical depression and bipolar disorder in teenagers.”—Anthony J. Drobnick, MD

Available in December


adlerLiving with Lymphoma: A Patient’s Guide
second edition
Elizabeth M. Adler, PhD
foreword by W. Jeffrey Baker, MD
introduction by Michael R. Bishop, MD

Winner, American Medical Writers Association Medical Book Award

When neurobiologist Elizabeth M. Adler was diagnosed with non-Hodgkin lymphoma almost twenty years ago, she learned everything she could about the disease, both to cope with the emotional stress of her diagnosis and to make the best possible decisions for her treatment. In Living with Lymphoma, she combines her scientific expertise and personal knowledge with a desire to help other people who have lymphoma manage this complex and often baffling disease.

Praise for the first edition:

“The most complete explanation of what goes on . . . I highly recommend it for patients, loved ones, and anyone who would like to understand what is lymphoma.”—Lymphoma Information Network

“The most comprehensive book I have seen on the subject, short of a medical text.”—Oncolink

Available in January 2016


silverBefore and After Cancer Treatment: Heal Faster, Better, Stronger
second edition
Julie K. Silver, MD

A twelve-year cancer survivor and oncology rehabilitation specialist, Dr. Julie K. Silver wrote After Cancer Treatment to help others recover from the exhaustion and physical devastation that often follow treatment. This new edition of the book, retitled Before and After Cancer Treatment, describes improved therapies, better delivery of care, holistic care options, and energetics. In covering the benefits of prehabilitation strategies, which improve physical and emotional strength before beginning therapy, the book adds another dimension to the experience of cancer treatment.

Praise for the first edition:

“Dr. Silver’s book encompasses not just emotional and physical healing but spiritual as well. Her credentials as a young mother and cancer survivor, in addition to being a physiatrist with a specialization in rehab medicine, make her work both authoritative and compassionate.”—Paula J. Anastasia, RN, MN, OCN, Cedars-Sinai Medical Center, Los Angeles

“A diagnosis of cancer changes one’s life forever. After her diagnosis, Dr. Silver chose to continue healing—this time, healing herself. Her book is a gift to all cancer patients.”—Irene Pollin, MSW, author of Taking Charge and Medical Crisis Counseling

Available in November


bristowA Guide to Survivorship for Women Who Have Ovarian Cancer
second edition
edited by Robert E. Bristow, MD, MBA, FACOG, FACS, Terri L. Cornelison, MD, PhD, FACOG, and F. J. Montz, MD, KM, FACOG, FACS

This updated and expanded second edition offers a wealth of information to ease the physical and emotional suffering of women who have ovarian cancer. The expert authors include highly respected and experienced oncologists, gynecologic oncology nurse specialists, researchers, and ovarian cancer survivors. Throughout the book they emphasize the concepts of survivorship, or living life well in the face of daunting uncertainties, and self-determination: the right of each patient to be informed, involved, and in control of her care.

Praise for the first edition:

“This important book should be included in all consumer health collections, as well as purchased by women affected by the disease.”—Library Journal

“Because the authors all have years of clinical experience, they seem to understand what women worry about and care about, and they address these issues throughout the book.”—Canadian Women’s Health Network

Available in October


paulImmunity
William E. Paul, MD

Packed with illustrations, stories from Dr. William E. Paul’s distinguished career, and compelling narratives of scientific discovery, Immunity presents the three laws of the human immune system—universality, tolerance, and appropriateness—and explains how the system protects and harms us. From the tale of how smallpox was overcome to the lessons of the Ebola epidemic to the utility of vaccines and the hope that the immune system can be used to treat or prevent cancer, Dr. Paul argues that we must position ourselves to take advantage of cutting-edge technologies and promising new tools in immunological research, including big data and the microbiome.

“A treasure trove of information, this wonderful book should broadly appeal to anyone interested in human health and disease. There is no competing volume that covers such breadth of immunology at this personal level. A tour de force.”—Daniel M. Davis, University of Manchester, author of The Compatibility Gene: How Our Bodies Fight Disease, Attract Others, and Define Our Selves

“Dr. Paul has lived the modern history of basic and applied immunology. His warm, down-to-earth style and deep insight into biology lead the reader on a fascinating journey in understanding these diverse processes from the vantage point of a discovery scientist.”—Hyam Levitsky, MD, Johns Hopkins University School of Medicine

Available in November

 

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Filed under Cancer, Emotional Health, Health and Medicine, History of Medicine, History of science, Mental Health, Psychiatry and Psychology, Publishing News, Uncategorized, Women's Health

Mental Health Awareness Month

May is National Mental Health Awareness Month, and we are proud to offer this sampling of our many books on mental health and related topics—works which have informed, inspired, and comforted readers around the world.


Borderline Personality Disorder: New Reasons for Hope
by Francis Mark Mondimore, M.D., and Patrick Kelly, M.D.
Managing Your Depression: What You Can Do to Feel Better
by Susan J. Noonan, M.D., M.P.H., with a foreword by Timothy J. Petersen, Ph.D., Jonathan E. Alpert, M.D., Ph.D., and Andrew A. Nierenberg, M.D.

Shrink Rap: Three Psychiatrists Explain Their Work
by Dinah Miller, M.D., Annette Hanson, M.D., and Steven Roy Daviss, M.D.

Depression and Anxiety in Later Life: What Everyone Needs to Know
by Mark D. Miller, M.D., and Charles F. Reynolds III, M.D.
The Traumatized Brain: A Family Guide to Understanding Mood, Memory, and Behavior after Brain Injury
by Vani Rao, MBBS, MD, and Sandeep Vaishnavi, MD, PhD; with a foreword by Peter V. Rabins, MD, MPH
fifth edition
by Nancy L. Mace, M.A., and Peter V. Rabins, M.D., M.P.H.

 

 

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Filed under Emotional Health, Health and Medicine, History of Medicine, Psychiatry and Psychology, Women's Health

Is mental health among college students continuing to decline?

Guest post by Doris Iarovici

Is mental health among college students continuing to decline, as various headlines suggest? This year’s “The American Freshman: National Norms 2014” survey, released at the beginning of February, again found “record” lows. Among the more than 150,000 first-year students from more than two hundred universities, only about half—the lowest number since the survey began—rated their emotional health as “above average or highest 10%.” And nearly 10 percent reported “frequently feeling depressed in the past year,” a 3 percentage-point increase over five years ago. An article in the Chronicle of Higher Education suggested that this is significantly higher than in the general population, where the CDC cites a nearly 5% prevalence rate of depression among 18-to-39-year olds. Are college students really more depressed on average than young adults in general? If so, what will it take to reverse the trend?

Feeling frequently depressed as a college freshman may or may not be equivalent to having depression, an illness that can interfere with both academic and social functioning. The CDC data relies on validated, more extensive depression screening questionnaires, while the freshman survey asks students to bubble in “frequently,” “occasionally,” or “not at all” to the item “felt depressed” (among other items such as “was bored in class,” or “discussed religion”). But the National Norms survey is a powerful snapshot which also captures other concerning trends. For example, fewer students socialized in person with peers, as they spent more time on social media. Research has shown that in the college population, loneliness is a risk factor for depression and for poorer physical health, and that loneliness and relationship difficulties are main contributors to suicidal thinking among students.

In my clinical experience working with the college population, there’s a cultural reluctance to admit vulnerability to, or discuss problems with, one another. Expectations are high that college will be fantastic; when it seems otherwise, students assume the fault lies within them. Difficulties then tend to surface when they’ve grown more severe, as when a classmate cuts herself or someone is taken to the emergency department because of intoxication. And this reinforces the myth  that mental health is an all-or-nothing quality.

In fact, like physical problems, emotional problems occur on a spectrum. Helping young adults understand this—and university administrators plan for this—might help create healthier communities. The American Freshman survey also notes that more students are turning to counseling, and it’s certainly critical to ensure that schools have adequate clinical resources in place to meet student need. But in addition, programs that address the campus community as a whole are essential in addressing—and exposing—the spectrum of emotional issues. Workshop-style sessions on stress management, relationships, and meditation, for example, open to the entire student community and not just to counseling center patients, begin to provide a more realistic view of the universality of some emotional difficulties. Surveying students anonymously about their emotional health allows some assessment of emerging adult mental health, but creating forums were they can share stories of recovery and resilience might begin to more accurately portray student emotional health on campus.

 

iaroviciDoris Iarovici, MD, is a psychiatrist at Duke University Counseling and Psychological Services and the author of Mental Health Issues and the University Student, published by Johns Hopkins.

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Filed under Emotional Health, Health and Medicine, Higher Education, Mental Health, Psychiatry and Psychology

Managing Transitions: Welcoming your student home

Guest post by Doris Iarovici, MD

Life with a college student in the family is full of change, but folding your child back into the family for the long summer break can be a surprisingly challenging transition. Whether they’re home for the entire summer, or for a few weeks before an internship or travel abroad experience, or whether the family and student vacation together, things likely will not be as they were. As a college counseling center psychiatrist I’ve talked with many parents of students who encountered difficulties about the best ways to support their child when he or she came home, but as the mother now of college-aged children myself, I see first-hand that all students and families must navigate new roles and patterns of communication if we’re to make the most of the times we get to spend together.

Most of us parents have stayed in place this past year while our son or daughter has been in college—whether for their first year, or for their last. For parents, life has been relatively unchanged: same house, job, family configuration. But our child has experienced massive change and growth. Psychologist Jeffrey Arnett describes the time between ages 18 and 25 as “emerging adulthood,” a developmental stage which differs from both adolescence and adulthood. It exists mainly in industrialized nations where people delay employment and child-bearing, and is characterized by unprecedented change and role exploration. Your son or daughter has experienced significant residential changes, variability in friendships, romances, and other relationships, and new expectations regarding self-sufficiency. The worldviews they’ve encountered may drastically differ from the ones with which they were raised. They’ve made choices regarding how they structure their time, whether—and how—they are sexually active, whether and how much they use alcohol and other drugs, who their closest friends and most admired role models are, and what academic fields most interest them. Whether they’ve had to use counseling services or not, every one of them has experienced difficult or even overwhelming times this past year, as well as moments of great joy and triumph.

So how do we re-engage with our emerging adult across this difference of experience?

It’s helpful to remember that in surveys asking whether they feel “adult,” most college students answer “in some ways yes, in some ways no.” This “in-between-ness” characterizes the behaviors we see in our kids when they return. But if we treat them as we did when they were in high school, we’ll encounter major conflicts. One study of parenting styles and outcomes in emerging adults found that for both mothers and fathers, authoritative parenting—a combination of warmth/responsiveness, valuing autonomy, and clearly stated expectations—led to the best outcome: a healthy sense of self-worth in the child and a strong, positive parent-child relationship. Parenting that used punishment, verbal hostility, high control, or, conversely, extreme indulgence, led to depression and anxiety in the offspring and a poor parent-child relationship (Nelson et. al., 2011).

Stay open and curious. Talk and listen! Your child has likely learned some amazing things and met fascinating people. Don’t just ask about their grades. Ask about what they learned, what they enjoyed, where they struggled. Students at highly selective colleges fear seeming less than perfect; show interest in their wellbeing and their challenges as well as their successes. Remember that now is the time to collaborate rather than dictate; focus on maintaining your relationship, gradually reduce the amount of control you exert, and draw up new boundaries which acknowledge their increasing autonomy.

Emerging adults are trying on new roles regarding work, love, and worldview both as preparation for their consolidated adult identity, but also sometimes just for experimentation’s sake. For example, in the romantic realm, they may be both starting to think about life partners, and also experimenting with romance and sex via “hook-ups.” Similarly, not all summer experiences lead to an ultimate career path. It’s best to not overreact to any particular new path a student is taking, because likely it will change again soon. That doesn’t mean we can’t voice our concerns should concerns arise—but to be heard, we must do this in dialogue, not in edicts. Edicts backfire, either in the moment with you, or later, when the student is again on his own.

Let them sleep, especially when they first get home, but then feel free to talk about their goals beyond just sleep for their time off. Plan with them, not for them. Focus on the present moment, and enjoy your time together. And if you do see signs of more significant problems—persistent low mood, continued oversleeping or an inability to sleep, significant weight loss, problematic substance use, or big changes in personality—please encourage them to get help. Counselors at their university counseling center are often available to consult with parents, should you be unsure how to best find help in your area.

 

iaroviciDoris Iarovici, M.D., is a psychiatrist at Duke University Counseling and Psychological Services, and author of Mental Health Issues and the University Student, published by Johns Hopkins. A version of this post appeared in the Duke Student Affairs Blog, which you can find here.

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Filed under Education, Emotional Health, For Everyone, Higher Education, Psychiatry and Psychology