Anxiety and related disorders are common conditions that disproportionately affect women. In this book, the epidemiology, psychobiology, diagnosis, evaluation, pharmacotherapy and psychotherapy of major anxiety and related disorders are examined with special reference to the effects of gender and sex on clinical presentation and treatment. The conditions considered include generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, posttraumatic stress disorder and social anxiety disorder. In addition, the management of anxiety and related disorders during pregnancy and lactation are discussed. Two concluding chapters specifically address anxiety disorders in women and in men, summarizing key points for clinicians and researchers. The authors are leading clinicians, including both psychiatrists and psychologists, from around the globe.

Obsessive-compulsive and related disorders (OCRDs) are both prevalent and a source of significant impairment for patients who suffer from them, yet they remain underrecognized and underdiagnosed. Handbook on Obsessive-Compulsive and Related Disorders provides comprehensive and cutting-edge coverage of OCRDs for clinicians and trainees in the context of the new classification framework established by the DSM-5. Chapters cover OCD, body dysmorphic disorder (BDD), hoarding disorder, trichotillomania (hair pulling disorder), excoriation (skin picking) disorder, and illness anxiety disorder, among other related conditions, ensuring that readers are current on both the research on and the standard of care for these illnesses. In addition, each chapter employs a logical and consistent structure, addressing diagnostic criteria and symptomatology, epidemiology, etiology and pathophysiology, comorbidities, course and prognosis, assessment and differential diagnosis, psychosocial impairment and suicidality, and other topics such as cultural and gender-related issues. Treatment approaches and considerations are explored in-depth. The Handbook's useful features are many: * The first book focused on the OCRDs to be published since the development of DSM-5, it reflects a deep understanding of the disorders and the DSM-5 development process. Readers can depend on the utmost compatibility with DSM-5 because the book was edited by the chair of the DSM-5 work group, and the chair of the sub-work group, that oversaw the development of the OCRD category. The editors have provided a helpful introductory chapter that thoroughly addresses the changes from DSM-IV.* The book includes a chapter on disorders that were seriously considered for, though ultimately not included in, the DSM-5 OCRD chapter and for which research offers some support for a close relationship to OCD. These include tic disorders, illness anxiety disorder (hypochondriasis), and obsessive-compulsive personality disorder.* Case studies are provided in each chapter, as well as key clinical points, both of which help the reader understand, contextualize, and make use of the book's content. Recommended readings at the end of each chapter offer the opportunity to deepen understanding. The costs to society of undiagnosed and/or untreated OCRD are high in both human and financial terms, and clinicians need to master all available tools to help patients and families understand and cope with these disorders. Handbook of Obsessive-Compulsive and Related Disorders deserves a prominent position-both in the literature and on the clinician's bookshelf.

Psychotropic agents have been effective for the treatment of the emotional, and cognitive symptoms of serious psychiatric disorders. At the same time, the availability of such agents raises questions about the appropriate use of what might be termed 'smart pills', 'happy pills', or 'pep pills'. This volume argues that developments in modern psychopharmacology raise a range of important philosophical questions, and may ultimately change the way we think about ourselves. It provides a framework for addressing important philosophical issues in psychiatry and psychopharmacology. The approach is a naturalistic one, drawing on theory and data from modern cognitive-affective neuroscience and attempts to address objective and subjective aspects of psychiatric disorders, to integrate our knowledge of mechanisms and meanings, and to provide a balanced view of the good and the bad of psychotropics.

Recent advances in the diagnosis and treatment of obsessive- compulsive disorder have come from breakthroughs in neurobiologic and cognitive-behavioral studies. Essential Papers on Obsessive-Compulsive Disorder represents the most significant thinkers and the various strands of thought on obsessive-compulsive disorder.

Divided into three sections focusing on classical psychoanalysis, psychological research, and neuro-psychiatric approaches, this definitive volume includes contributions bythe most experienced and renowned experts on the subject. Contributors include Sigmund Freud; Karl Abraham; Ernest Jones; Anna Freud; Paul E. Sifneos; Leonard Salzman; Joseph Sandler and Anandi Hazari; Lewis L. Judd; Heinz Hartmann; Stanley Rachman, Ray Hodgson and Isaac M. Marks; Paul M. Salkovskis; Paul Schilder; Steven P. Wise and Judith L. Rapoport; Joseph Zohar and Thomas R. Insel; Michael A. Jenike; Susan E. Swedo, Henrietta Leonard; Lewis R. Baxter, Jeffrey M. Schwartz, Kenneth S. Bergman; Dan Stein and Eric Hollander.

Underestimated, under-researched, and often poorly understood, the body-focused repetitive disorders nevertheless cause human suffering that is serious, persistent, and pervasive. These disorders can occur in both adults and children and manifest themselves as hair pulling (trichotillomania), pathologic skin picking, thumb sucking, and nail biting. Although these disorders are common, very few medical students and residents hear them addressed in lectures or know where to begin when confronted with a patient presenting with these behaviors. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors seeks to remedy this situation by synthesizing the latest research on body-focused repetitive disorders and presenting it in a systematic, easy-to-grasp manner.

Much has changed in the more than a decade since the last book on this topic was published. This new volume reflects the most current and substantive research into the etiology and symptoms of body-focused repetitive disorders and therapeutic options. Organized in logical fashion, it begins with a review of the clinical characteristics, moves on to diagnosis and evaluation, and concludes with a full review of treatment options. Special features include: - Extensive material to help clinicians and patients understand the underlying purpose of engaging in these behaviors, which include, reducing tension, regulating strong emotion, and alleviating boredom.- Separate chapters on adults and children, who may have a different presentation and a different set of treatment options. An additional chapter focuses on the role of the child patient's family in the diagnosis and treatment of the disorder.- Thorough coverage of the full range of treatments -- including psychotherapy, medication, and alternative treatments -- which provides the clinician with an evidence-based approach to treating patients.- Discussion of the psychobiology of hair pulling and skin picking, which allows the reader to understand and contextualize the disorder from a neurological perspective and offers clues that may assist in optimizing treatment.- A presentation style that is detailed enough for clinicians, yet accessible enough for a lay audience, including patients with the disorder and the families who seek to understand and support them.

Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors fills a critical gap in the literature by addressing this common and frequently debilitating disorder in an utterly current, highly practical, and wholly compassionate manner.

Designed for clinicians at every level, The American Psychiatric Association Publishing Textbook of Anxiety, Trauma, and OCD-Related Disorders addresses the origin, assessment, diagnosis, and treatment of these disorders in a comprehensive, up-to-date, and compelling manner. Fresh voices are everywhere in this authoritative revision of the classic text, as more than 60% of the contributors are new. They join stalwarts from the previous edition-experts who bring stellar credentials and a discerning eye to the task of revising the text to reflect cutting-edge scholarship and evidence-based clinical knowledge. Following a comprehensive overview of core principles, the book provides detailed coverage of specific DSM-5 diagnoses: generalized anxiety disorder, obsessive-compulsive and related disorders, panic disorder and agoraphobia, social anxiety disorder, specific phobia, and trauma- and stressor-related disorders. Each section presents the latest thinking on phenomenology and pathogenesis, then provides evidence-based clinical recommendations for pharmacotherapy and psychotherapy. New and noteworthy material includes the following: * Two new chapters focus on the features, phenomenology, and course of acute and integrated grief, as well as the epidemiology, clinical features, evaluation, and pathophysiology of complicated grief (CG), which affects a significant minority. Proper treatment of CG is critical, because once it persists beyond 6 months, impairment may last for years, if not a lifetime. Accordingly, a separate chapter is devoted to treatment options, including a hybrid of cognitive-behavioral, interpersonal, motivational interviewing, and psychodynamic methods.* The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders is examined in a fascinating new chapter. The UP is a promising treatment with empirical support for reduction of both symptoms and higher-order temperamental changes, such as changes in neuroticism, an underlying mechanism associated with onset and maintenance of emotional disorders.* The chapter on anxiety disorders in late life is completely new and emphasizes the prevalence of anxiety in this population and its likelihood of remaining undetected and untreated. The epidemiology, diagnosis, and treatment of these disorders are examined in detail so that the reader will recognize the clinical features, be able to differentiate them from depression, and can identify appropriate treatment, whether pharmacological or psychotherapeutic.* Each chapter features a concise list of key clinical points to help the reader focus on the most important material for study, as well as a list of recommended reading for those who wish to learn more. Grounded in the latest research, clinically rich, and pedagogically strong, The American Psychiatric Association Publishing Textbook of Anxiety, Trauma, and OCD-Related Disorders is the go-to text for mental health clinicians looking for evidence-based knowledge and support.

Visibility of impulse-control disorders (ICDs) has never been greater than it is today, both in the field of psychiatry and in popular culture. Changes in both society and technology have contributed to the importance of conceptualizing, assessing, and treating impulse-control disorders (ICDs). The ground-breaking Clinical Manual of Impulse-Control Disorders focuses on all of the different ICDs as a group. Here, 25 recognized experts provide cutting-edge, concise, and practical information about ICDs, beginning with the phenomenology, assessment, and classification of impulsivity as a core symptom domain that cuts across and drives the expression of these complex disorders. Subsequent chapters discuss • Intermittent explosive disorder, an often overlooked ICD characterized by impulsive aggression. • Childhood conduct disorder and the antisocial spectrum. • Self-injurious behavior and its relationship to impulsive aggression and childhood trauma. • Sexual compulsions and their serious public health implications. • Binge eating, a highly familial disorder associated with serious medical complications and psychopathology. • Trichotillomania, which may be related to obsessive-compulsive disorder, skin picking, and nail biting. • Kleptomania, a heterogeneous disorder that shares features with ICDs as well as with mood, anxiety, and addictive disorders. • Compulsive shopping, more common in women, with treatments ranging from self-help and financial counseling to trials with selective serotonin reuptake inhibitors. • Pyromania and how it differs from arson. • Pathological gambling, a maladaptive behavioral addiction that is increasing in step with legalized and Internet gambling. • Internet addiction, ranging from excessive seeking of medical information to dangerous sexual behaviors. The remarkable Clinical Manual of Impulse-Control Disorders sheds light on the complex world of ICDs. As such, it will be welcomed not only by clinicians and researchers but also by individuals and family members coping with these disorders.

Anxiety disorders are among the most prevalent, persistent, disabling, and costly psychiatric disorders, yet they are often underdiagnosed and undertreated. Fortunately, there have been major advances in understanding and treating these conditions in recent years; this is one of the most exciting areas in modern medicine.

This clinical manual has earned its place in the literature as one of just a few volumes that covers all of the major anxiety disorders and presents integrated contributions from both psychopharmacologists and psychotherapists& mdash;all in one compact work written for busy clinicians.

Though concepts of anxiety have long enjoyed a central position in philosophical and psychoanalytic theories, empirical research on anxiety disorders has a relatively short history. Here, 16 experts discuss advances in diagnosis, assessment (including relevant rating scales), pharmacotherapy, and psychotherapy.

This volume begins by reviewing recent important diagnostic, epidemiological, neurobiological, and treatment findings& mdash;all of which have significant implications for clinicians. Subsequent chapters cover "Panic disorder and agoraphobia"& mdash;Laboratory studies of fear have significantly advanced our understanding of the neurocircuitry and neurochemistry of panic. Furthermore, panic disorder is now readily treated with both medications and psychotherapy.

"Specific phobia"& mdash;Viewed for many years as mild and even trivial, this common disorder is now recognized for its very real associated distress and impairment. Exposure therapy is the treatment mainstay, though pharmacotherapy should be considered particularly when there is comorbidity.

"Social phobia"(or social anxiety disorder)& mdash;In the past few years, the first FDA-approved medications for this disorder have been made available. Cognitive-behavioral therapy is also effective for the treatment of this underdiagnosed and undertreated condition.

"Obsessive-compulsive disorder (OCD)"& mdash;OCD was the first disorder where it was shown that both specific medications and cognitive-behavioral techniques resulted in normalization of activity in particular brain structures. It is now possible to provide patients with integrated treatment approaches.

"Posttraumatic stress disorder (PTSD)"& mdash;Once viewed as a normal reaction to trauma, PTSD is increasingly understood as a pathological response, characterized by specific psychobiological dysfunctions. Again, there have been exciting advances in the treatment of this disorder, with the release of the first FDA-approved agents for PTSD.

"Generalized anxiety disorder (GAD)"& mdash;For a number of years GAD was thought of as a residual disorder occasionally seen in combination with more primary conditions. Nowadays, we know that GAD is an independent condition that is prevalent, persistent, and disabling.

Busy residents and psychiatrists in active clinical practice, psychologists, primary care practitioners, and other mental health professionals will find this clinical manual& mdash;with its integrated approach of both pharmacotherapy and psychotherapy& mdash;a valuable tool in their everyday practices.

This unique book presents original research from the largest cross-national survey of the epidemiology of mental disorders ever conducted. It provides the latest findings from the WHO World Mental Health Surveys based on interviews of nearly 150,000 individuals in twenty-six countries on six continents. The book is ordered by specific disorder, with individual chapters dedicated to presenting detailed findings on the prevalence, onset timing, sociodemographic profile, comorbidity, associated impairment and treatment for eighteen mental disorders. There is also discussion of important cross-national consistencies in the epidemiology of mental disorders and highlighting of intriguing patterns of cross-national variation. This is one of the most comprehensive summaries of the epidemiology of mental disorders ever published, making this an invaluable resource for researchers, clinicians, students and policy-makers in the fields of mental and public health.

Mental Health in a Digital World addresses mental health assessments and interventions using digital technology, including mobile phones, wearable devices and related technologies. Sections discuss mental health data collection and analysis for purposes of assessment and treatment, including the use of electronic medical records and information technologies to improve services and research, the use of digital technologies to enhance communication, psychoeducation, screening for mental disorders, the problematic use of the internet, including internet gambling and gaming, cybersex and cyberchondria, and internet interventions, ranging from online psychotherapy to mobile phone apps and virtual reality adjuncts to psychotherapy.

Can a worthwhile exchange be set up between the seemingly opposing viewpoints of psychoanalytic therapy and cognitive science& #63; Stein and the other contributing authors of "Cognitive Science and the Unconscious" say yes. In fact, it is their contention that such an interchange of theory and method& mdash;combining the theoretical clarity and empirical rigor of cognitive science with the richness and complexity of clinical work& mdash;holds the promise of enriching both disciplines. The concept of unconsciousness, as variously conceived by psychoanalysis (& ldquo;The Unconscious& rdquo;) and cognitive science (& ldquo;unconscious processing& rdquo;), is the reference point of this dialogue.

Written by a distinguished group of researchers and clinicians, this volume examines those aspects of the unconscious mind most relevant to the psychiatric practitioner, including unconscious processing of affective and traumatic experience, unconscious mechanisms in dissociative states and disorders, and cognitive approaches to dreaming and repression. Although cognitive psychology forms the backbone of the book, many of the chapters illuminate relevant work from the fields of artificial intelligence, linguistics, and biology.

Recent advances in the diagnosis and treatment of obsessive- compulsive disorder have come from breakthroughs in neurobiologic and cognitive-behavioral studies. Essential Papers on Obsessive-Compulsive Disorder represents the most significant thinkers and the various strands of thought on obsessive-compulsive disorder.

Divided into three sections focusing on classical psychoanalysis, psychological research, and neuro-psychiatric approaches, this definitive volume includes contributions bythe most experienced and renowned experts on the subject. Contributors include Sigmund Freud; Karl Abraham; Ernest Jones; Anna Freud; Paul E. Sifneos; Leonard Salzman; Joseph Sandler and Anandi Hazari; Lewis L. Judd; Heinz Hartmann; Stanley Rachman, Ray Hodgson and Isaac M. Marks; Paul M. Salkovskis; Paul Schilder; Steven P. Wise and Judith L. Rapoport; Joseph Zohar and Thomas R. Insel; Michael A. Jenike; Susan E. Swedo, Henrietta Leonard; Lewis R. Baxter, Jeffrey M. Schwartz, Kenneth S. Bergman; Dan Stein and Eric Hollander.

Psychotropic agents have been effective for the treatment of the emotional, and cognitive symptoms of serious psychiatric disorders. At the same time, the availability of such agents raises questions about the appropriate use of what might be termed 'smart pills', 'happy pills', or 'pep pills'. This volume argues that developments in modern psychopharmacology raise a range of important philosophical questions, and may ultimately change the way we think about ourselves. It provides a framework for addressing important philosophical issues in psychiatry and psychopharmacology. The approach is a naturalistic one, drawing on theory and data from modern cognitive-affective neuroscience and attempts to address objective and subjective aspects of psychiatric disorders, to integrate our knowledge of mechanisms and meanings, and to provide a balanced view of the good and the bad of psychotropics.

Research on connectionist models is one of the most exciting areas in cognitive science, and neural network models of psychopathology have immediate theoretical and empirical appeal. The contributors to this study review theoretical, historical and clinical issues, including the contribution of neural network models to diagnosis, pharmacotherapy and psychotherapy. Models are presented for a range of disorders, including schizophrenia, obsessive-compulsive disorder, dissociative phenomena, autism and Alzheimer's disease. This book will appeal to a broad audience. On the one hand, it will be read with interest by psychiatrists, psychologists and other clinicians and researchers in psychopathology. On the other, it will appeal to those working in cognitive science and artificial intelligence, and particularly those interested in neural network or connectionist models.

Research on connectionist models is one of the most exciting areas in cognitive science, and neural network models of psychopathology have immediate theoretical and empirical appeal. The contributors to this study review theoretical, historical and clinical issues, including the contribution of neural network models to diagnosis, pharmacotherapy and psychotherapy. Models are presented for a range of disorders, including schizophrenia, obsessive-compulsive disorder, dissociative phenomena, autism and Alzheimer's disease. This book will appeal to a broad audience. On the one hand, it will be read with interest by psychiatrists, psychologists and other clinicians and researchers in psychopathology. On the other, it will appeal to those working in cognitive science and artificial intelligence, and particularly those interested in neural network or connectionist models.

Clinical Neuropsychology is a vast and varied field that focuses on the treatment, assessment and diagnosis of a range of cognitive disorders through a study and understanding of neuroanatomy and the relationship between the brain and human behavior. This handbook focuses on specific Neuropsychological disorders. It covers each of the classification systems involved before moving on to specific types of disorders from neurodevelopmental to neuropathological as well as brain injuries, trauma and neurodegenerative disorders. This handbook not only provides an in-depth overview of these Neuropsychological disorders, but also explores the history of the field as well its global challenges. The handbook is an essential tool for clinicians and scientists, as well as postgraduate students and researchers in a range of disciplines exploring the area. PART I BACKGROUND CONSIDERATIONS PART II NEURODEVELOPMENTAL DISORDERS PART III NEUROLOGICAL DISORDERS PART IV NEUROCOGNITIVE DISORDERS PART V TRAUMATIC BRAIN INJURY PART VI PSYCHIATRIC DISORDERS

Posttraumatic stress disorder (PTSD) is a chronic, under-detected and under-treated psychiatric consequence of trauma that is often linked to new-onset medical and psychological conditions, impaired quality of life and long-term disability across the globe. This book is the first systematic analysis of the rates, risk factors, consequences and global burden of trauma and PTSD across a variety of wealthy and underdeveloped settings. An analysis of a global survey conducted by the World Health Organization and featuring findings from over 70,000 participants around the world, this text demonstrates a unique perspective on the prevalence of exposure to trauma and PTSD and the impact it has on population health. The findings inside this text underscore the urgent need for policymakers and healthcare providers to prioritize interventions aimed at reducing the burden of trauma, PTSD and its consequences.

Problems of Living: Perspectives from Philosophy, Psychiatry, and Cognitive-Affective Science addresses philosophical questions related to problems of living, including questions about the nature of the brain-mind, reason and emotion, happiness and suffering, goodness and truth, and the meaning of life. It draws on critical, pragmatic, and embodied realism as well as moral naturalism, and brings arguments from metaphysics, epistemology, and ethics together with data from cognitive-affective science. This multidisciplinary integrated approach provides a novel framework for considering not only the nature of mental disorders, but also broader issues in mental health, such as finding pleasure and purpose in life.

Clinical Neuropsychology is a vast and varied field that focuses on the treatment, assessment and diagnosis of a range of cognitive disorders through a study and understanding of neuroanatomy and the relationship between the brain and human behavior. This handbook focuses on the assessment, diagnosis and rehabilitation of cognitive disorders. It provides in-depth coverage on a variety of content, including psychometrics, neuropsychological test batteries (computer based cognitive assessment systems) and assessment applications. This handbook is vital for clinical neuropsychologists and postgraduate students and researchers hoping to apply a knowledge of neuropsychology to clinical settings and effectively assess, diagnose and treat patients suffering from cognitive disorders. PART I BACKGROUND CONSIDERATIONS PART II DOMAIN-SPECIFIC NEUROPSYCHOLOGICAL MEASURES PART III GENERAL COGNITIVE TEST BATTERIES PART IV LEGACY NEUROPSYCHOLOGICAL TEST BATTERIES PART V COMPUTERISED BATTERIES, TECHNOLOGICAL ADVANCES AND TELENEUROPSYCHOLOGY PART VI NEUROPSYCHOLOGICAL ASSESSMENT APPLICATIONS

Providing clinicians and patients with the latest developments in research, this new edition is a succinct and practical introduction to the diagnosis, evaluation and management of OCD and other related disorders. Part of the Oxford Psychiatry Library series, this pocketbook includes individual chapters on the phenomenology, pathogenesis, pharmacotherapy and psychotherapy of OCD and other related disorders, and features fully updated content and research. The book also includes a helpful resources chapter, and an Appendix with summaries of the major rating scales used to assess patients with OCD, which will be of use to both clinicians and patients. Obsessive-compulsive disorder (OCD) and Obsessive-compulsive-related disorders (OCRDs) are anxiety disorders characterized by obsessions and compulsions, and varying degrees of anxiety and depression. OCRDs are considered to be one of the most disabling of psychiatric disorders and they present a tremendous economic and social burden, both for the affected individual, their family, and for society at large. In contrast to other psychiatric conditions of a comparable or lesser prevalence and patient burden, relatively little is understood about the aetiology, and cognitive effects of OCRDs.

Global Mental Health and Neuroethics explores conceptual, ethical and clinical issues that have emerged with the expansion of clinical neuroscience into middle- and low-income countries. Conceptual issues covered include avoiding scientism and skepticism in global mental health, integrating evidence-based and value-based global medicine, and developing a welfarist approach to the practice of global psychiatry. Ethical issues addressed include those raised by developments in neurogenetics, cosmetic psychopharmacology and deep brain stimulation. Perspectives drawing on global mental health and neuroethics are used to explore a number of different clinical disorders and developmental stages, ranging from childhood through to old age.

Global Mental Health and Psychotherapy: Adapting Psychotherapy for Low- and Middle-Income Countries takes a detailed look at how psychotherapies can be adapted and implemented in low- and middle-income countries, while also illuminating the challenges and how to overcome them. The book addresses the conceptual framework underlying global mental health and psychotherapy, focusing on the importance of task-shifting, a common-elements approach, rigorous supervision, and the scaling up of psychotherapies. Specific psychotherapies, such as cognitive-behavioral therapy, interpersonal therapy and collaborative care are given in-depth coverage, as is working with special populations, such as children and adolescents, pregnant women, refugees, and the elderly. In addition, treatment strategies for common disorders, such as depression, anxiety and stress, and substance abuse are covered, as are strategies for more severe mental disorders, such as schizophrenia.