Sex is everywhere in modern society, yet it remains taboo. We all have questions about sex that are too uncomfortable to ask - how do we get reliable answers? In this go-to guide Drs Grant and Chamberlain use their clinical expertise to answer the questions you wish you could ask about sex. Questions like: Is my sex drive or sex behavior normal? Can someone have too much sex? Or too little? How has Internet dating and pornography changed sex? This go-to guide will help you understand common sexual issues, know when to worry (or not) about different sexual behaviors, and learn how our sex lives adapt to changing technology or in times of crisis. It also provides step-by-step advice for dealing with a range of sexual issues, and practical strategies for strengthening relationships.

Youth gambling represents a potentially serious public policy and health issue. Nevertheless, the rise in youth gambling issues and problems in the global context is not matched with a parallel increase in research on adolescent gambling. As such, there is an urgent need to conduct more studies on adolescent gambling behaviour. Recently significant advances in the knowledge of the risk factors associated with adolescent problems has emerged. This book addresses issues related to prevalence, assessment, prevention and treatment of youth gambling problems as well as concerns related to technological changes associated with youth problem gambling.

Gambling Disorder: A Clinical Guide to Treatment is a systematic, eloquent, and exhaustive examination of the etiology, psychopathology, neurobiology, and treatment of the disorder, which was reclassified for DSM-5. Building on its 2004 predecessor, Pathological Gambling, which was groundbreaking for its era, the second edition has been thoroughly restructured and is designed to prepare clinicians to diagnose, treat, and-most important of all-understand their patients with the disorder. More common than previously supposed, gambling disorder is associated with decreased self-esteem, comorbid substance use disorders, financial and legal difficulties, relationship and family stress, and suicidality. Yet, many clinicians are unaware of the personal and social consequences of this disorder, as well as its implications for public health. Accordingly, the book provides a detailed look at the effects of gambling on societal, familial, and individual health and well-being and prepares clinicians to accurately assess their patients and provide effective treatments. As befits a field that has been the recent focus of so much innovative and promising research, the new edition boasts a fresh roster of contributors, each of whom bring special insight to their areas of expertise. Noteworthy topics include: * Currently available screening and assessment instruments for diagnosing gambling disorder and monitoring symptom change are discussed in-depth, including psychometric properties, norms, administration methods, and scoring and interpretation of each instrument. * Online gambling and gambling-gaming convergence is considered in a new chapter, which explores the complex interplay between gambling and technology. Highlighted issues include the growth of interactive platforms, role of new player experiences and reward structures, tailoring of products to individuals, and integration into other online activities, such as gaming and social media.* Gender differences in epidemiology, phenomenology, psychiatric comorbidity, and biology have been identified among patients with gambling disorder, with important treatment implications. Similarly, older adults and young people can exhibit significant differences in behavior. These are explored in separate, clinically rich, chapters.* The always evolving field of gambling and criminal/legal issues is explored in a chapter on forensic issues in gambling, which examines the relationship of gambling disorder to antisocial personality disorder and domestic abuse, and looks at the interface between gambling and the legal system.* Tremendous advances in the treatment of gambling disorder have been made since the last edition, and these are reflected in comprehensive chapters on psychosocial and pharmacological treatments. Full of expert clinical knowledge and cutting-edge research, Gambling Disorder: A Clinical Guide to Treatment is the clinician's comprehensive guide to helping patients with gambling disorder find relief from this disabling disorder.

Complete yet concise, Obsessive-Compulsive Personality Disorder provides an up-to-date analysis of this widespread, multi-faceted disorder. Estimated to be twice as common as any other personality disorder, OCPD is nevertheless both underrepresented in the literature and frequently misunderstood by clinicians and the patients who grapple with its effects. Misdiagnosis, failure to diagnose, and ignorance of treatment options are common. This text represents the collective contributions of some of the foremost authorities in the field under the leadership of editors who are determined to raise awareness and educate practitioners and patients alike about the phenomenology, neurobiology, and psychology of this disorder. The book begins with the history and epidemiology of the disorder before proceeding to the clinical features, which are presented using case examples. From there, the text addresses the developmental aspects of OCPD and then considers other related personality disorders that frequently co-occur with or may be mistaken for OCPD. Additional chapters address the developmental aspects of OCPD, the neurobiology and cognitive underpinnings of OCPD, and available treatment approaches. The following coverage is especially noteworthy: * Four chapters focus on common mental health disorders that can be difficult to differentiate from OCPD, with the most common misdiagnoses being obsessive-compulsive disorder and hoarding disorder. OCPD has also been linked with eating disorders, impulse disorders, and aggression, and the book helps the reader understand the relationship between and among these disorders.* Gender and/or cultural factors may influence the presentation of psychiatric disorders, including OCPD, and the book explores the potentially heterogeneous etiology of the disorder and the danger of assuming that one size fits all in terms of treatment.* Both psychotherapeutic and pharmacological treatment approaches are examined in detail, including cognitive-behavioral therapies (the rationale behind their use, estimated effectiveness, and limitations of current interventions) and the current state of drug treatment.* OCPD can be trying for family members and others who care about the patient, and the book offers a chapter examining what loved ones can do to help, including how to recognize when a personality trait within the OCPD criteria rises to the level of a disorder.* Although OCPD can be disabling, there can be positive aspects to having an obsessional personality, and the book discusses the situations under which these traits can be advantageous. Down-to-earth, clinically rich, and unique, Obsessive-Compulsive Personality Disorder will help clinicians navigate the thorny OCPD assessment, diagnosis, and treatment path while providing information and comfort to patients and their families.

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.

At some point in our lives, we all engage in behaviors that are risky, irrational, or unwise. We might find it exciting and temporarily rewarding to gamble on the lottery or impulsively buy an expensive gadget. But just as substances like alcohol and narcotics have the potential to become addictive, so do certain behaviors. A person addicted to gambling, shopping, the internet, food, or picking at their skin may suffer shame in the shadows while their behavior consumes time and energy and disrupts their life. Some people with behavioral addictions lose their family, job, savings, and home. With a physical basis in the brain, behavioral addictions are serious illnesses-but simply willing yourself to stop is usually not enough. Why Can't I Stop? is for anyone who has a behavioral addiction, as well as their supportive families and friends. Examining seven of the most common and serious addictions-gambling, sex, stealing, internet use, shopping and buying, hair pulling and skin picking, and food-the authors bring together cutting-edge research to describe behavioral addiction, its causes, and how it can be diagnosed and treated. Featuring patient stories of behavioral addiction and recovery, as well as information about treatment centers, this compassionate guide will help readers better understand the complicated issues surrounding these addictions and teach family members how to help the addicted person while helping themselves.

Impulsivity, to varying degrees, is what underlies human behavior and decision-making processes. As such, a thorough examination of impulsivity allows us to better understand modes of normal behavior and action as well as a range of related psychopathological disorders, including kleptomania, pyromania, trichotillomania, intermittent explosive disorder, and pathological gambling -- disorders grouped under the term "impulse control disorders" (ISDs). Recent efforts in the areas of cognitive psychology, neurobiology, and genetics have provided a greater understanding of these behaviors and given way to improved treatment options.
The Oxford Handbook of Impulse Control Disorders provides researchers and clinicians with a clear understanding of the developmental, biological, and phenomenological features of a range of ICDs, as well as detailed approaches to their assessment and treatment . Bringing together founding ICD researchers and leading experts from psychology and psychiatry, this volume reviews the biological underpinnings of impulsivity and the conceptual challenges facing clinicians as they treat individuals with ICDs. It is an authoritative resource for clinical professionals, researchers, and students who work in this expanding area.

DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition is a user-friendly, supplementary guide for psychiatrists, psychologists, and other mental health practitioners who need to know how DSM-5 differs from its predecessor in terms of organizational structure, diagnostic categories, and the criteria themselves. While it does not replace the comprehensive and authoritative DSM-5, it illuminates its content by teaching mental health professionals how to use the revised diagnostic criteria and by providing a practical context for its clinical use. The book offers many valuable features, including: * An historical overview of the development of the DSM in general, and DSM-5 in particular, a progression that might be said to mirror the evolution of psychiatry as a whole. The material on the creation of DSM-5 includes coverage of dimensional assessment, reliability and field trials, and the controversies that arose during development of DSM-5.* An indispensable chapter on how to use DSM-5 that addresses coding, diagnostic certainty, the demise of the multiaxial system, and the key changes to each diagnostic category.* Full coverage of the significant reorganization from DSM-IV-TR to DSM-5, which is designed to incorporate advances in neuroscience, brain imaging and genetics. Chapters were reordered to reflect scientific advances in the understanding of psychiatric disorders, and the presumed etiological and the pathophysiological relationships among them.* Extensive coverage of the decision to integrate dimensional measures into DSM-5, which may enhance the clinician's ability to assess symptom variation and severity and aid in patient evaluation, treatment decisions, and outcome monitoring. The various measures are presented and their use discussed.* Finally, as the authors were not part of the revision process, they offer a fresh, down-to-earth perspective that will resonate with clinicians by focusing on the changes that will most significantly impact clinicians' professional lives. DSM-5 Guidebook provides a roadmap to the many changes in this living document, DSM-5, and will prove invaluable to psychiatrists, psychologists, psychiatric nurses, neurologists, social workers, and all who strive to understand mental illness as it is conceived today.

The first of its kind, this book reflects progress in a too-little explored corner of psychiatry to show that gender plays an integral role in mental health issues for men. Textbook of Men's Mental Health provides clinicians with the information they need for understanding how certain disorders manifest differently in men -- and for recognizing how treatment responses in men differ from those in women. Multidisciplinary coverage in this groundbreaking guide draws from fields such as public health and substance abuse to create a well-rounded approach to addressing men's specific mental health problems.

With contributions by today's experts in men's mental health, this work gathers the latest research about men's psychiatric issues, from the difficulties in diagnosing male depression to strategies for engaging men in marital therapy. First addressing developmental issues specific to childhood, adolescence, and old age, the text then presents treatment options for an array of problems, from anxiety to sexual disorders to posttraumatic stress disorder. This volume then addresses psychosocial issues as they apply uniquely to men, such as fathering, marriage, aggression, and overcoming the stigma of mental health treatment -- as well as a chapter on how men's ethnicity influences the effectiveness of therapy. Among the topics discussed are - how men behave in intimate relationships with women -- and the mental health considerations unique to gay men- psychiatric disorders more prevalent in men than women, such as substance abuse, antisocial personality, and conduct disorder- up-to-date facts on male sexual functioning, covering erectile dysfunction, premature ejaculation, and male orgasmic disorder- why disorders less common in men -- anxiety, depression, PTSD -- require different treatment than for women- coverage of compulsive disorders seen in men both more frequently, such as pathological gambling and compulsive sexual behavior -- and less frequently, such as kleptomania and compulsive buying- insight into how body image, a problem usually associated with women, has become a serious health issue for men, as evidenced by eating disorders, muscle dysmorphia, and steroid abuse

No previous text has addressed such a wide range of issues concerning men's mental health, presented here in evidence-based coverage featuring case vignettes, key points, practice guidelines, and an extensive reference list in each chapter. Clinicians who wish to make more prudent decisions regarding the care of men with mental health issues will find this text indispensable to their practice -- and to the well-being of their male patients.

Clinical Guide to Obsessive Compulsive and Related Disorders is a complete, comprehensive overview of OCD and related disorders (trichotillomania, excoriation disorder, hoarding disorder, body dysmorphic disorder, and tic disorders). The book covers underlying causes, clinical presentations and treatments. The book serves as a primer for clinicians in training and those already in practice who have little if any background in these disorders. It discusses the pharmacological and psychosocial treatments for both adults and children with an emphasis on providing practical information for clinicians to use in their everyday practices. Based on the DSM-5, the book uses the latest evidence-based information regarding treatments including medication options, behavioral therapies, alternative treatments, and recent developments in surgical treatment. This book will provide students, residents, interns and even veteran clinicians with a basic understanding of OCD and disorders that are often associated with OCD. In addition, members of the public and those affected by these disorders may use this book to enhance their personal knowledge of the subject matter presented.

If you feel you are no longer in control of your behavior, that your actions may have interfered with your family, social, or working life, this workbook can help you take back control.
Impulse control disorders (ICDs) include pathological gambling (PG), kleptomania/compulsive stealing (KM), pyromania/fire setting (PY), and compulsive buying (CB). ICDs are characterized by difficulties resisting urges to engage in behaviors that are excessive and/or ultimately harmful to oneself or others. ICDs are relatively common and can be significantly harmful - even life threatening. They can also be effectively treated with behavioral therapies.
Overcoming Impulse Control Problems is written by researchers with years of experience studying the psychology of impulse control disorders. This book represents the treatment they have found to be the most effective at controlling urges to gamble, steal, set fires, and over-spend. It will also help you to better understand the true nature of impulse control problems, and will help to prevent future problems. Intended for use in conjunction with supervised therapy, this workbook includes various self-assessmnets and exercises designed to help you realize the truth behind your actions, and to reach the ultimate goal of changing your impulsive behaviors.
This workbook and the corresponding therapist guide form a complete treatment package that will help you overcome your impulsive behaviors and learn skills that are useful for a lifetime.

Impulse control disorders (ICDs) include pathological gambling, kleptomania, trichotillomania, intermittent explosive disorder, and pyromania, and are characterized by difficulties resisting urges to engage in behaviors that are excessive or ultimately harmful to oneself or others. ICDs are relatively common among adolescents and adults, carry significant morbidity and mortality, and can be effectively treated with behavioral and pharmacological therapies.
This guide includes all the information and materials necessary to implement a successful cognitive behavioral therapy program for impulse control disorders (CBT-ICD). This evidence-based intervention was developed for the treatment of pathological gambling, kleptomania, compulsive buying, and pyromania.
Originators of interventions for impulse control disorders, the authors review the background and diagnostic information for each ICD as well as available treatment outcome studies; the assessment process for each ICD problem and the individual therapy sessions are also reviewed. This format affords you the flexibility to treat one or more ICD problem, and since they co-occur, this approach is essential.
This therapist guide and its corresponding workbook form a complete treatment package. It is a resource that no clinician specializing in these disorders can do without.

Gli ultimi anni hanno testimoniato un significativo aumento della ricerca nell'ambito del gioco d'azzardo patologico - una diagnosi purtroppo spesso trascurata dai medici, non sempre consci delle sue conseguenze a livello personale e sociale, e a volte nemmeno delle attuali possibilita di cura. Di fatto, oggi, i clinici possono scegliere tra diverse opzioni terapeutiche in grado di migliorare in modo incisivo la qualita di vita delle persone che soffrono di questa patologia disabilitante.

Questo volume si presenta come una "guida clinica" che offre al lettore una panoramica omnicomprensiva sull'argomento dal punto di vista della salute pubblica, delle caratteristiche cliniche e della terapia, della psicoterapia e della psicofarmacologia, facendo il punto sullo stato dell'arte del recente, straordinario progresso in questo campo. Scritti dai maggiori esperti internazionali negli aspetti psichiatrici del gioco d'azzardo, i vari capitoli ne descrivono in dettaglio la fenomenologia clinica, l'eziologia e la terapia, evidenziando gli approcci clinici attuali che possono favorire una precoce identificazione, la remissione dei sintomi, e migliorare la stabilizzazione. Vengono inoltre discusse nel libro la prevalenza e la definizione del problema ricreazionale e del gioco d'azzardo patologico, la relazione tra i differenti livelli di gravita e i suoi effetti sulla salute e sul benessere dei pazienti.

l volume rappresentera quindi per psichiatri, ricercatori e per tutti coloro che operano nel campo della salute mentale una fonte aggiornata di informazione sul questa importante patologia e sugli ultimi risultati della ricerca scientifica in questo campo."

Impulse control disorders such as gambling and risky sexual behavior are increasingly recognized as treatable forms of addictions. This is the first comprehensive book on the topic for clinicians, providing clear clinical guidance on assessment, diagnosis, treatment, and follow-up.