Mental health articles

OF mental health care and mentally ill

November, 2015

Th e range of couples’ problems

Th e range of couples’ problems is extensive. Th ere are couples who bicker, couples who have violent arguments or engage in cold war, couples who are dealing with jealousy, sexual problems, betrayals, dependency, boredom, and exploitation. Some couples question whether to move in together or get married; others question whether to break up. Further, […]

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Self-Esteem and Relationships

Self-Esteem and Relationships When students seek friends or romantic partners, their identities and selfesteem are of course involved. Th ose students who lack self-esteem may fall into the trap famously described by Groucho Marx, “I wouldn’t join any club that would have me as a member.” Th ese students may be quick to dismiss or […]

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Shyness and Social Isolation

Shyness and Social Isolation Shy students are probably more common on campuses than their counselingcenter representation might suggest, partly because their shyness makes them hesitate to ask for help. In residence halls and classrooms, their needs may easily go unattended—they rarely cause problems that would attract professional notice. Yet shyness can be an acutely uncomfortable […]

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Individual Versus Group Therapy

Individual Versus Group Therapy Another therapeutic question in dealing with relationship issues is whether to refer the student for group treatment. Most students come to the college counseling center wanting and expecting to meet one-to-one with a therapist—a predilection many therapists share. However, group therapy may well be the treatment of choice when the presenting […]

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Individual Versus Couples or Family Treatment

Individual Versus Couples or Family Treatment In cases of troubled relationships, an important question is whether to work with the individual or with both (or all) parties. Motivation, readiness, and responsibility are important considerations. If one person in the relationship has no inclination to be involved in psychotherapy, eff orts at multipleparty treatment may be […]

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family systems therapeutic principles

Four key family systems therapeutic principles are applied to the cases presented in this chapter. Th ese consist of therapists’ eff orts to (1) maintain neutrality, (2) help clients manage triangles and, more generally, understand parallels between their family patterns and current diffi culties, (3) encourage clients to establish eff ective contact with the family, […]

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Psychotherapy from a Family Systems Perspective

Psychotherapy from a Family Systems Perspective Several important points should be made about using a family systems perspective. First, family systems theory is a point of view from which a clinician conducts treatment, whether the clinician sees individuals, couples, or families. Th is perspective does not defi ne the number of people who are in […]

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Psychiatrist and Therapist Collaboration

With the rise in drug treatments and fi nancial pressures from managed-care programs, it has become increasingly common practice in the past 10 to 15 years for mental health treatments to be split—with social workers, counselors, or psychologists doing talk therapy, and psychiatrists (or health service providers) managing medication. While this arrangement may be effi […]

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ssris and suicide in adults

ssris and suicide in adults Th ere is strong evidence that suicide rates have dropped in the United States since 1986, which many researchers claim is a direct result of increasing prescriptions of antidepressants, especially the SSRIs (Grunebaum, Ellis, Li, Oquendo, & Mann, 2004). Recently, however, the FDA added a “black box” danger warning to […]

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psychotropic medications and substance use

psychotropic medications and substance use Dually diagnosed or mentally ill chemically abusing (MICA) students, who have both substance abuse and psychiatric problems, present a special challenge for colleges and college mental health programs. Many students are less than completely forthcoming when discussing substance use or abuse with clinicians. As a rule, clinicians should have a […]

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