This book illuminates the causes of severe adolescent behavioral problems and presents a research-based fifteen-step model for helping families bring about real, lasting change. Incorporating structural and strategic principles, the author's cohesive approach focuses on setting clear rules and consequences; changing the mood and direction of confrontations; neutralizing such problem behaviors as disrespect, truancy, running away, violence, and threats of suicide; and restoring positive, nurturing relationships among family members. Special treatment issues covered include working with single-parent families, outside systems (peers, school, probation officers), divorce and stepfamily problems, and substance misuse. Clearly written, practical, and accessible, the book uses actual case examples to demonstrate each step of the approach.
Integrating systemic, psychodynamic, and cognitive-behavioral perspectives, this acclaimed book presents an innovative framework for therapeutic work. Ellen Wachtel shows how parents and children all too often get entangled in patterns that cause grief to both generations, and demonstrates how to help bring about change with a combination of family-focused and child-focused interventions. Vivid case examples illustrate creative ways to engage young children in family sessions and conduct complementary sessions with children and parents alone, using a variety of strengths-based, developmentally informed strategies. The paperback edition features a new preface in which the author reflects on the continuing evolution of her approach.
A unique guide to adolescent psychopathology, using adevelopmental approach Treating Adolescents is a comprehensive guide toadolescent mental health care, synthesizing evidence-based practiceand practice-based perspectives to give providers the best adviceavailable. By limiting the discussion to disorders which appearduring adolescence, this useful manual can delve more deeply intoeach to present extensive evidence and practice-based rationalesfor approaching a range of psychopathologies. This edition has beenrevised to reflect the changes in the DSM-5 and the ICD-10, withentirely new chapters on ADHD, learning and executive function,bipolar and mood disorders, sleep disorders, and suicide andself-injury. Coverage includes non-therapy interventions, such aspharmacological and environmental. The discussion of schizophreniaand psychotic disorders includes adolescent presentations ofPervasive Developmental Disorders and their relationship toclassical schizophrenia. In a developmental approach to adolescent psychopathology,different treatments are carefully integrated and matched topathogenic processes in an effort to disrupt causal loops. Thisbook provides in-depth guidance for providers seeking well-roundedtreatment plans, with detailed explanations and expert insight. Understand disruptive behaviors and ADHD more deeply Treat anxiety, depression, and mood disorders moreeffectively Handle psychiatric traumas and related psychopathologies Delve into substance abuse, self-harm, eating disorders, andmore Current scholarship favors developmental approaches topsychopathology and supports an emphasis on integrated treatmentpackages, including environmental, biologic, and psychologicalinterventions. With full integration of practice and research,Treating Adolescents is a comprehensive reference forconstructing a complete treatment strategy.
Families today are assailed on all fronts by the profound changes, such as the decline of real wages and the loss in many industries of job security, that have shaken society over the past forty years and forced the monolithic family structure to take on a multitude of new forms, including the now-common dual-income family and the single-parent family. With families now more dependent on outside institutions for help and support—from the day care center to social services to neighbors and friends—family therapy needs a model of intervention that is capable of dealing with the new role these outside institutions and their representatives play in the life of the family.In this groundbreaking book, H. Charles Fishman takes this next logical step in the evolution of the treatment of families and details how to assess the broader system supporting and affecting the family and how to intervene effectively. Assessment techniques show how to decide which people and institutions (such as siblings, friends, co-workers, employers, social workers, teachers, clergy) need to be incorporated into the treatment. Fishman outlines how and when representatives of these outside institutions should meet with the therapist and the family. Rich case examples extensively illustrate principles of intervention for working within the family's context and for identifying who or what is maintaining the dysfunction of the family system.A concluding section reveals that altruism, a side of human nature too easily forgotten or dismissed, is the driving force behind the cooperative spirit regularly shown by participants in intensive structural therapy. This surprising finding is sure to inspire all who help families deal with the stresses of life today.
The first "adolescent primer" on the market Destructive trends among today's youth are growing, making life very different from when their parents were growing up. The primary four self-destructive behaviors in adolescence today are excessive alcohol and substance abuse, promiscuity, self mutilation (ie: cutting and burning), and eating disorders. These will be covered in detail, along with other issues like Internet addiction and suicide. These problems are not only detrimental to teens' mental and physical health, but the legal consequences for injurious behavior have also changed. Identification and prevention are the most important aspects in stopping teenage self-destructive behavior. This book offers a comprehensive look at teens self destructive behavior and gives parents solutions for dealing with it. Helping Your Troubled Teen instructs parents on how to identify an at-risk adolescent and discuss warning signs of injurious behavior, before the problem(s) become severe enough that a child is in crisis and/or legal actions are taken against them. Personal anecdotes and testimonials from both parents and their teenagers who have been confronted with and have engaged in self-destructive behavior are also included. McLean Hospital is the largest psychiatric teaching facility of Harvard Medical School. Founded in 1811 as the original psychiatric department of the MGH, it moved to Belmont in 1895. McLean Hospital operates the largest psychiatric neuroscience research program of any Harvard University-affiliated facility and of any private psychiatric hospital in the country. The Child and Adolescent Program at McLean Hospital is one of the foremost clinical programs for helping young people and their families cope with psychiatric illness and the challenges it often brings. There are extensive ties with community services, and each therapeutic program of children and adolescents in inpatient, residential and outpatient services is tailored to the specific needs of the child and family.
This book on evidence-based practice with children and adolescents focuses on best evidence regarding assessment, diagnosis, and treatment of children and adolescents with a range of emotional problems including ADHD; Bi-Polar Disorder; anxiety and depression; eating disorders; Autism; Asperger's Syndrome; substance abuse; loneliness and social isolation; school related problems including underachievement; sexual acting out; Oppositional Defiant and Conduct Disorders; Childhood Schizophrenia; gender issues; prolonged grief; school violence; cyber bullying; gang involvement, and a number of other problems experienced by children and adolescents. The psychosocial interventions discussed in the book provide practitioners and educators with a range of effective treatments that serve as an alternative to the use of unproven medications with unknown but potentially harmful side effects. Interesting case studies demonstrating the use of evidence-based practice with a number of common childhood disorders and integrative questions at the end of each chapter make this book uniquely helpful to graduate and undergraduate courses in social work, counseling, psychology, guidance, behavioral classroom teaching, and psychiatric nursing. - Fully covers assessment, diagnosis & treatment of children and adolescents, focusing on evidence-based practices - Offers detailed how-to explanation of practical evidence-based treatment techniques - Cites numerous case studies and provides integrative questions at the end of each chapter - Material related to diversity (including race, ethnicity, gender and social class) integrated into each chapter
Family-Centered Treatment With Struggling Young Adults is an indispensible guidebook to the unique set of problems and opportunities that families face when young adults are experiencing difficulty pulling anchor and setting sail. Renowned clinician Brad Sachs, PhD, provides both a conceptual framework for understanding the reasons behind the increasing number of young adults who are unable to achieve psychological and financial self-reliance and a treatment framework that will enable practitioners to help these young adults and their families to get unstuck and experience age/stage-appropriate growth and development. In Family-Centered Treatment With Struggling Young Adults, clinicians will gain an in-depth understanding of the complex psychological challenges that parents and young adults face as the latter forges a path towards success and self-reliance. Moreoever, they'll come away from the book having learned an innovative approach to sponsoring family engagement ant the launching stage—one that reduces tension, resolves conflicts, and promotes evolution and differentiation on both generations’ parts.
In Transforming Troubled Children, Teens, and Their Families: An Internal Family Systems Model for Healing, Dr. Mones presents the first comprehensive application of the Internal Family Systems (IFS) Therapy model for work with youngsters and their families. This model centers diagnosis and treatment around the concept of the Functional Hypothesis, which views symptoms as adaptive and survivalbased when viewed in multiple contexts. The book provides a map to help clinicians understand a child’s problems amidst the reactivity of parents and siblings, and to formulate effective treatment strategies that flow directly from this understanding. This is a nonpathologizing systems and contextual approach that brings forward the natural healing capacity within clients. Dr. Mones also shows how a therapist can open the emotional system of a family so that parents can let go of their agendas with their children and interact in a loving, healthy, Self-led way. This integrative MetaModel combines wisdom from Psychodynamic, Structural, Bowenian, Strategic, Sensorimotor, and Solution-Focused models interwoven with IFS Therapy. A glossary of terms is provided to help readers with concepts unique to IFS. Unique to this approach is the emphasis on shifting back and forth between intrapsychic and relational levels of experience. Therapy vignettes are explored to help therapists address issues such as trauma, anxiety, depression, somatization, oppositional and self-destructive behavior in children, along with undercurrents of attachment injury. Two detailed cases are followed over a full course of treatment. A section on Frequently Asked Questions explores work with families of separation and divorce, resistance, the trajectory of treatment, dealing with anger, linking to twelve-step programs, and much more. This is an ideal book for any therapist in quest of understanding the essence of healing and seeking therapeutic strategies applied within a compassionate framework.
An award-winning journalist's breathtaking mosaic of the tough-love industry and the young adults it inevitably fails. In the middle of the night, they are vanished. Each year thousands of young adults deemed out of control--suffering from depression, addiction, anxiety, and rage--are carted off against their will to remote wilderness programs and treatment facilities across the country. Desperate parents of these "troubled teens" fear it's their only option. The private, largely unregulated behavioral boot camps break their children down, a damnation the children suffer forever. Acclaimed journalist Kenneth R. Rosen knows firsthand the brutal emotional, physical, and sexual abuse carried out at these programs. He lived it. In Troubled, Rosen unspools the stories of four graduates on their own scarred journeys through the programs into adulthood. Based on three years of reporting and more than one hundred interviews with other clients, their parents, psychologists, and health-care professionals, Troubled combines harrowing storytelling with investigative journalism to expose the disturbing truth about the massively profitable, sometimes fatal, grossly unchecked redirection industry. Not without hope, Troubled ultimately delivers an emotional, crucial tapestry of coming of age, neglect, exploitation, trauma, and fraught redemption.
