There is an increasing focus on medical studies related to differences between men and women, and women’s mental health stands out as one of the most important fields where sex-based differences are being investigated. Overall, studies show an existence of important sex-specific differences in several aspects of psychiatric disorders such as etiology, epidemiology, clinical presentation and therapeutics. In this book, recognized experts present the current state of knowledge on this topic, providing a reliable, accurate and comprehensive clinical guide to women's mental health. The book will steer clear of an in-depth discussion of genetics and sex-based differences to focus quickly and narrowly on how best to diagnose and treat psychiatric disorders in women, thereby offering a targeted and practical guide for clinicians. It is intended to serve a broad audience -- including psychiatrists, psychologists, family physicians, obstetricians, gynecologists, nurses, social workers and other medical and mental health providers with an interest in women's mental health. Women's Mental Health: A Clinical and Evidence-Based Guide will be fully evidence-based and will present chapters authored by distinguished leaders with extensive experience and clinical wisdom in this area. It offers psychiatrists, psychologists, family physicians, obstetricians, gynecologists, nurses, social workers and other medical and mental health providers a valuable source of information to enhance their clinical practice.
"More women (47.6%) receive mental health services compared with men (34.8%). Women are twice as likely as men to develop major depressive disorder. Furthermore, 10%-15% of women experience depression during the perinatal period, which makes depression one of the most common complications of childbirth (Gaynes et al. 2005). These statistics illustrate that psychiatric disorders in women are common during the reproductive years and that the hormonal fluctuations associated with the reproductive life cycle contribute to the etiology of mental illness in women. Medical practitioners in all fields will encounter female patients with mental illness across the lifespan, particularly major depressive and anxiety disorders. Consequently, there is a great imperative for high-quality educational materials that increase the competency of providers. This outstanding work is divided into two parts. Part I provides a comprehensive overview of the reproductive life cycle and covers mental health concerns across the lifespan, including the relationship between gynecological and sexual health and mental health as well as infertility, the premenstrual period, and perimenopause. Part II is devoted to the perinatal period and offers a conceptual framework for a clinical approach to the pregnant and postpartum patient, followed by evidence-based reviews of the management of psychiatric disorders (by diagnostic category), as well as covering stress in pregnancy, infant mental health, and legal/forensic issues. Critical summaries of the epidemiology, risk factors, screening methods, and clinical features are presented. This book must be required reading for all faculty and trainees who will care for women"--
Women outnumber men as consumers of health care in the United States: they visit doctors more often, fill more prescriptions, undergo more surgeries, occupy more hospital beds, and spend more money on health care than men. Yet it wasn't until the past decade that active trials in gender-specific aspects of mental health began leading us to a better understanding of the psychiatric disorders to which women are vulnerable. Distilling the findings of this research into practical information about the assessment and management of psychiatric conditions specific to women, this Second Edition (updated from 1997) expands upon the biological, psychological, and sociocultural factors that influence women's mental health, with particular emphasis on reproductive points in the female life cycle-and the ways in which these factors are integral to gender-sensitive case formulations, diagnoses, and treatment planning. Updates in the second edition include the latest findings about premenstrual dysphoric disorder, the use of psychiatric medications in pregnant and breast-feeding women, perinatal loss, surgical menopause, eating disorders, sexual trauma, seasonal affective disorder, sleep disorders, and posttraumatic stress disorder. Complementing lengthier psychiatric references, this latest "Concise Guide" offers enduring value in a convenient pocket-size format with extensive tables and illustrations. Its wealth of practical information, highlighted by material from the authors' clinical experiences, makes it a must-read for psychiatrists, psychiatry residents, and medical students working in various treatment settings, from inpatient psychiatry units and outpatient clinics toconsultation-liaison services and private offices.
"In this book you’ll find a thoughtfully edited chronicle of the unique convergence of genetic, hormonal, social, and environmental forces that influence a woman’s mental health over the course of her life. Both comprehensive and nuanced, Women’s Reproductive Mental Health Across the Lifespan captures the science, clinical observation, and collective wisdom of experts in the field. Professionals and laypersons alike are well-advised to make room on their bookshelves for this one!" - Margaret Howard, Ph.D., Warren Alpert Medical School of Brown University; Women & Infants Hospital, Providence RI "This outstanding collection of work is an important, timely, and much needed resource. Dr. Diana Lynn Barnes has been instrumental in bringing attention to the needs of perinatal women for decades. In Women's Reproductive Health Across the Lifespan, she brilliantly unites the medical world of reproductive life events with the psychiatric and psychological world of mental health issues associated with them. Her expertise, combined with contributions by distinguished leaders in the field, create a volume of work that should be studied carefully by every medical and mental health provider who works with women." - Karen Kleiman, MSW, The Postpartum Stress Center, Author of Therapy and the Postpartum Woman "Finally, a book that addresses the entire scope of women’s reproductive mental health spanning the gamut from puberty to menopause. The list of chapter contributors reads like a who’s who of international experts. Unique to this book is its focus on the interaction of genetics, hormonal fluctuations, and the social environment. It is a must addition for the libraries of clinicians and researchers in women’s reproductive mental health". - Cheryl Tatano Beck, DNSc, CNM, FAAN, Board of Trustees Distinguished Professor, School of Nursing, University of Connecticut Pregnancy and childbirth are generally viewed as joyous occasions. Yet for numerous women, these events instead bring anxiety, depression, and emotional distress. Increased interest in risk reduction and early clinical intervention is bringing reproductive issues to the forefront of women's mental health. The scope of Women's Reproductive Mental Health across the Lifespan begins long before the childbearing years, and continues well after those years have ended. Empirical findings, case examples, and dispatches from emerging areas of the field illuminate representative issues across the continuum of women's lives with the goal of more effective care benefitting women and their families. Chapter authors discuss advances in areas such as fertility treatment and contraception, and present current thinking on the psychological impact of pregnancy loss, menopause, cancer, and other stressors. These expert contributors emphasize the connections between an individual's biology and psychology and cultural expectations in shaping women's mental health, and the balance between a client's unique history and current clinical knowledge clinicians need to address disorders. Included in the coverage: The experience of puberty and emotional wellbeing. Body image issues and eating disorders in the childbearing years. Risk assessment and screening during pregnancy. Normal and pathological postpartum anxiety. Mood disorders and the transition to menopause. The evolution of reproductive psychiatry. A reference with an extended shelf life, Women's Reproductive Mental Health across the Lifespan enhances the work of researchers and practitioners in social work, clinical psychology, and psychiatry, and has potential relevance to all health care professionals.
Creates a new framework for approaching Black womens wellness, by merging theory and practice with both personal narratives and public policy. This book offers a unique, interdisciplinary, and thoughtful look at the challenges and potency of Black womens struggle for inner peace and mental stability. It brings together contributors from psychology, sociology, law, and medicine, as well as the humanities, to discuss issues ranging from stress, sexual assault, healing, self-care, and contemplative practice to health-policy considerations and parenting. Merging theory and practice with personal narratives and public policy, the book develops a new framework for approaching Black womens wellness in order to provide tangible solutions. The collection reflects feminist praxis and defines womanist peace in terms that reject both superwoman stereotypes and victim caricatures. Also included for health professionals are concrete recommendations for understanding and treating Black women. this book speaks not only to Black women but also educates a broader audience of policymakers and therapists about the complex and multilayered realities that we must navigate and the protests we must mount on our journey to find inner peace and optimal health. from the Foreword by Linda Goler Blount
This text provides background on the history of perinatal psychiatry, and discusses future directions in the field. It clearly defines perinatal mood and anxiety disorders (PMADs), which are the most common complication of pregnancy. When left untreated, PMADs are morbid and devastating for both the patient and their entire family. It reviews gold standard recommendations for the treatment of PMADs, including evidence-based psychotherapies, as well as risk-benefit analysis of psychotropic medication use in pregnancy and lactation. Additionally, common presentations of depression, anxiety, and trauma in pregnancy and postpartum women, as well as mania, psychosis, suicidal and homicidal thoughts are reviewed. Women’s Mood Disorders: A Clinician’s Guide to Perinatal Psychiatry highlights special considerations in pregnancy, including teenage pregnancies, hyperemesis gravidum, eating disorders, substance abuse disorders, as well as infertility, miscarriage and loss. The text concludes with outlining the importance of collaborative care in providing gold standard treatment of perinatal women and review documentation and legal considerations. This handbook will help educate and train future psychiatrists and OBGYNs in feeling confident and comfortable assessing and treating pregnant women who suffer from PMADs.
In this volume, authorities from around the United States and from a variety of perspectives analyze and discuss key topics in women's mental health, including empowerment, substance abuse, severe mental illness and interpersonal violence. Issues examined in the first part focus on service delivery - for example, the organizational structure of service delivery, gender and racial service disparities, and challenges women face as mental health administrators. Contributors to Part Two explore special issues and populations, including women who have survived trauma such as sexual abuse, and women with mental disorders who are in prison.
This comprehensive book examines the organization, financing, delivery, and outcomes of behavioral health (i.e., alcohol, drug abuse, and mental health) services from both U.S. and global perspectives. Addressing the need for more integrative and collaborative approaches in public health and behavioral health initiatives, the book covers the fundamental issues in behavioral health, including epidemiology, insurance and financing, health inequities, implementation sciences, lifespan issues, cultural responsiveness, and policy. Featuring insightful research from scholars in an interdisciplinary range of academic and professional fields, chapters fall into three distinct sections: Overview: Outlines the defining characteristics of behavioral health services and identifies significant challenges in the field At-Risk Populations: Explores critical issues for at-risk populations in need of behavioral health services, including children in school environments, youth in juvenile justice systems, and persons with developmental disabilities, among others Services Delivery: Presents a rationale for greater integration of health and behavioral health services, and contextualizes this explanation within global trends in behavioral health policy, systems, and services An in-depth textbook for graduate students studying public health, behavioral health, social work policy, and medical sociology, as well as a useful reference for behavioral health professionals and policy makers, Foundations of Behavioral Health provides a global perspective for practice and policy in behavioral health. It promotes better understanding of the importance of integrating population health and behavioral health services, with an eye towards improving and sustaining public health and behavioral health from national, regional, and global perspectives.
This comprehensive reference and text synthesizes a vast body of clinically useful knowledge about women's mental health and health care. Coverage includes women's psychobiology across the life span--sex differences in neurobiology and psychopharmacology and psychiatric aspects of the reproductive cycle--as well as gender-related issues in assessment and treatment of frequently encountered psychiatric disorders. Current findings are presented on sex differences in epidemiology, risk factors, presenting symptoms, treatment options and outcomes, and more. Also addressed are mental health consultation to other medical specialties, developmental and sociocultural considerations in service delivery, and research methodology and health policy concerns.
This book discusses psychiatric disorders among women in a manner that is relevant to clinical practice and keep cultural and social realities in perspective. The book is important in the face of rapidly changing conditions globally (including better education and more opportunities for work for women); challenges such as migration, war and violence and emerging areas such as newer reproductive technologies, Women's mental health cannot be divorced from social and cultural realities and while the book emphasises these areas, it also gives due importance to the current advances in neurobiology and psychopharmacology of psychiatric disorders among women. Chapters in the book are written by multiple authors, many of the chapters use the life stage approach, and have been written by authors from different parts of the world to ensure cultural relevance and diverse viewpoints.
