Jon E. Grant – författare

The years between 18 and 29 have become an extended period of development between adolescence and middle adulthood; young adulthood is a time of many new personal, social, and cultural pressures. Risk-taking behaviors, including substance use, typically peak during this time period in part due to neurbiological development, identity exploration, and social interactions, and most major psychiatric disorders develop during young adulthood. Young Adult Mental Health will provide researchers and clinicians in the United States and elsewhere with a clear understanding of the developmental, clinical, and socio-cultural features of mental health unique to young adults, and how this developmental period influences critical assessment and treatment. Bringing together leading experts from psychology and psychiatry, the book surveys how major developmental milestones such as marriage and childrearing influence mental health and well-being among young adults, and the ways in which psychiatric disorders may present differently in this age group. It also reviews the conceptual and assessment challenges, phenomenology, and appropriate pharmacological and behavioral treatments of the many psychiatric difficulties faced by young adults. Finally, the book examines current research on mental health issues in young adults and reviews the strengths of the evidence, providing mental health professionals with a thorough grasp of mental health issues that will allow them to talk intelligently and informatively with young adults and to make well-informed assessment and treatment decisions based on the unique needs of this age group. Young Adult Mental Health is an essential resource for psychiatrists and psychologists who treat young adults. It will also be useful to researchers in various areas of mental health, and to scientists who are interested in issues of age and development.

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.

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.

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.

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.

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.

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.

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.

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. The book 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.

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.

As a companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the DSM-5 Guidebook acts as a guide for busy clinicians on the use of diagnostic criteria and codes, documentation, and compensation. It also serves as an educational text and includes a structured curriculum that facilitates its use in courses.

Obsessive-Compulsive Personality Disorder is the only book of its kind: a comprehensive, authoritative work designed to be invaluable to clinicians, researchers, and people struggling with obsessive-compulsive personality disorder (OCPD) and those who care about them. Unlike existing texts, which focus on only one or a few aspects of OCPD, this book offers a systematic exploration, with chapters on every facet of the disorder from leading experts on scientific techniques, including brain imaging, cognitive testing, and biological markers. OCPD and obsessive-compulsive disorder differ in symptoms and core components but may have a similar presentation, making differential diagnosis challenging. In addition, OCPD may overlap in some particulars or co-occur with other disorders, including hoarding disorder, eating disorders, and impulse control and addictive disorders. Accordingly, the authors offer detailed information to help the reader disentangle and identify these syndromes so that the proper treatment intervention can be initiated. In addition to thorough coverage of OCPD in its pathological form, the book also addresses how OCPD can be adaptive and even useful in some contexts. Each chapter features case examples that make it easy for the reader—whether clinician or layperson—to understand and contextualise the information, rendering Obsessive-Compulsive Personality Disorder a uniquely useful addition to the psychiatric literature.

This is an examination of the etiology, psychopathology, neurobiology, and treatment of the disorder, which was reclassified for DSM-5. 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.

The steady increase in individuals with substance use disorder requiring admission to the intensive care unit (ICU) has been an area of concern, leading to an increase in ICU utilization and costs related to both licit and illicit abuse of these drugs. Most recently, the COVID 19 pandemic has contributed to an increase in substance use and overdoses, with preliminary data suggesting an almost 30% increase in overdose deaths over the course of the pandemic. This increase in prevalence underscores the importance for the critical care practitioners to be knowledgeable about how substance use disorders impact the critically ill patient and understanding the epidemiology of substance use in critically ill patients. Management of patients with substance use disorders is complicated by the associated intoxication and withdrawal syndromes, as well as by the physiologic changes that occur with chronic use that can cause, predispose patients to, and worsen the severity of many conditions. This makes it vital that critical care providers are adept at identifying and treating common intoxication and withdrawal syndromes, as well as proficient at treatment considerations owing to chronic use of such addictive substances. This text provides a comprehensive, state-of-the-art review of the critical care implications of some of the commonly used addiction drugs and serves as a very useful resource for everyone involved in the care of critically ill patients impacted by substance use disorder. It provides a concise yet comprehensive summary of the status of the field that helps guide patient management and stimulate investigative efforts.  All chapters are written by experts in their fields and include the most up to date scientific and clinical information.

The steady increase in individuals with substance use disorder requiring admission to the intensive care unit (ICU) has been an area of concern, leading to an increase in ICU utilization and costs related to both licit and illicit abuse of these drugs. Most recently, the COVID 19 pandemic has contributed to an increase in substance use and overdoses, with preliminary data suggesting an almost 30% increase in overdose deaths over the course of the pandemic. This increase in prevalence underscores the importance for the critical care practitioners to be knowledgeable about how substance use disorders impact the critically ill patient and understanding the epidemiology of substance use in critically ill patients. Management of patients with substance use disorders is complicated by the associated intoxication and withdrawal syndromes, as well as by the physiologic changes that occur with chronic use that can cause, predispose patients to, and worsen the severity of many conditions. This makes it vital that critical care providers are adept at identifying and treating common intoxication and withdrawal syndromes, as well as proficient at treatment considerations owing to chronic use of such addictive substances. This text provides a comprehensive, state-of-the-art review of the critical care implications of some of the commonly used addiction drugs and serves as a very useful resource for everyone involved in the care of critically ill patients impacted by substance use disorder. It provides a concise yet comprehensive summary of the status of the field that helps guide patient management and stimulate investigative efforts.  All chapters are written by experts in their fields and include the most up to date scientific and clinical information.

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 possibilità di cura. Di fatto, oggi, i clinici possono scegliere tra diverse opzioni terapeutiche in grado di migliorare in modo incisivo la qualità 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 gravità e i suoi effetti sulla salute e sul benessere dei pazienti.l volume rappresenterà 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.