Young adults entering college bring with them many problemscomplicated family dynamics, identity issues, and extreme pressure to succeed, among others. Students' mental health difficulties range from adjustment disorders to mood disorders, and growing numbers of them are seeking help on campus.But these students are also resilient and eager to learn, and even the most depressed among them steps onto campus with some degree of hope for a new and better phase of life. Doris Iarovici, a psychiatrist at Duke University Counseling and Psychological Services, sees in college and university mental health services an opportunity for mental health professionals to bring about positive change with young people during a crucial period of their development. In this practical and highly readable book, Dr. Iarovici describes the complexity and severity of the current college mental health crisis and narrates how college mental health services have evolved along with changes in student populations. She discusses students' lifestyle problems and psychiatric concerns, using case vignettes to explore a variety of interventions. Included are discussions of substance abuse, relationship difficulties, eating disorders, depression and anxiety, and culture clashes. Problems uniquely addressed in this book include sleep disturbances and perfectionism. An essential component of the volume is a guide to making emergency assessments, from risk classification and hospitalization to public safety and communication within and outside the campus community.Psychiatrists, counselors, and social workers working with college-age studentsboth on campus and offwill find this guide invaluable.
List of Tables and Figures Part I: The Student in Context: The Interdependent Campus 1. Crisis on the College Campus? 2. The Changing Face of the American University Student 3. Generational Issues on Campus 4. The Psychiatrist's Role in College Mental Health Part II: Clinical Challenges 5. Sleep Problems on Campus 6. Alcohol on Campus 7. Non-alcohol Substance Abuse on Campus 8. Loneliness and Relationships on Campus 9. Perfectionism 10. Clash of Cultures: International Students 11. Clash of Cultures: LGBT Students 12. Disordered Eating 13. Difficulty Concentrating 14. Anxiety 15. Depression and Other Mood Problems 16. Psychotic Symptoms 17. Emergency Situations on Campus 18. Impulse Control Problems, Behavioral Addictions, and Other Problematic Behaviors 19. The Nontraditional Student 20. Models of Treatment 21. Treatment Challenges in the University Population Epilogue: Student Emotional Well-Being: Looking toward the Future Notes Index
""I can picture myself in the middle of a complicated case reaching for this guide""
