UNIT I

MENTAL HEALTH CARE: PAST AND PRESENT

1

1

The History of Mental Health Care

1

2

Current Mental Health Care Systems

10

3

Ethical and Legal Issues

20

4

Sociocultural Issues

30

5

Theories and Therapies

39

6

Complementary and Alternative Therapies

56

7

Psychotherapeutic Drug Therapy

66

UNIT II

THE CAREGIVER’S THERAPEUTIC SKILLS

79

8

Skills and Principles of Mental Health Care

79

9

Mental Health Assessment Skills

92

10

Therapeutic Communication

103

11

The Therapeutic Relationship

117

12

The Therapeutic Environment

128

UNIT III

MENTAL HEALTH PROBLEMS THROUGHOUT THE LIFE CYCLE

139

13

Problems of Childhood

139

14

Problems of Adolescence

155

15

Problems of Adulthood

169

16

Problems of Late Adulthood

178

17

Cognitive Impairment Alzheimer’s Disease   and Dementia

190

UNIT IV

CLIENTS WITH PSYCHOLOGICAL PROBLEMS

202

18

Managing Anxiety

202

19

Illness and Hospitalization

215

20

Loss and Grief

224

21

Depression and Other Mood Disorders

236

22

Physical Problems, Psychological Sources

250

23

Eating and Sleeping Disorders

261

24

Dissociative Disorders

274

UNIT V

CLIENTS WITH PSYCHOSOCIAL PROBLEMS

284

25

Anger and Aggression

284

26

Outward-Focused Emotions: Violence

295

27

Inward-Focused Emotions: Suicide

311

28

Substance-Related Disorders

322

29

Sexual Disorders

336

30

Personality Disorders

347

31

Schizophrenia and Other Psychoses

358

32

Chronic Mental Health Disorders

374

33

Challenges for the Future

384

APPENDIXES

A

Answers to Review Questions for the NCLEX-PN^® Examination

395

B

Mental Status Assessment at a Glance

396

C

A Simple Assessment of Tardive Dyskinesia Symptoms

397

Bibliography and Reader References

398

Illustration Credits

407

Glossary

408

Index

417