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A prep school janitor springs into action when terrorists invade his school and kidnap his son in this thriller by the acclaimed author of Desperate. Jake Dent's dreams of baseball glory fell apart in a drunk-driving incident, along with his marriage. But a popular survivalist blog helped restore his sense of control. Now Jake is an avid Doomsday Prepper, raising his diabetic son, Andy, to be ready for anything. But Andy has a secret even his father never saw coming. A student at the prestigious Pepperell Academy where Jake works as a custodian, Andy is part of a computer club that redistributes money from the obscenely wealthy to the needy. But this time, they've stolen from the wrong people: a vicious drug cartel that is coming to get its money back. Staging a distraction, the cartel infiltrates the school, taking Andy and his friends hostage one by one. But hidden inside the school's tunnels is Jake, with his stockpile of weapons and supplies. He knows that soon the killing will start, and his training will be put to the ultimate test. Because in the brutal, lawless struggle that is about to ensue, he's the last best chance these students—including his son—have of getting out alive. Praise for Constant Fear “An electrifying thriller with action that keeps you on the edge of your seat!” —Lisa Jackson, New York Times bestselling author “Fans of Harlan Coben or Linwood Barclay will especially enjoy this one.” —Booklist “[A] breakneck edge-of-your-seat thrill ride . . . . Extraordinary character development and more than a few bombshell plot twists will keep readers turning the pages.” —Publishers Weekly
Social anxiety disorder is persistent fear of (or anxiety about) one or more social situations that is out of proportion to the actual threat posed by the situation and can be severely detrimental to quality of life. Only a minority of people with social anxiety disorder receive help. Effective treatments do exist and this book aims to increase identification and assessment to encourage more people to access interventions. Covers adults, children and young people and compares the effects of pharmacological and psychological interventions. Commissioned by the National Institute for Health and Clinical Excellence (NICE). The CD-ROM contains all of the evidence on which the recommendations are based, presented as profile tables (that analyse quality of data) and forest plots (plus, info on using/interpreting forest plots). This material is not available in print anywhere else.
The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.
The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
A bestselling author and counselor with over 25 years of experience offers practical steps for dealing with worry and anxiety.
Using the most well-studied behavioral analyses of animal subjects to promote a better understanding of the effects of disease and the effects of new therapeutic treatments on human cognition, Methods of Behavior Analysis in Neuroscience provides a reference manual for molecular and cellular research scientists in both academia and the pharmaceutic
A leading expert in animal behavior takes us into the wild to better understand and manage our fears. Fear, honed by millions of years of natural selection, kept our ancestors alive. Whether by slithering away, curling up in a ball, or standing still in the presence of a predator, humans and other animals have evolved complex behaviors in order to survive the hazards the world presents. But, despite our evolutionary endurance, we still have much to learn about how to manage our response to danger. For more than thirty years, Daniel Blumstein has been studying animals’ fear responses. His observations lead to a firm conclusion: fear preserves security, but at great cost. A foraging flock of birds expends valuable energy by quickly taking flight when a raptor appears. And though the birds might successfully escape, they leave their food source behind. Giant clams protect their valuable tissue by retracting their mantles and closing their shells when a shadow passes overhead, but then they are unable to photosynthesize, losing the capacity to grow. Among humans, fear is often an understandable and justifiable response to sources of threat, but it can exact a high toll on health and productivity. Delving into the evolutionary origins and ecological contexts of fear across species, The Nature of Fear considers what we can learn from our fellow animals—from successes and failures. By observing how animals leverage alarm to their advantage, we can develop new strategies for facing risks without panic.
This manual attempts to provide simple, adequate and evidence-based information to health care professionals in primary health care especially in low- and middle-income countries to be able to provide pharmacological treatment to persons with mental disorders. The manual contains basic principles of prescribing followed by chapters on medicines used in psychotic disorders; depressive disorders; bipolar disorders; generalized anxiety and sleep disorders; obsessive compulsive disorders and panic attacks; and alcohol and opioid dependence. The annexes provide information on evidence retrieval, assessment and synthesis and the peer view process.
Winner of the International Society for the Study of Trauma and Dissociation's (ISSTD) Pierre Janet Writing Award, 2015. What really happens in dissociation. Dissociative processes have long burdened trauma survivors with the dilemma of longing to feel “real” at the same time as they desperately want to avoid the pain that comes with that healing—a dilemma that often presents particularly acute difficulties for healing professionals. Recent clinical and neurobiological research sheds some light into the dark corners of a mind undergoing persistent dissociation, but its integration into the practice of talking therapy has never, until now, been fully realized. Intensive Psychotherapy for Persistent Dissociative Processes brings readers into the consultation room, and into the minds of both patient and therapist, like no other work on the treatment of trauma and dissociation. Richard A. Chefetz marries neuroscientific sophistication with a wealth of extended case histories, following patients over several years and offering several verbatim session transcripts. His unpacking of the emotionally impactful experience of psychodynamic talking therapy is masterfully written, clearly accessible, and singularly thorough. From neurobiological foundations he builds a working understanding of dissociation and its clinical manifestations. Drawing on theories of self-states and their involvement in dissociative experiences, he demonstrates how to identify persistent dissociation and its related psychodynamic processes, including repetition compulsion and enactment. He then guides readers through the beginning stages of a treatment, with particular attention to the psychodynamics of emotion in both patient and therapist. The second half of the book immerses readers in emotionally challenging clinical processes, offering insight into the neurobiology of fear and depersonalization, as well as case examples detailing struggles with histories of incest, sexual addiction, severe negativity, negative therapeutic reactions, enactment, and object-coercive doubting. The narrative style of Chefetz’s casework is nearly novelistic, bringing to life the clinical setting and the struggles in both patient and therapist. The only mystery in this clinical exposition, as it explores several cases over a number of years, is what will happen next. In the depth of his examples and in continual, self-reflexive analysis of flaws in past treatments, Chefetz is both a generous guide and an expert storyteller. Intensive Psychotherapy for Persistent Dissociative Processes is unique in its ability to place readers in the consultation room of psychodynamic therapy. With an evidence-focused approach based in neurobiology and a bold clinical scope, it will be indispensible to new and experienced therapists alike as they grapple with the most intractable clinical obstacles.