The LGBT Casebook

The LGBT Casebook provides a general overview and roadmap for clinicians new to treating LGBT individuals, and it deepens and updates knowledge for those already seeing these patients in their practices. Even in today's more enlightened society, it takes courage for many lesbian, gay, bisexual, and transgender (LGBT) individuals to "come out of the closet" and embrace their sexual orientation and identity. Coming out, or facing internal and societal conflicts related to sexuality, involves a great deal of anxiety that can permeate other aspects of an LGBT individual's life--particularly when seeking psychiatric treatment. The goal of The LGBT Casebook is to help clinicians, trainees, and other mental health professionals address the mental health needs of LGBT people in the context of problems these individuals face in their everyday lives, including homophobia and discrimination. "The LGBT Casebook" begins with five chapters devoted to basic concerns that affect LGBT populations, including coming out, heterosexist attitudes, the "don't ask, don't tell" mentality, legal issues, gay parenting, and sexual identity in patient-therapist relationships. In the rest of the book, clinician-authors present case studies of 20 patients with different DSM diagnoses, illuminating the impact of LGBT identity and illustrating a way of working with each presented patient. Features and benefits of "The LGBT Casebook" - Insights into the unique problems LGBT people face in their everyday lives when compared with heterosexual individuals. - Problems that are common to all LGBT individuals, such as the anxiety of being in the closet (hiding one's identity) or coming out (embracing one's identity). - Practitioners with little experience in working with the LGBT population can gain a better understanding of psychiatric diagnoses within the context of an LGBT individual's everyday life. - The book can be read cover-to-cover to gain insights into the full diversity of the LGBT population, or by specific chapters of interest to help with the diagnosis of a patient currently in treatment. - A glossary at the back of the book defines both clinical and colloquial terms and phrases that clinicians and patients use to define themselves and their peers. While "The LGBT Casebook" is the ideal general overview and roadmap for the clinician new to treating LGBT patients, it also provides new pearls of wisdom and insights for psychiatrists, residents, medical students, nurses, and clinical social workers who are already familiar with working with the LGBT community. By introducing a diverse range of people, diagnoses, and presenting problems, it will serve as a valuable reference book for all mental health professionals when assessing and treating the mental health concerns of lesbian, gay, bisexual, and transgender patients. Even in today's more enlightened society, it takes courage for many lesbian, gay, bisexual, and transgender (LGBT) individuals to'come out of the closet'and embrace their sexual orientation and identity. Coming out, or facing internal and societal conflicts related to sexuality, involves a great deal of anxiety that can permeate other aspects of an LGBT individual's life -- particularly when seeking psychiatric treatment. The goal of The LGBT Casebook is to help clinicians, trainees, and other mental health professionals address the mental health needs of LGBT people in the context of problems these individuals face in their everyday lives, including homophobia and discrimination.The LGBT Casebook begins with five chapters devoted to basic concerns that affect LGBT populations, including coming out, heterosexist attitudes, the'don't ask, don't tell'mentality, legal issues, gay parenting, and sexual identity in patient-therapist relationships. In the rest of the book, clinician-authors present case studies of 20 patients with different DSM diagnoses, illuminating the impact of LGBT identity and illustrating a way of working with each presented patient. Features and benefits of The LGBT Casebook include: • Insights into the unique problems LGBT people face in their everyday lives when compared with heterosexual individuals.• Problems that are common to all LGBT individuals, such as the anxiety of being in the closet (hiding one's identity) or coming out (embracing one's identity).• Practitioners with little experience in working with the LGBT population can gain a better understanding of psychiatric diagnoses within the context of an LGBT individual's everyday life.• The book can be read cover-to-cover to gain insights into the full diversity of the LGBT population, or by specific chapters of interest to help with the diagnosis of a patient currently in treatment.• A glossary at the back of the book defines both clinical and colloquial terms and phrases that clinicians and patients use to define themselves and their peers. While The LGBT Casebook is the ideal general overview and roadmap for the clinician new to treating LGBT patients, it also provides new pearls of wisdom and insights for psychiatrists, residents, medical students, nurses, and clinical social workers who are already familiar with working with the LGBT community. By introducing a diverse range of people, diagnoses, and presenting problems, it will serve as a valuable reference book for all mental health professionals when assessing and treating the mental health concerns of lesbian, gay, bisexual, and transgender patients. What's in your closet? / Jack Drescher Coming out to self and others : developmental milestones / Kenneth M. Cohen, Ritch C. Savin-Wlliams From outlaws to in-laws : legal standing of LGBT Americans family relationships / Jennifer C. Pizer LGBT parenting / Mary E. Barber Sexual identity in patient-therapist relationships / Petros Levounis, Andrew J. Anson Attention-deficit/hyperactivity disorder. Distraction and attraction : ADHD diagnosis and treatment in LGBT patients / John K. Burton Substance dependence. Methamphetamine : Dionysus versus the good little boy / Steven Joseph Lee Schizophrenia. Diagnosis or difference? / Ronald E. Hellman, Helene Kendler Major depressive disorder. The unhappy ad man : major depression in a gay man / Robert M. Kertzner Dysthymic disorder. The psychological long-term nonprogressor / Philip A. Bialer Bipolar disorder. Identity crisis / Christopher A. McIntosh Panic disorder. Seeing superman / Eric Yarbrough Obsessive-compulsive disorder. Homosexual and pedophilic obsessions in a 25-year-old male / Stephan Carlson Posttraumatic stress disorder. Handle with care / Christopher A. McIntosh Generalized anxiety disorder. Jittery Joanne / Kenneth Ashley, Anthony Lujack, Aaron Patterson Adjustment disorder. Queer stressors : adjustment disorder in a lesbian mother / Serena Yuan Volpp Borderline personality disorder. Keeping the system stable : a systems approach in long-term treatment of a patient with borderline personality disorder / Scot G. McAfee, David K. Schwing Parent-child relational problem. When the kids are all right, but the parents are not : coparenting in planned LGBT families / Nanette Gartrell Partner relational problem. Listening beyond homo-ignorance and homo-prejudice / Vittorio Lingiardi, Nicola Nardelli Bereavement. Bereaved, bothered, and bewildered / Kenneth Ashley, Dickson Jean, Daniel Safin Occupational problem. The case of Iris : occupational problems in the LGBT community / Shane S. Spicer, Laura Erickson-Schroth Identity problem. Doctor, am I gay? Identity problems associated with homoerotism / Karine J. Igartua Religious or spiritual problem. Damage and repair / Ubaldo Leli Acculturation problem. I am Fukushima (but you can call me Lady Marmalade, honey) / Khakasa Wapenyi Phase of life problem. It's just a phase : phase of life problems and LGBT development / John K. Burton, Lorraine Lothwell. Cover Contents Contributors Foreword Preface PART I. Basic Principles 1 What’s in Your Closet? 2 Coming Out to Self and Others: Developmental Milestones 3 From Outlaws to In-Laws: Legal Standing of LGBT Americans’ Family Relationships 4 LGBT Parenting 5 Sexual Identity in Patient-Therapist Relationships PART II. Case Studies 6 Attention-Deficit/Hyperactivity Disorder: Distraction and Attraction: ADHD Diagnosis and Treatment in LGBT Patients 7 Substance Dependence: Methamphetamine: Dionysus Versus the Good Little Boy 8 Schizophrenia: Diagnosis or Difference? 9 Major Depressive Disorder: The Unhappy Ad Man: Major Depression in a Gay Man 10 Dysthymic Disorder: The Psychological Long-Term Nonprogressor 11 Bipolar Disorder: Identity Crisis 12 Panic Disorder: Seeing Superman 13 Obsessive-Compulsive Disorder: Homosexual and Pedophilic Obsessions in a 25-Year-Old Male 14 Posttraumatic Stress Disorder: Handle With Care 15 Generalized Anxiety Disorder: Jittery Joanne 16 Adjustment Disorder: Queer Stressors: Adjustment Disorder in a Lesbian Mother 17 Borderline Personality Disorder: Keeping the System Stable: A Systems Approach in Long-Term Treatment of a Patient With Borderline Personality Disorder 18 Parent-Child Relational Problem: When the Kids Are All Right, But the Parents Are Not: Coparenting in Planned LGBT Families 19 Partner Relational Problem: Listening Beyond Homo-Ignorance and Homo-Prejudice 20 Bereavement: Bereaved, Bothered, and Bewildered 21 Occupational Problem: The Case of Iris: Occupational Problems in the LGBT Community 22 Identity Problem: Doctor, Am I Gay? Identity Problems Associated With Homoerotism 23 Religious or Spiritual Problem: Damage and Repair 24 Acculturation Problem: I Am Fukushima (But You Can Call Me Lady Marmalade, Honey) 25 Phase of Life Problem: “It’s Just a Phase”: Phase of Life Problems and LGBT Development Glossary B C G H I L Q S T Index A B C D E F G H I K L M N O P Q R S T U V W X Y