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Organized for ease of use by today's busy mental health clinicians, Menopause: A Mental Health Practitioner's Guide describes the latest knowledge and clinical recommendations associated with menopause in a single, concise guide that is clearly written and comprehensive in scope.
Menopause is about change—but it is also a normal life stage traversed by most women with little or no difficulty. Not all women have symptoms as they transition to menopause, and women with symptoms experience them in different combinations and levels of intensity.
The management of perimenopause and menopause is also rapidly changing. The past 5 years have seen truly dramatic changes in our scientific knowledge of and medical recommendations for perimenopause and menopause. For example, until recently, hormone replacement therapy was highly advocated as an essential aspect of care for women in perimenopause and menopause.
Even the definitions used to describe the different time periods and stages associated with natural (i.e., nonsurgical) menopause have changed over time and can be confusing. Thus, Menopause: A Mental Health Practitioner's Guide uses the 1994 World Health Organization Scientific Group on Research in the Menopause terminology, augmented by more recent refinements made by the Stages of Reproductive Aging Workshop.
The essential
Menopause: A Mental Health Practitioner's Guide sheds light on
the complexity and constant change integral to the study and treatment of
menopause, bringing together the current work of 14 internationally
recognized menopause experts in psychiatry, neuroscience, gynecology, and
internal medicine. After an introductory chapter sets the contexts of
midlife in women, subsequent chapters in Menopause: A Mental Health
Practitioner's Guide cover the following topics:
• The basic physiology of the menopausal transition and
menopause.
• The effects of gonadal hormones on the central nervous
system, and in particular, depression, anxiety, and irritability during the
menopausal transition and midlife.
• New research findings and clinical
advice about the effect of gonadal hormones and menopause on psychotic
illness in women.
• An examination of the medical aspects of and the
gynecologic aspects of perimenopause and menopause.
• A look beyond
menopause to the psychopathology and psychotherapy of older women in various
cultures.
The timely information contained in Menopause: A Mental Health Practitioner's Guide will help mental health professionals to formulate current, best understanding and treatment for the psychological problems that some women experience as they traverse perimenopause and menopause.
This book offers up an excellent, comprehensive, yet brief evidence-based review of the topic of menopause and its concomitant medical health concerns. It is extremely easy to read and understand. I highly recommend this book the interested health practitioner, as it is certain to not only educate but also to be helpful the reader.
This is a positive and considered book and a genuine contribution to the understanding of the menopausal period. It has a clear message and an invaluable collection of information. It explores current practice and reviews the changes necessary to improve practice. [Menopause: A Mental Health Practitioners Guide] would be useful for general practitioners, psychiatrists and all involved in the assessment of menopausal and post menopausal women.
Donna E. Stewart, M.D., F.R.C.P.C., is University Professor in the Departments of Psychiatry, Obstetrics and Gynecology, Anesthesia, Surgery, Medicine, and Family and Community Medicine, and Chair in Women's Health of the University Health Network at the University of Toronto in Toronto, Ontario, Canada.
Contributors
Preface
Chapter 1. The Contexts of
Midlife in Women
Chapter 2. Physiology and Symptoms of
Menopause
Chapter 3. Effects of Reproductive Hormones and Selective
Estrogen Receptor Modulators on the Central Nervous System During
Menopause
Chapter 4. Mood Disorders, Midlife, and Reproductive
Aging
Chapter 5. Psychotic Illness in Women at Perimenopause and
Menopause
Chapter 6. Medical Aspects of Perimenopause and
Menopause
Chapter 7. Gynecologic Aspects of Perimenopause and
Menopause
Chapter 8. Beyond Menopause: The Psychopathology and
Psychotherapy of Older Women
Index