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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.
This timely and sensible book seems to me to be a model of what a casebook should be. It is clear without being simple. It is relatively brief. It embodies good listening to patients. It is scientifically up-to-date and well written and edited. It provides reasonably detailed and thoughtful examples across a solid group of major psychiatric diagnoses – as well as across a few psychiatric and social categories other than diagnoses – and examples of integrated, educated, and helpful biopsychosocial consideration and treatment of people. I recommend this book to all psychiatrists, young and old, and to our mental health colleagues and students, particularly, but not limited to, those who are actively or might potentially work with LGBT (lesbian, gay, bisexual, and transgender) patients or clients.
— Lawrence Hartmann, M.D.
Petros Levounis, M.D., M.A., is Director of the Addiction Institute of New York; Associate Chair for Clinical Services in the Department of Psychiatry and Behavioral Health, and Chief of the Division of Addiction Psychiatry at St. Luke's and Roosevelt Hospitals; and Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, NY.
Jack Drescher, M.D., is Clinical Associate Professor of Psychiatry and Behavioral Science at New York Medical College, and Training and Supervising Analyst at the William A. White Institute in New York, NY.
Mary E. Barber, M.D., is Clinical Director of Rockland Psychiatric Center and Assistant Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, NY.
Contributors
Foreword
Preface
PART I: Basic Principles
Chapter 1. What's in Your Closet?
Chapter 2. Coming Out to Self and Others
Chapter 3. From Outlaws to In-Laws
Chapter 4. LGBT Parenting
Chapter 5. Sexual Identity in Patient-Therapist Relationships
PART II: Case Studies
Chapter 6. Attention-Deficit/Hyperactivity Disorder
Chapter 7. Substance Dependence
Chapter 8. Schizophrenia
Chapter 9. Major Depressive Disorder
Chapter 10. Dysthymic Disorder
Chapter 11. Bipolar Disorder
Chapter 12. Panic Disorder
Chapter 13. Obsessive-Compulsive Disorder
Chapter 14. Posttraumatic Stress Disorder
Chapter 15. Generalized Anxiety Disorder
Chapter 16. Adjustment Disorder
Chapter 17. Borderline Personality Disorder
Chapter 18. Parent-Child Relational Problem
Chapter 19. Partner Relational Problem
Chapter 20. Bereavement
Chapter 21. Occupational Problem
Chapter 22. Identity Problem
Chapter 23. Religious or Spiritual Problem
Chapter 24. Acculturation Problem
Chapter 25. Phase of Life Problem
Glossary
Index