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Pages: 93 - 108 Abstract: Most individuals with posttraumatic stress disorder (PTSD) and other mental health problems first present in primary care settings, often for seemingly unrelated general medical problems. It is likely that individuals with PTSD will seek treatment for their physical health problems at primary care clinics, making primary care offices de facto mental health care settings. Integrated behavioral health care is a unification between mental health services and medical services with the intention of providing a patient with holistic treatment. Integrated care can provide the opportunity to detect PTSD in patients and provide trauma-informed mental health care. Evidence-based stabilization techniques are greatly needed in integrated care settings where trauma-related mental disorders are highly prevalent. The purpose of this article is to review integrated care, highlight the effects of trauma, and provide trauma-informed techniques to treat the mental health consequences of trauma in an integrated care setting. PubDate: Mon, 03 Apr 2023 00:00:00 GMT DOI: 10.17744/mehc.45.2.01 Issue No:Vol. 45, No. 2 (2023)
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Pages: 109 - 128 Abstract: This article addresses the need for culturally adaptive frameworks for evidence-based interventions for eating disorders (EDs). EDs impact culturally diverse populations. Limits to current research and clinical practice are examined, which include the misguided presumption that EDs predominantly impact primarily young, White, female clients. This article explores the manifestation of EDs and disordered eating symptoms among men, while noting the systemic underrepresentation of men in ED research. Implications of this review highlight the need for evidence-based care for men and boys with EDs and the role of cultural adaptation frameworks in developing an evidence-based dialectical behavior therapy intervention for male clients with bulimia nervosa. PubDate: Mon, 03 Apr 2023 00:00:00 GMT DOI: 10.17744/mehc.45.2.02 Issue No:Vol. 45, No. 2 (2023)
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Pages: 129 - 146 Abstract: Compared to cisgender men and women, transgender and gender nonconforming (TGNC) individuals receive very littl.e attention on their experiences related to mental health. This study examines gender differences in mental health-related outcomes and their relationship to mental illness diagnoses, psychological service utilization, help-seeking attitudes, and overall health among students attending universities in the United States. A survey of 1,034 college students indicated psychological health significantly varied by gender such that mental health-related outcomes, mental illness diagnoses, and psychological service utilization were worse for TGNC individuals than for cisgender women or men. These healthcare outcomes were also reported to be worse for cisgender women than for cisgender men, except for resilience, loneliness, and overall health, for which TGNC participants reported worse outcomes, but cisgender men and women did not differ. Implications for mental health counselors and recommendations for future research are provided. PubDate: Mon, 03 Apr 2023 00:00:00 GMT DOI: 10.17744/mehc.45.2.03 Issue No:Vol. 45, No. 2 (2023)
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Pages: 147 - 165 Abstract: This study aimed to examine the effectiveness of and client satisfaction with teletherapy services provided during the COVID-19 pandemic. A 13-item electronic survey was utilized to measure participant use of and satisfaction with teletherapy. The frequency of symptoms assessed was consistently higher during the COVID-19 time frame than pre-COVID-19. Most respondents indicated that their symptoms worsened or new symptoms arose during the COVID-19 time frame. Additionally, 39.6% of respondents indicated an increase in teletherapy use. A significant model was found that predicted a collective effect for satisfaction with teletherapy counseling. Reported increases in symptomology additionally indicated a greater need for accessible care during the pandemic. This study’s findings support a continuation of teletherapy use in response to the COVID-19 pandemic due to reported increases in use of and satisfaction with teletherapy services. PubDate: Mon, 03 Apr 2023 00:00:00 GMT DOI: 10.17744/mehc.45.2.04 Issue No:Vol. 45, No. 2 (2023)
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Pages: 166 - 183 Abstract: The following manuscript addresses adverse childhood experiences as they relate to perfectionism and perceived stress in young adults. The authors examined adverse childhood experiences and their association with perfectionism and perceived stress in a sample of 481 university students. Latent profile analysis based on measures of perfectionism supported a three-class model made up of adaptive perfectionists, maladaptive perfectionists, and non-perfectionists. Discriminant analysis suggested childhood abuse and neglect are important predictors of perfectionism profile membership. Lastly, among these groups, the authors found significant differences in perceived stress, with adaptive perfectionists reporting the lowest level of perceived stress, followed by non-perfectionists and maladaptive perfectionists. Implications for mental health counselors and future research are provided. PubDate: Mon, 03 Apr 2023 00:00:00 GMT DOI: 10.17744/mehc.45.2.05 Issue No:Vol. 45, No. 2 (2023)
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