In the midst of a mental health epidemic among college students, Doris Iarovici explains why this is happening now and what we can do about it.
College student mental health has been in decline since before the COVID-19 pandemic, which then led to a doubling of incidences of youth anxiety and depression symptoms. The past decade's breakneck rate of technological change—with the widespread adoption of virtual classrooms, smartphones, AI, and social media—has led to new mental health challenges as well as novel opportunities for treatment.
In Coping on Campus, Doris Iarovici, MD, discusses students' lifestyle issues and psychiatric concerns using case vignettes to explore a variety of interventions related to substance abuse, relationship difficulties, eating disorders, sleep issues, depression and anxiety, and perfectionism. Included is a guide to making emergency assessments, from risk classification and hospitalization to public safety and communication within and outside the campus community.
This revised and updated guide covers a multitude of changes across today's college campuses. Gen Z students bring new dynamics to campus and mental health treatment, and more students identify as non-binary or gender diverse. New chapters tackle the virtual campus, the mental health challenges of student-athletes, and the effects of trigger warnings, cancel culture, and free speech debates on campus. The legalization of cannabis in many states, new drug delivery systems such as vaping devices, and a growing interest in psychedelics have changed the landscape of substance use disorder treatment. Models of care have undergone dramatic shifts, including a pivot to telemedicine during the COVID-19 pandemic, new hybrid treatment models, app-based approaches, and stepped care models.
List of Tables and Figures
Preface
Part I. The Student in Context: The Interdependent Campus
1. Crisis on the College Campus?
2. The Changing Face of the American University Student
3. The Virtual Campus
4. General Issues on Campus
5. Cancel Culture, Trigger Warnings, and Free Speech on Campus
6. The Psychiatrist's Role in College Mental Health
Part II. Clinical Challenges
7. Sleep Problems on Campus
8. Alcohol on Campus
9. Non-alcohol Substance Abuse on Campu
10. Loneliness and Relationships on Campus
11. Perfectionism
12. Vulnerable Populations: International Students
13. Vulnerable Populations: Student-Athletes
14. Vulnerable Populations: LGBTQIA+ Students
15. Disordered Eating
16. Difficulty Concentrating and Increased Distractions
17. Anxiety
18. Depression and Other Mood Problems
19. Psychotic Symptoms
20. Emergency Situations on Campus
21. Impulse Control Problems, Behavioral Addictions, and Other Problematic Behaviors
22. The Nontraditional Student
23. Models of Treatment
24. Treatment Challenges in the University Population
Epilogue. Student Emotional Well-Being: Looking Toward the Future
Notes
Index
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