In that same rotation, Epstein was awestruck by another surgeon’s ability to avert an impending disaster, slowing down from autopilot to intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life’s work—to identify the qualities and habits that distinguish masterful doctors from those who are merely competent. The secret, he learned, was mindfulness. In Attending, his first book, Dr. Epstein builds on his world-renowned, innovative programs in mindful practice and uses gripping and deeply human clinical stories to give patients a language to describe what they value most in health care and to outline a road map for doctors and other health care professionals to refocus their approach to medicine. Drawing on his clinical experiences and current research, and exploring four foundations of mindfulness—Attention, Curiosity, Beginner’s Mind, and Presence—Dr. Epstein introduces a revolutionary concept: by looking inward, health care practitioners can grow their capacity to provide high-quality care and the resilience to be there when their patients need them. The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers a crucial, timely book that shows us how we can restore humanity to medicine, guides us toward a better overall quality of care, and reminds us of what matters most.

    In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care.The new edition includes:-new information on diagnostic evaluation-resources for families and adult children who care for people with dementia-updated legal and financial information-the latest information on nursing homes and other communal living arrangements-new information on research, medications, and the biological causes and effects of dementiaAlso available in a large print editionPraise for The 36-Hour Day:

    Most patients with Hashimoto's will present with acid reflux, nutrient deficiencies, anemia, intestinal permeability, food sensitivities, gum disorders and hypoglycemia in addition to the "typical" hypothyroid symptoms such as weight gain, cold intolerance, hair loss, fatigue and constipation. The body becomes stuck in a vicious cycle of immune system overload, adrenal insufficiency, gut dysbiosis, impaired digestion, inflammation, and thyroid hormone release abnormalities. This cycle is self-sustaining and will continue causing more and more symptoms until an external factor intervenes and breaks the cycle apart. The lifestyle interventions discussed in this book aim to dismantle the vicious cycle piece by piece. We start with the simplest modifications, by removing triggers, and follow with repairing the other broken systems to restore equilibrium, allowing the body to rebuild itself.

    The good news: while reducing your anxiety level to zero isn't possible or useful (anxiety can actually be helpful!), you can learn to successfully manage symptoms - such as excessive rumination, hesitation, fear of criticism and paralysing perfection.In The Anxiety Toolkit, Dr. Alice Boyes translates powerful, evidence-based tools used in therapy clinics into tips and tricks you can employ in everyday life. Whether you have an anxiety disorder, or are just anxiety-prone by nature, you'll discover how anxiety works, strategies to help you cope with common anxiety 'stuck' points and a confidence that - anxious or not - you have all the tools you need to succeed in life and work.

     Former practicing psychiatrist Mark Rubinstein opens the door and takes the reader deep into the world of mental illness. From the chaos of a psychiatric emergency room to the bowels of a maximum security prison, the stories range from bizarre to poignant and the people from noble to callously uncaring. Bedlam's Door depicts the challenges mental illness poses for patients, their families, health-care professionals, and society. More importantly, it demystifies the subject while offering real hope.

    She's never understood the reason on why her mother hated her with a passion, but there is only so much one person can take before they break. When she finally releases the anger and rage in her heart, she'll realize that she's a far cry from a normal person. She realizes that the killing comes naturally like any hidden talent, and that she enjoys setting free the evil in her heart . Her mother does everything in her power to stop her from discovering who she really is; the child of the devil...the daughter of Black Ice.

    Christine Courtois has simplified her extensive and, until now, quite scholarly work geared toward understanding and developing the concept of "complex trauma," and the assessment and treatment thereof. A universally acknowledged leader in this emerging psychotherapeutic field, Dr. Courtois provides here an abbreviated and easy-to-read explanation of what complex trauma is, how it develops, the ways in which it manifests, and how it can effectively be dealt with. The book opens with an explanation of trauma in general-providing historical perspective, examining the various types of traumatic experience, and looking in-depth at the chronic, repetitive, and layered forms of trauma that often build upon and reinforce one another to create complex trauma. Next Dr. Courtois discusses trauma-driven emotional turmoil, and trauma's effects on memory, self-image, relationships, and even physical wellbeing. She then provides readers with a basic understanding of the ways in which complex trauma is diagnosed and assessed, with an explanation of all common trauma-related diagnoses-including stress disorders (such as PTSD), dissociative reactions and disorders, and frequently co-occurring issues (addictions, self-injury, sleep disorders, etc.) In the book's final section, Dr. Courtois presents rudimentary information about the ways in which complex trauma and related issues can effectively be treated, including brief explanations of all psychotherapeutic methods that might be used. Importantly, she discusses in detail the sequenced, three-stage treatment model she has developed for work with addicted survivors of complex trauma, recognizing that complex trauma and addictions are often interrelated in powerful ways, and unless both issues are addressed simultaneously, the client may not heal from either. Though It's Not You, It's What Happened to You is written for people new to the concept of complex trauma and how it may be affecting them or a loved one, clinicians will also find the work useful, relying on it as a way to bolster their own knowledge and, perhaps more importantly, as a tool for informing their traumatized clients about the degree and nature of the psychotherapeutic work to come.

    Key Features: The Author Uses A Reader-Friendly, Narrative Style Making The Text Engaging And Accessible To A Broad Range Of Students. The Text Illustrates The Multidisciplinary Nature Of Public Health And The Complex Ethical And Political Issues Central To It. It Includes Discussions Of Epidemiological Investigation, Biomedical Research, Environmental Assessment, Analyses Of Individual And Group Behavior, Massive Data Collection Efforts, And Policy Developments. New To This Edition: New Discussions About U.S. Health Care Reform New Discussions Of The Globalization Of National Economies And Its Effect On The Health Of Populations Expanded Discussions On Health Disparities New Analysis Of What Went Wrong Just After Hurricane Katrina Updated Discussions Of Developments In Topics Such Are H1N1 Swine Flu, Hormone Replacement Therapy, FDA Regulation, HPV Vaccine Controversy Planning For Healthy People 2020 And Much More.

    The two of them are happy and continuing the plans of their wedding. However, the baby mama drama is still lurking in the shadows to destroy their happy home. Bridgette refuses to let their peaceful union be great. With an obsession so strong, no telling what lengths she'll go through to get what she wants. Although, an unexpected twist has her now not knowing what to do, or who to go after. With a new relationship being exposed, will Bridgette finally let go of Damon? Or, will she continue to play the role of a crazy baby mama? Ethan is caught up in his own love triangle with Sasha and Kenya. Trying to do what he thought was best for all involved, turns out to be a bigger task, and an undeniable mistake that could possibly take him out of character. With secrets exposed, and lies coming to surface, whom will Ethan ultimately choose? Will Damon and Tiana finally get their happily ever after without Bridgette interfering? Or, will Bridgette be able to drive a wedge between them that is too deep for them to recover from? Find out what happens when the gloves come off in this twisted love story, Woman 2 Woman 2.

    Building on their experience as professional systems analysts and award-winning teachers, authors Dennis, Wixom, and Roth capture the experience of developing and analyzing systems in a way that students can understand and apply.With Systems Analysis and Design, 4th edition , students will leave the course with experience that is a rich foundation for further work as a systems analyst.

    It covers nearly seventy years of practice from World War II to the present day.The extraordinary situations described here are the result of more than 1,000 years of hands-on bedside knowledge. The vignettes contain wisdom and insight gained the hard way, from long experience in the trenches (sometimes in actual trenches) performing tasks that range from the most humble to the most skilled.These true stories run the gamut from birth to death. They deal with everything from war, ER, ICU, to childbirth, pediatrics, adult care, surgery, home and homeless healthcare, the psych ward, oncology, the nursing home, and finally hospice.The sacrifice and service of these nurses--their courage, kindness, and determination--is breathtaking.If you've ever wanted to know what goes on behind the scenes of a hospital--you've come to the right place.

    This authoritative, easy-to-use self-help program is based on methods clinically proven to reduce the recurrence of chronic unhappiness. Informative chapters reveal the hidden psychological mechanisms that cause depression and demonstrate powerful ways to strengthen your resilience in the face of life's misfortunes. Kabat-Zinn lends his calm, familiar voice to the accompanying CD of guided meditations, making this a complete package for anyone looking to regain a sense of balance and contentment.

    But what if the person receiving the diagnosis--young, physically fit, poised for a bright future--is himself a doctor?At thirty-one David biro has just completed his residency and joined his father's successful dermatology practice. Struck with a rare blood disease that eventually necessitates a bone marrow transplant, Biro relates with honesty and courage the story of his most transforming journey. He is forthright about the advantages that his status as a physician may have afforded him; and yet no such advantage can protect him from the anxiety and doubt brought on by his debilitating therapies. The pressures that Biro's wild "one hundred days" brings to bear on his heretofore well-established identity as a caregiver are enormous--as is the power of this riveting story of survival.

    They can be euphoric one moment, despairing and depressed the next. There are an estimated 10 million sufferers of BPD living in America today—each displaying remarkably similar symptoms: ● a shaky sense of identity ● sudden violent outbursts ● oversensitivity to real or imagined rejection ● brief, turbulent love affairs ● frequent periods of intense depression ● eating disorders, drug abuse, and other self-destructive tendencies ● an irrational fear of abandonment and an inability to be alone For years BPD was difficult to describe, diagnose, and treat. But now, for the first time, Dr. Jerold J. Kreisman and health writer Hal Straus offer much-needed professional advice, helping victims and their families to understand and cope with this troubling,shockingly widespread affliction.

    She has a comfortable home, good friends, and a loving family. She’s also a widow, carrying a burden of responsibility for her wife’s untimely death. She lost her footing that day, gave up her dream to be a doctor, and swore off relationships. Now, three years later, she’s ready to turn her life on end in an effort to regain what she lost. At 29, Coby O’Brien is a woman with secrets. She’s estranged from her family, a recovering alcoholic, and alone because she’s convinced that she’s unlovable. When she loses her job as a heavy equipment operator, she’ll accept one that’ll force her to step way outside her comfort zone into a life where nothing is, as it seems. Having caught next to no breaks in life, it may turn out to be her break of a lifetime. When Coy quits her job to accept a position in Antarctica, her path will cross with Coby’s. Their attraction to one another will be immediate, and despite their differences, it won’t be long before they fall in love. But for these two, with all their baggage, will love be enough?