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A Mental Health Practitioner's Guide

Edited by Donna E. Stewart, M.D., F.R.C.P.C.

  • ISBN 978-1-58562-160-6
  • Item #62160

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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.


  • 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


    David A. Baram, M.D.
    Angela Cheung, M.D. Ph.D. F.R.C.P.C.
    Diana L. Dell, M.D., F.A.C.O.G.
    Khursheed Khine, M.D.
    Jayashri Kulkarni, M.B.B.S., M.P.M., Ph.D., F.R.A.N.C.P.
    Jamie A. Luff, M.D.
    Jennifer Prouty, M.S.N., R.N.C.
    Marta B. Rondon, M.D.
    David R. Rubinow, M.D.
    Peter J. Schmidt, M.D.
    Claudio N. Soares, M.D., Ph.D.
    Meir Steiner, M.D., Ph.D., F.R.C.P.C.
    Donna E. Stewart, M.D., F.R.C.P.C.
    Nada L. Stotland, M.D., M.P.H.

About the Authors

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.

The most comprehensive book to date on this topic. This outstanding reference provides mental health clinicians with an in-depth look at menopause, covering topics ranging from medical and psychiatric aspects of the menopausal transition to the management of women with affective and psychotic illness during midlife. Its publication is timely, given the enormous controversies and new knowledge that have arisen in recent years concerning the perimenopause and menopause. Dr. Stewart has assembled an impressive group of international experts from all areas of the field. This book is a valuable resource for anyone who treats women patients.—Susan G. Kornstein, M.D., Prof Psychiatry & Obstetrics & Gynecology, VA Commonwealth Univ; Exec Dir, VCU National Center of Excellence in Women's Health; Editor-in-Chief, Journal of Women's Health

Extraordinarily readable and clinically relevant. . . . The authors, world experts, interpret what is currently known and unknown about women and the menopause and about differences across age, ethnicity, education, and sociocultural and biopsychosocial groups, and in comparison to men. This guide belongs in every public and professional library and in all health-related waiting rooms.—Leah J. Dickstein, M.D., M.A., Professor Emerita, University of Louisville, School of Medicine, Department of Psychiatry and Behavioral Sciences

This is a very comprehensive, thorough review of available data on menopause, It carefully covers biological, sociocultural, and psychological research and aspects of patient care. It will be an important asset to the clinician who is not familiar with the burgeoning literature in the field and the controversies that have emerged. Myths and beliefs are addressed, clinical implications are presented, and current practices appropriately challenged. This book will be useful for all those in the health and mental health fields who treat menopausal women.—Carol C. Nadelson, M.D., Clinical Professor of Psychiatry, Harvard Medical School; Director, Partner's Office for Women's Careers at Brigham and Women's Hospital

The informed, reflective wisdom of the editor, Donna Stewart M.D., prevails throughout this book including the selection and expertise of each contributor. The book is remarkably well written, organized, and referenced. Depth and breadth update previously published books on the subject of menopause. Evidence-based clarity resonates throughout with critical review of most recent research and an eye on future research needed. Attention is paid to integration of epidemiology, mental and physical conditions, physiology and pathology, societal, familial and personal issues, assessments and treatments. This book reflects a truly translational effort from research to practice with balanced laser precision spanning the many decades of cessation of reproduction in a women's life.—Marion Zucker Goldstein, M.D., Professor, Department of Psychiatry, SUNY at Buffalo, School of Medicine and Biomedical Sciences, Director, Division of Geriatric Psychiatry, Erie County Medical Center

Scholarly and yet readable, Menopause: A Mental Health Practitioner's Guide brings together the latest data on the psychiatric, medical, and gynecologic aspects of menopause. In an era when more women are transitioning through menopause than at any other time in history, this is 'must' reading for all mental health clinicians.—Vivien K. Burt, M.D., Ph.D., Professor of Psychiatry, David Geffen School of Medicine at UCLA, Founder and Director, The Women's Life Center, UCLA Neuropsychiatric Hospital

The psychiatric aspects of women at midlife encompass biological, psychological, social, and cultural dimensions. This volume will provide all mental health professions the necessary data to place their patients in the proper context to best understand the presenting issues. It is an essential part of any health professional who treats women at this stage of development.—Thomas N. Wise, M.D., Editor, Psychosomatics, Professor of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine

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.—Doody's Health Sciences Book Review Journal

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.—Psychiatric Bulletin

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