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Journal of Mental Health Counseling
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Volume 32, Number 3, July 2010


1. Differential Diagnosis of Borderline Personality Disorder from Bipolar Disorder (Pages 189-205)

Gregory T. Hatchett

Many psychiatrists have reconceptualized borderline personality disorder (BPD) as a variant of bipolar disorder and, consistent with the treatment of bipolar disorder, emphasize the use of mood stabilizers and atypical antipsychotics in treatment. This change in diagnostic practice is unfortunate. BPD is a distinct diagnostic construct, and clients who fit this pattern require a fundamentally different treatment approach than what is typically recommended for bipolar disorder. The purpose of this article is to update counselors on the expansion of bipolar disorder in the psychiatric literature, present evidence for the validity of BPD, discuss strategies for the differential diagnosis of it from bipolar disorder, review proposed changes in DSM-V, and integrate the literature into a mental health counseling framework.
Full Article

2. Helping Bereaved Children and Adolescents: Strategies and Implications for Counselors (Pages 206-217)

James P. Morgan; Jesse E. Roberts

This article provides an overview of how loss affects young people of different ages and describes methods for helping bereaved children and adolescents. Case examples demonstrate the use of drawings to elucidate the inner experiences of young people who are grieving and to facilitate the counseling process. A format for a bereavement support group is detailed, and guidelines are provided for the use of bibliotherapy. Cultural, ethical, and counselor competency issues are also considered. The importance of counselors’ awareness of the impact of their own loss experiences is also discussed.
Full Article

3. A Suicide Crisis Intervention Model with 25 Practical Strategies for Implementation (Pages 218-235)

Darcy Haag Granello

Suicidal clients are a difficult and challenging population in counseling. This article contains 25 practical, hands-on strategies for mental health counselors to assist in their interactions with suicidal clients. The strategies are situated within a seven-step model for crisis intervention that is specifically tailored to suicidal clients.
Full Article

4. Clinical Mental Health Counseling: A National Survey of Counselor Educators (Pages 236-246)

Edward Cannon; Joseph Cooper

This study reflects a national survey of 295 CACREP counselor educators regarding their understanding of and support for the 2009 CACREP standards revision. It also assessed respondents’ opinions about the proposed number of program credits (48, 60, other) and internship hours (600, 900, other) based upon whether the community counseling and mental health counseling specialty tracks merge or remain separate. Results indicate a difference in opinions about the curricular changes that reflects a historic and continuing tension around counselor identity issues.
Full Article

5. Self-care and Well-being in Mental Health Professionals: The Mediating Effects of Self-awareness and Mindfulness (Pages 247-264)

Kelly C. Richards; Estelle Campenni; Janet L. Muse-Burke

Because mental health professionals are susceptible to impairment and burnout that may negatively affect clinical work, it is ethically imperative that they engage in self-care. Previous research has found direct effects of self-care on self-awareness and well-being (e.g., Coster & Schwebel, 1997). Likewise, mindfulness has been found to positively affect well-being (Brown & Ryan, 2003). However, no studies currently available demonstrate a link between self-awareness and well-being. Mindfulness may be the link needed to support this association. A survey of mental health professionals (N = 148) revealed that mindfulness is a significant mediator between self-care and well-being. Consequently, mental health professionals are encouraged to explore their involvement in and beliefs about self-care practices.
Full Article

6. Women Breast Cancer Survivors: Stories of Change and Meaning
(Pages 265-282)

Claudia J. Sadler-Gerhardt; Cynthia A. Reynolds; Paula J. Britton; Sharon D. Kruse

Breast cancer research has addressed prevention, early treatment, and quality of life, but research from the perspective of survivors has been limited. This is a qualitative investigation of the experience of eight women breast cancer survivors, ranging in age from 28 to 80 at diagnosis, six of whom were Caucasian and two African American. The research consisted of a phenomenological and case study examination of change and meaning-making during their experience. The findings support a posttraumatic growth model of change as part of survivorship for the participants, as well as the presence of negative changes and a state of new normal in their lives. Recommendations are made for mental health counseling and for future research.
Full Article

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