perhaps give a brief description of each level of care.

i would emphasize the point that people at "normal" body weights cane have ED behaviors

BMI is an outdated tool, and I would mention it's deficiencies. two women of the same height and weight can have drastically different make ups (one very high body fat and one very low body fat).

i would remove the word "normal" here. Dieting in general is hugely controversial and some would say "not normal"

please define these or explain the symptoms?

paranoid, too

bizarre

i am a therapist who specializes in BPD, and I have never heard of this therapy

i would mention that this therapy was specific created FOR borderline personality disorder, but is used in many other disorders too. DBT is also considered the best treatment for personality disorders. i would mention this too

this is true for some, such as narcissistic and avoidant. however, people with dependent and borderline often do seek treatment

an overactive or sensitive nervous system/ sympathetic nervous system fight or flight response.

invalidation of the trauma (or not being believed by caregivers) is another risk factor. Often, if children receive love and validation, soothing, and care after a traumatic event, they do not develop sxs of PTSD or personality disorders.

no reference or citations for these images

perhaps elaborating on this and give examples. maybe in a general sense at the beginning of book, as this can apply to all conditions.

healthy and effective communication also

healthy or unhealthy, helpful or unhelpful?

sometimes

it may be worth noting here that being believed and validated rather than invalidated is very important, especially for children who disclose traumatic events to caregivers or other adults.

vague

this number seems very low

hypersexual behavior (if trauma was sexual assault)

"is a necessary and helpful" or "survival"

maybe give examples of what falls within the "normal" range

These compulsions often (temporarily) relieve the stress/tension of the obsession.

support groups may also act as exposure therapy for those with social anxiety disorders

maybe list some commonly prescribed beta blockers?

This is inaccurate and out dated information. Benzos are no longer first line treatments, and are now (finally) recognized as highly addictive, with many negative side effects and interactiosn with other drugs. As a mental health therapist, I see more and more psychiatrists and NPs avoiding benzos and taking clients off of them, prescribing safer and less addictive options.

At the very least, please include adequate research and references on the side effects, addictive properties, and interactions.

In my experience, the most commonly prescribed antianxiety meds prescribed now are SSRIs, followed by beta blockers.

I would also mention DBT (especially distress tolerance skills and emotion regulation skills for anxiety management).

very well written paragraph

often, the panic attack can be caused solely by fear of having a panic attack.

I would use the word "trauma" in this sentence

such as...

dissociation

also, rational thinking, critical thought

dont forget CBT and DBT!

is often a lifetime illness

bipolar disorder is also often times confused with borderline personality disorder, and the two are often misdiagnosed.

"and may have." not all experience irritability

often are

functioning in at least one area of life

this image perpetuates the stigma and common misconceptions of bipolar

antidepressants work best when combined with regular therapy and healthy living strategies.

4-8, depending on med

disturbances in sleep cycle

and mental health

improve sleep hygiene/ sleep schedule

"current and historical"

"self absorbed" encourages blaming patient. Perhaps "low awareness outside of self" or something similar.

irritability

increased tearfulness, emotional lability

low motivation and low energy is more commonly used

this is quite outdated. I would mention this. consider adding brainspotting, EMDR

maybe also mention that CBT is the most well researched evidence based therapy module for depression

sexual dysfunction, fatigue, weight changes

exercise, healthy lifestyle, diet changes, EMDR, yoga, etc.

this is a very out dated treatment and not common practice anymore

with treatment

are you distinguishing delirium from psychosis? if so, maybe mention this.

this is vague. maybe remove this line?

i would include the section on SAD from previous section here.

this number seems very low

please mention that SAD is an out dated term and this diagnosis is not called this in the DSM 5

this number seems very low to me. perhaps stats are low because of underreporting? maybe mention this?

and social impact

iron, vitamin d too

hypothyroidism and hyperthyroidism can both lead to anxiety, depression, mania, can mimic bipolar disorder, and can even disrupt HPA axis.

citation?

it seems like this info about stress and trauma is repeated several times through the textbook.

this paragraph seems unnecessary. too much info for this context

some do feel immediate (but perhaps smaller) changes with SSRIs. I would mention this.

I would also specify which class of antidepressants you are referring to as well. (sounds like SSRIs).

perhaps distinguishing between depression and bipolar before talking about specific neurotransmitters would be helpful

or extra sensitive

this is very vague.

great idea starting this chapter with this!

i really like using this term "clients" instead of patient

is there another section on grief and loss? This section seems incomplete.

"For some..." adding this would b more inclusive

i would also add that yoga helps regulate and balance the nervous system to aid in healing from trauma.

"severe and persistent mental illness"

involving support people like family or friends in this process reduces risk as well.

what about self harm too? eating disorders? substance use? Domestic Violence. All examples of huge safety issues.

"the US". "America" is actually used to refer to places outside of the US too, like central and south america.

this section on trauma is written very well

psychotic disorders too!

and equitable

some mental illnesses

i'm glad this is included!

this sentence is great. I would remove the rest of the paragraph. Unnecessary and no citations.

"experiencing symptoms"

therapists and social workers too

Again, i do not like the words "serious" or "major." This language is invalidating to those who experience "just" anxiety.

i really do not like the word "serious" when categorizing different disorders. I have seen cases of "just" anxiety be absolutely debilitating and "very very serious" and i have seen cases of psychosis that were "less serious" and less debilitating. I am more familiar with the term "severe and persistent mental illness" to refer to disorders such as schizophrenia, bipolar, etc.

I agree with "less common" instead of "major"

"they may experience appropriate levels of stress and discomfort"

remove this part of sentence. confusing and unnecessary

which

which