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Carol Landau - Mood Prep 101: A Parents Guide to Preventing Depression and Anxiety in College-Bound Teens

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Carol Landau Mood Prep 101: A Parents Guide to Preventing Depression and Anxiety in College-Bound Teens
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Our teenagers are suffering more than ever. College counseling centers are overwhelmed, parents are worried, and mental health issues are increasingly common in young people between the ages of 12 and 20. Parents are particularly concerned about how to help their kids achieve a safe, healthy, and fulfilling college experience in light of soaring rates of depression and anxiety in young people. Mood Prep 101: A Parents Guide to Preventing Depression and Anxiety in College-Bound Teens answers the question most parents have - What can we do? - when it comes to college-bound teens who may be vulnerable to anxiety and depression. Written with humor and compassion by award-winning psychologist and psychotherapist Carol Landau, this timely book empowers parents by providing strategies for helping their children psychologically prepare for college and adulthood, as well as by addressing and alleviating the anxiety parents themselves may feel about kids leaving home for the first time. Young people need a solid foundation of parental support in order to succeed at college; as such, Landau shows parents how they can promote healthy communication and problem-solving skills, and how they can help young people learn to better regulate emotions and tolerate distress. Landau also describes stressors typical amongst college students, and explains how to identify vulnerabilities to anxiety and depression, including perfectionism, social isolation, and the feeling of being different. The book outlines how a parent can help students find a therapist and suggests such evidence- based treatments as cognitive behavior therapy (CBT) and interpersonal therapy (IPT). Finally, the book sheds light on some of the risky behaviors commonly found on todays college campuses, such as substance use and unsafe sexual relationships, and how they can exacerbate or even trigger anxiety and depression in young people. Landau concludes by calling on parents and educators to back away from the stressful, competitive focus of the college admissions process and turn instead to the values of curiosity, collaboration and empathy.

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Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and certain other countries.

Published in the United States of America by Oxford University Press

198 Madison Avenue, New York, NY 10016, United States of America.

Oxford University Press 2020

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license, or under terms agreed with the appropriate reproduction rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above.

You must not circulate this work in any other form and you must impose this same condition on any acquirer.

Library of Congress Cataloging-in-Publication Data

Names: Landau, Carol, author.

Title: Mood prep 101 : a parents guide to preventing depression and

anxiety in college-bound teens / Carol Landau, Ph.D.

Other titles: Mood prep one zero one

Description: New York : Oxford University Press, 2020. |

Includes bibliographical references and index.

Identifiers: LCCN 2019052828 (print) | LCCN 2019052829 (ebook) |

ISBN 9780190914301 (paperback) | ISBN 9780190914325 (epub) |

ISBN 9780190914332

Subjects: LCSH: Anxiety in adolescence. | Depression in adolescence. |

TeenagersServices for. | Parenting. | Parent and teenager.

Classification: LCC BF724.3.A57 L36 2020 (print) | LCC BF724.3.A57 (ebook) |

DDC 155.5/1246dc23

LC record available at https://lccn.loc.gov/2019052828

LC ebook record available at https://lccn.loc.gov/2019052829

This book is not intended as a substitute for the medical advice. Readers should consult with a physician or mental health professional in matters relating to their health. Neither the publisher nor the author is engaged in rendering professional advice or services to the individual reader. Neither the author nor the publisher shall be liable or responsible for any damage allegedly arising from any information or suggestion in this book. The names and identifying details in this book have been changed in order to protect the identities of any patients and their families and to protect their confidentiality. For example, the names, hometowns, as well as the professions of the patients parents have been deliberately altered.

For David

John, Missy, and Julia, Rob and Alice

With Love

And in memory of Alice and Henry Landau

Contents

Creating this book has been a family project. I thank my son, Robert Landau Ames, and my husband, David Ames, for their support, encouragement, and invaluable assistance in editing the manuscript. David has also always been available, with reassuring words and many cups of coffee. My sisters, Rosemarie Helmbrecht and Vicki Landau, read portions of the book and provided helpful feedback. My daughter-in-law, Melissa Urban Ames, a member of the Rhode Island Board of the American Foundation for Suicide Prevention, pointed me toward resources in the area of suicide prevention. My sister-in-law, Kristen Tsangaris Landau, provided me with thought-provoking ideas and reading materials, as did my nieces, Megan Helmbrecht, Hope Helmbrecht Krom, and Stacy Helmbrecht Wilson.

It would be hard to find more supportive colleagues than those in the Division of General Internal Medicine in the Department of Medicine at the Alpert Medical School, Brown University, my academic home/family for most of my career. I would like to thank Division Chiefs, Kelly McGarry, Angela Caliendo, Mark Fagan and Michele Cyr; and Chair of Medicine, Louis Rice. Thanks to everyone in the division, especially, Kate Cahill, Seth Clark, Rebekah Gardner, Jennifer Jeremiah, Dominick Tammaro, and Elizabeth Toll for their support. Thanks also to Steven Wartman and especially Colin Harrington, my gifted teaching partner in the psychiatry and psychology in primary care curriculum for the past 18 years. I have been fortunate to work with such a group of committed, talented, and humorous people and have benefitted enormously from teaching residents in primary care internal medicine.

My colleagues from the Department of Psychiatry and Human Behavior, Amy Bach, Steven Barreto, Debra Herman, and Marjorie Weishaar, have been sources of guidance and clinical wisdom. I thank the Beckwith Family Foundation for supporting my work in depression prevention. Thank you also to Kathryn McClure, Karen George, and Vanna Thlang for assisting in preparation of the manuscript.

The Office of Women in Medicine and Science at Brown, including Carey Baker, Kathleen Haslam, Katharine Sharkey, and Debra Abeshaus, has long been a place for me to find mutual mentoring and professional development. I am also grateful for dear friends, relatives, and colleagues: John Winthrop Ames, Julia Ames, Dottie Bianco, Laura Brady, Vanessa Britto, Elda Dawber, Betty Fielder, Philip Hall, Aleta Bok Johnson, Ferdinand Jones, Hester Kaplan, Carol Levine, David Levine, Susan Loar, Anne Moulton, Sherri Nelson, Adam Pallant, Alice Rha, Michael Sikorski, Maria Suarez, Marion Wachtenheim, Gabrielle Warshay, and Marin Warshay.

Many faculty and clinicians from around the country have been generous with their time in discussing the issue of depression and anxiety in college students. Thanks go to Randy Auerbach, Claire Cafaro, Aaron Krasnow, Kathleen Jenkins, Barbara McCrady, Victor Schwartz, Amy Wasserbauer, and Sharlene Wolchik. Kathleen Moss, Executive Director of LEAD Pittsburgh, shared materials from their program for preventing anxiety and depression. Stacey Colino and I collaborated earlier on a project on body dissatisfaction and I am indebted to her for some of the ideas in .

Belinda Johnson, former Director of Psychological Services at Brown, has been an indispensable source of wisdom, clinical judgment, clarity, and support. She has been extremely generous in sharing her knowledge and experience in student mental health. This is a much better book due to Belindas ongoing involvement. Along with our dear friend, Iris Shuey, a psychiatrist who died in 2011, we spent countless hours discussing depression and anxiety along with many other topics.

The patients in my practice and at Rhode Island Hospital have been a daily source of inspiration.

It was a very good day when I met my editor at Oxford University Press, Sarah Harrington, who ushered the idea of the book through to its completion, with good advice and a wise perspective. Thanks also to Jerri Hurlbutt for her precise and valuable copy editing.

What Remains

My mother, Alice Landau, died just after I completed this manuscript. She was always extremely supportive of my family and my career and, as an avid reader, she was very interested in my writing. Before she died, she was aware that the book was done and even shared the good news with her devoted caregivers, Jacynth Campbell, Dorothy Hewan, Rhodene (Michi) Mullings, and Pearl Hoeksema. My mother and my father, Henry Landau, came to the United States after World War II in order to start a new life of peace, freedom, and opportunity. Among their many accomplishments, they created a successful homebuilding and development business in Ann Arbor, Michigan and encouraged my sisters, my brother, Rick Landau, and me to attend college so that we could pursue our academic interests and establish careers. There was never any question about their dedication to our education. They instilled in me the values emphasized in this bookfamily and educationand those values will remain.

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