Academic Psychiatry

, Volume 39, Issue 5, pp 503–511 | Cite as

College Students: Mental Health Problems and Treatment Considerations

  • Paola PedrelliEmail author
  • Maren Nyer
  • Albert Yeung
  • Courtney Zulauf
  • Timothy Wilens
In Depth Article: Commentary


Attending college can be a stressful time for many students. In addition to coping with academic pressure, some students have to deal with the stressful tasks of separation and individuation from their family of origin while some may have to attend to numerous work and family responsibilities. In this context, many college students experience the first onset of mental health and substance use problems or an exacerbation of their symptoms. Given the uniqueness of college students, there is a need to outline critical issues to consider when working with this population. In this commentary, first, the prevalence of psychiatric and substance use problems in college students and the significance of assessing age of onset of current psychopathology are described. Then, the concerning persistent nature of mental health problems among college students and its implications are summarized. Finally, important aspects of treatment to consider when treating college students with mental health problems are outlined, such as the importance of including parents in the treatment, communicating with other providers, and employing of technology to increase adherence. It is concluded that, by becoming familiar with the unique problems characteristic of the developmental stage and environment college students are in, practitioners will be able to better serve them.


College Mental health Treatment considerations 



This research was supported by NIH K24 DA016264 to Timothy Wilens and in part by NIAAA K23AA020064-012 to Paola Pedrelli. Timothy Wilens receives/d research support from or is/has been on the advisory board for the following Pharmaceutical Companies: National Institute on Drug Abuse (NIDA), Euthymics, Shire, Theravance, and TRIS. Dr. Timothy Wilens is or has been a consultant for Euthymics, Major League Baseball, Minor League Baseball, the National Football League, and Shire. Dr. Timothy Wilens has a published book with Guilford Press: Straight Talk About Psychiatric Medications for Kids. Drs. Pedrelli, Nyer, and Yeung as well as Ms. Zulauf have no conflicts of interest to report.


  1. 1.
    Blanco C et al. Mental health of college students and their non-college-attending peers: Results from the National Epidemiologic Study on Alcohol and Related Conditions. Arch Gen Psychiatry. 2008;65(12):1429–37.PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    Statistics, N.C.f.E., Nontraditional Undergraduates, U.S.D.o.E. Institute of Education Sciences, Editor 2013.Google Scholar
  3. 3.
    Arnett JJ. Emerging adulthood. A theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469–80.PubMedCrossRefGoogle Scholar
  4. 4.
    Gallagher R, Gill AM, Sysko HB. National survey of counseling directors, 2000. Alexandria: International Association of Counseling Centers, Inc; 2000.Google Scholar
  5. 5.
    Kessler RC et al. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359–64.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Kessler RC et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593–602.PubMedCrossRefGoogle Scholar
  7. 7.
    Giaconia R et al. Ages of onset of psychiatric disorders in a community population of older adolescents. J Am Acad Child Adoles Psychiatry. 1994;33(5):706–17.CrossRefGoogle Scholar
  8. 8.
    Vaingankar JA, et al. Age of onset of life-time mental disorders and treatment contact. Soc Psychiatry Psychiatr Epidemiol. 2012.Google Scholar
  9. 9.
    Eisenberg D, Hunt J, Speer N. Mental health in American colleges and universities: Variation across student subgroups and across campuses. J Nerv Ment Dis. 2013;201(1):60–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Zisook S et al. Effect of age at onset on the course of major depressive disorder. Am J Psychiatry. 2007;164(10):1539–46.PubMedCrossRefGoogle Scholar
  11. 11.
    Perlis RH et al. A genomewide association study of response to lithium for prevention of recurrence in bipolar disorder. Am J Psychiatry. 2009;166(6):718–25.PubMedCentralPubMedCrossRefGoogle Scholar
  12. 12.
    Prevention C.f.D.C.a. Injury Center: Violence Prevention. 2013; Available from:
  13. 13.
    Downs MF, Eisenberg D. Help seeking and treatment use among suicidal college students. J Am Coll Health. 2012;60(2):104–14.PubMedCrossRefGoogle Scholar
  14. 14.
    Kisch J, Leino EV, Silverman MM. Aspects of suicidal behavior, depression, and treatment in college students: Results from the spring 2000 national college health assessment survey. Suicide Life-Threatening Behav. 2005;35(1):3–13.CrossRefGoogle Scholar
  15. 15.
    Drum DJ et al. New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psycholy: Res Pract. 2009;40(3):213.CrossRefGoogle Scholar
  16. 16.
    Farabaugh A et al. Depression and suicidal ideation in college students. Psychopathology. 2012;45(4):228–34.PubMedCrossRefGoogle Scholar
  17. 17.
    Dougherty DM et al. Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Res. 2009;169(1):22–7.PubMedCentralPubMedCrossRefGoogle Scholar
  18. 18.
    Rujescu D, Giegling I. Intermediate Phenotypes in Suicidal Behavior Focus on Personality, in The Neurobiological Basis of Suicide, Y. Dwivedi, Editor 2012: Boca Raton (FL).Google Scholar
  19. 19.
    Cash SJ, Bridge JA. Epidemiology of youth suicide and suicidal behavior. Curr Opin Pediatr. 2009;21(5):613–9.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47(3–4):372–94.PubMedCrossRefGoogle Scholar
  21. 21.
    Hudson JI et al. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348–58.PubMedCentralPubMedCrossRefGoogle Scholar
  22. 22.
    Eisenberg D et al. Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. J Am Coll Health. 2011;59(8):700–7.PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Stice E et al. An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents. J Abnorm Psychol. 2009;118(3):587–97.PubMedCentralPubMedCrossRefGoogle Scholar
  24. 24.
    DuPaul GJ et al. College students with ADHD: Current status and future directions. J Atten Disord. 2009;13(3):234–50.PubMedCrossRefGoogle Scholar
  25. 25.
    Biederman J et al. Do stimulants protect against psychiatric disorders in youth with ADHD? A 10-year follow-up study. Pediatrics. 2009;124(1):71–8.PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Green AL, Rabiner DL. What do we really know about ADHD in college students? Neurotherapeutics. 2012;9(3):559–68.PubMedCentralPubMedCrossRefGoogle Scholar
  27. 27.
    Sham PC, MacLean CJ, Kendler KS. A typological model of schizophrenia based on age at onset, sex and familial morbidity. Acta Psychiatr Scand. 1994;89(2):135–41.PubMedCrossRefGoogle Scholar
  28. 28.
    Hafner H et al. The influence of age and sex on the onset and early course of schizophrenia. Br J Psychiatry. 1993;162:80–6.PubMedCrossRefGoogle Scholar
  29. 29.
    Joshi G, et al. Psychiatric Comorbidity and Functioning in a Clinically Referred Population of Adults with Autism Spectrum Disorders: A Comparative Study. J Autism Dev Disord. 2012Google Scholar
  30. 30.
    White SW, Ollendick TH, Bray BC. College students on the autism spectrum: Prevalence and associated problems. Autism. 2011;15(6):683–701.PubMedCrossRefGoogle Scholar
  31. 31.
    Gillberg C, Steffenburg S. Outcome and prognostic factors in infantile autism and similar conditions: a population-based study of 46 cases followed through puberty. J Autism Dev Disord. 1987;17(2):273–87.PubMedCrossRefGoogle Scholar
  32. 32.
    Kobayashi R, Murata T, Yoshinaga K. A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan. J Autism Dev Disord. 1992;22(3):395–411.PubMedCrossRefGoogle Scholar
  33. 33.
    Ballaban-Gil K et al. Longitudinal examination of the behavioral, language, and social changes in a population of adolescents and young adults with autistic disorder. Pediatr Neurol. 1996;15(3):217–23.PubMedCrossRefGoogle Scholar
  34. 34.
    Howlin P et al. Adult outcome for children with autism. J Child Psychol Psychiatry. 2004;45(2):212–29.PubMedCrossRefGoogle Scholar
  35. 35.
    Vanbergeijk E, Klin A, Volkmar F. Supporting more able students on the autism spectrum: College and beyond. J Autism Dev Disord. 2008;38(7):1359–70.PubMedCrossRefGoogle Scholar
  36. 36.
    Substance Abuse and Mental Health Services Administration, Results from 2012 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-46, HHS Publications No. (SMA) 13-4795. Rockville: Substance Abuse and Mental Health Services Administration; 2013.Google Scholar
  37. 37.
    Slutske WS. Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry. 2005;62(3):321.PubMedCrossRefGoogle Scholar
  38. 38.
    Alcoholism, N.I.o.A.A.a., Moderate & Binge Drinking, 2013.Google Scholar
  39. 39.
    Wechsler H et al. Health and behavioral consequences of binge drinking in college. J Am Med Assoc. 1994;272(21):1672–7.CrossRefGoogle Scholar
  40. 40.
    Wechsler H et al. Trends in college binge drinking during a period of increased prevention efforts: Findings from 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001. J Am Coll Heal. 2002;50(5):203–17.CrossRefGoogle Scholar
  41. 41.
    Prevention, C.f.D.C.a. Web-based Injury Statistics Query and Reporting System (WISQARS). 2010 [cited 2010 October 2012]; Available from:
  42. 42.
    Marlatt GA et al. Screening and brief intervention for high-risk college student drinkers: results from a 2-year follow-up assessment. J Consult Clin Psychol. 1998;66(4):604–15.PubMedCrossRefGoogle Scholar
  43. 43.
    Hingson R et al. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: changes from 1998 to 2001. Annu Rev Public Health. 2005;26:259–79.PubMedCrossRefGoogle Scholar
  44. 44.
    Jackson KM et al. Transitioning into and out of large-effect drinking in young adulthood. J Abnorm Psychol. 2001;110(3):378–91.PubMedCrossRefGoogle Scholar
  45. 45.
    Johnston LD, et al. Monitoring the Future National Results on Adolescent Drug Use-Overview of Key Findings 2006. (NIH Publication No 07–6202). Vol. 2006. 2007, Bethesda, MD: National Institute on Drug Abuse.Google Scholar
  46. 46.
    Jennison KM. The short-term effects and unintended long-term consequences of binge drinking in college: a 10-year follow-up study. Am J Drug Alcohol Abuse. 2004;30(3):659–84.PubMedCrossRefGoogle Scholar
  47. 47.
    DiFranza JR et al. Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study. Arch Pediatrics adolesc Med. 2007;161(7):704.CrossRefGoogle Scholar
  48. 48.
    Gervais A et al. Milestones in the natural course of onset of cigarette use among adolescents. Can Med Assoc J. 2006;175(3):255–61.CrossRefGoogle Scholar
  49. 49.
    Kandel D et al. On the measurement of nicotine dependence in adolescence: Comparisons of the mFTQ and a DSM-IV–based scale. J Pediatr Psychol. 2005;30(4):319–32.PubMedCentralPubMedCrossRefGoogle Scholar
  50. 50.
    Suerken CK, et al.. Prevalence of Marijuana Use at College Entry and Risk Factors for Initiation During Freshman Year. Addictive Behaviors. 2013.Google Scholar
  51. 51.
    Brook JS et al. Early adolescent marijuana use: Risks for the transition to young adulthood. Psychol Med. 2002;32(1):79–91.PubMedCrossRefGoogle Scholar
  52. 52.
    Fergusson DM, Horwood LJ, Swain-Campbell NR. Cannabis dependence and psychotic symptoms in young people. Psychol Med. 2003;33(1):15–21.PubMedGoogle Scholar
  53. 53.
    Schuster C et al. Adolescent marijuana use and adult occupational attainment: a longitudinal study from age 18 to 28. Subst Use Misuse. 2001;36(8):997–1014.PubMedCrossRefGoogle Scholar
  54. 54.
    O'Grady KE et al. Heavy drinking and polydrug use among college students. J Drug Issues. 2008;38(2):445–66.PubMedCentralPubMedCrossRefGoogle Scholar
  55. 55.
    Jones SE et al. Binge drinking among undergraduate college students in the United States: Implications for other substance use. J Am Coll Health. 2001;50(1):33–8.PubMedCrossRefGoogle Scholar
  56. 56.
    Bennett ME, Miller JH, Woodall WG. Drinking, binge drinking, and other drug use among southwestern undergraduates: Three-year trends. Am J Drug Alcohol Abuse. 1999;25(2):331–50.PubMedCrossRefGoogle Scholar
  57. 57.
    Shillington AM, Clapp JD. Heavy alcohol use compared to alcohol and marijuana use: do college students experience a difference in substance use problems? J Drug Educ. 2006;36(1):91–103.PubMedCrossRefGoogle Scholar
  58. 58.
    Johnston LD, et al. Monitoring the Future national results on adolescent drug use: Overview of key findings. Vol. 2011. Ann Arbor, MI: Institute for Social Research, The University of Michigan;2012.Google Scholar
  59. 59.
    Services U.S.D.o.H.a.H.. Results from the 2012 National Survey on Drug Use and Health: Summary of Natonal Findings, S.A.a.M.H.S. Adminstration and S. Center for Behavioral Health Statistics and Quality, Editors. 2013: Rockville, MD.Google Scholar
  60. 60.
    Wilens TE et al. Misuse and diversion of stimulants prescribed for ADHD: a systematic review of the literature. J Am Acad Child Adolesc Psychiatry. 2008;47(1):21–31.PubMedCrossRefGoogle Scholar
  61. 61.
    McCabe SE et al. Non-medical use of prescription stimulants among US college students: Prevalence and correlates from a national survey. Addiction. 2005;99(1):96–106.CrossRefGoogle Scholar
  62. 62.
    Garnier-Dykstra LM et al. Self-reported adult attention-deficit/hyperactivity disorder symptoms among college students. J Am Coll Health. 2011;59(2):133–6.CrossRefGoogle Scholar
  63. 63.
    Paulozzi LJ. Prescription drug overdoses: a review. J Safety Res. 2012;43(4):283–9.PubMedCrossRefGoogle Scholar
  64. 64.
    Arria AM, DuPont RL. Nonmedical prescription stimulant use among college students: Why we need to do something and what we need to do. J Addict Dis. 2010;29(4):417–26.PubMedCentralPubMedCrossRefGoogle Scholar
  65. 65.
    Ramsawh HJ et al. Age of onset, clinical characteristics, and 15-year course of anxiety disorders in a prospective, longitudinal, observational study. J Affect Disord. 2011;132(1–2):260–4.PubMedCentralPubMedCrossRefGoogle Scholar
  66. 66.
    Goodwin RD, Hamilton SP. Early-onset fearful panic attack: a possible prodrome of early-onset severe psychopathology. Compr Psychiatry. 2002;43(1):22–7.PubMedCrossRefGoogle Scholar
  67. 67.
    Iketani T et al. Patterns of axis II comorbidity in early-onset versus late-onset panic disorder in Japan. Compr Psychiatry. 2004;45(2):114–20.PubMedCrossRefGoogle Scholar
  68. 68.
    Millet B et al. Phenomenological and comorbid features associated in obsessive-compulsive disorder: Influence of age of onset. J Affect Disord. 2004;79(1–3):241–6.PubMedCrossRefGoogle Scholar
  69. 69.
    Miguel EC et al. The tic-related obsessive-compulsive disorder phenotype and treatment implications. Adv Neurol. 2001;85:43–55.PubMedGoogle Scholar
  70. 70.
    Geller D et al. Is juvenile obsessive-compulsive disorder a developmental subtype of the disorder? A review of the pediatric literature. J Am Acad Child Adolesc Psychiatry. 1998;37(4):420–7.PubMedCrossRefGoogle Scholar
  71. 71.
    McGorry PD et al. Age of onset and timing of treatment for mental and substance use disorders: Implications for preventive intervention strategies and models of care. Curr Opin Psychiatry. 2011;24(4):301–6.PubMedCrossRefGoogle Scholar
  72. 72.
    Kim-Cohen J et al. Prior juvenile diagnoses in adults with mental disorder: Developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003;60(7):709–17.PubMedCrossRefGoogle Scholar
  73. 73.
    Copeland WE et al. Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry. 2009;66(7):764–72.PubMedCentralPubMedCrossRefGoogle Scholar
  74. 74.
    McElroy SL et al. Clinical and research implications of the diagnosis of dysphoric or mixed mania or hypomania. Am J Psychiatr. 1992;149(12):1633–44.PubMedCrossRefGoogle Scholar
  75. 75.
    Perlis RH et al. Predictors of recurrence in bipolar disorder: primary outcomes from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Am J Psychiatry. 2006;163(2):217–24.PubMedCrossRefGoogle Scholar
  76. 76.
    Birmaher B et al. Four-year longitudinal course of children and adolescents with bipolar spectrum disorders: the Course and Outcome of Bipolar Youth (COBY) study. Am J Psychiatry. 2009;166(7):795–804.PubMedCentralPubMedCrossRefGoogle Scholar
  77. 77.
    Geller B et al. Child bipolar I disorder: prospective continuity with adult bipolar I disorder; characteristics of second and third episodes; predictors of 8-year outcome. Arch Gen Psychiatry. 2008;65(10):1125–33.PubMedCentralPubMedCrossRefGoogle Scholar
  78. 78.
    Wozniak J et al. High level of persistence of pediatric bipolar-I disorder from childhood onto adolescent years: a four year prospective longitudinal follow-up study. J Psychiatr Res. 2011;45(10):1273–82.PubMedCentralPubMedCrossRefGoogle Scholar
  79. 79.
    Wilens TE et al. Further evidence of an association between adolescent bipolar disorder with smoking and substance use disorders: a controlled study. Drug Alcohol Depend. 2008;95(3):188–98.PubMedCentralPubMedCrossRefGoogle Scholar
  80. 80.
    Schulz SC et al. Treatment and outcomes in adolescents with schizophrenia. J Clin Psychiatry. 1998;59 Suppl 1:50–4. discussion 55–6.PubMedGoogle Scholar
  81. 81.
    Hollis C. Adult outcomes of child- and adolescent-onset schizophrenia: diagnostic stability and predictive validity. Am J Psychiatr. 2000;157(10):1652–9.PubMedCrossRefGoogle Scholar
  82. 82.
    Kyriakopoulos M, Frangou S. Pathophysiology of early onset schizophrenia. Int Rev Psychiatry. 2007;19(4):315–24.PubMedCrossRefGoogle Scholar
  83. 83.
    Fleischhaker C et al. Long-term course of adolescent schizophrenia. Schizophr Bull. 2005;31(3):769–80.PubMedCrossRefGoogle Scholar
  84. 84.
    Reichert A et al. The psychopathological and psychosocial outcome of early-onset schizophrenia: Preliminary data of a 13-year follow-up. Child Adolesc Psychiatry Ment Health. 2008;2(1):6.PubMedCentralPubMedCrossRefGoogle Scholar
  85. 85.
    Rothman EF et al. Relationship of age of first drink to alcohol-related consequences among college students with unhealthy alcohol use. Subst Abus. 2008;29(1):33–41.PubMedCrossRefGoogle Scholar
  86. 86.
    Zivin K et al. Persistence of mental health problems and needs in a college student population. J Affect Disord. 2009;117(3):180–5.PubMedCrossRefGoogle Scholar
  87. 87.
    Eisenberg D et al. Mental health service utilization among college students in the United States. J Nerv Ment Dis. 2011;199(5):301–8.PubMedCrossRefGoogle Scholar
  88. 88.
    Eisenberg D et al. Stigma and help seeking for mental health among college students. Med Care Res Rev. 2009;66(5):522–41.PubMedCrossRefGoogle Scholar
  89. 89.
    Loya F, Reddy R, Hinshaw SP. Mental illness stigma as a mediator of differences in Caucasian and South Asian college students' attitudes toward psychological counseling. J Couns Psychol. 2010;57(4):484.CrossRefGoogle Scholar
  90. 90.
    Berk M et al. Evidence and implications for early intervention in bipolar disorder. J Ment Health. 2010;19(2):113–26.PubMedCrossRefGoogle Scholar
  91. 91.
    Melle I et al. Prevention of negative symptom psychopathologies in first-episode schizophrenia: two-year effects of reducing the duration of untreated psychosis. Arch Gen Psychiatry. 2008;65(6):634–40.PubMedCrossRefGoogle Scholar
  92. 92.
    Arria AM, et al. the academic opportunity costs of substance use during college. 2013.Google Scholar
  93. 93.
    Hasler G et al. Depressive symptoms during childhood and adult obesity: the Zurich Cohort Study. Mol Psychiatry. 2005;10(9):842–50.PubMedCrossRefGoogle Scholar
  94. 94.
    Keenan-Miller D, Hammen CL, Brennan PA. Health outcomes related to early adolescent depression. J Adolesc Health. 2007;41(3):256–62.PubMedCrossRefGoogle Scholar
  95. 95.
    Eisenberg D, Hunt J, Speer N. Help seeking for mental health on college campuses: Review of evidence and next steps for research and practice. Harv Rev Psychiatry. 2012;20(4):222–32.PubMedCrossRefGoogle Scholar
  96. 96.
    Escoffery C et al. Internet use for health information among college students. J Am Coll Health. 2005;53(4):183–8.PubMedCrossRefGoogle Scholar
  97. 97.
    Kim E-H et al. Addressing mental health epidemic among university students via web-based, self-screening, and referral system: a preliminary study. Inform Technol Biomed, IEEE Trans. 2011;15(2):301–7.CrossRefGoogle Scholar
  98. 98.
    Haas A et al. An interactive web-based method of outreach to college students at risk for suicide. J Am Coll Heal. 2008;57(1):15–22.CrossRefGoogle Scholar
  99. 99.
    Youn SJ et al. Using online social media, Facebook, in screening for major depressive disorder among college students. Int J Clin Health Psychol. 2013;13(1):74–80.CrossRefGoogle Scholar
  100. 100.
    Hoifodt RS et al. Effectiveness of cognitive behavioural therapy in primary health care: a review. Fam Pract. 2011;28(5):489–504.PubMedCrossRefGoogle Scholar
  101. 101.
    Griffiths KM et al. The ANU WellBeing study: a protocol for a quasi-factorial randomised controlled trial of the effectiveness of an Internet support group and an automated Internet intervention for depression. BMC Psychiatry. 2010;10(1):20.PubMedCentralPubMedCrossRefGoogle Scholar
  102. 102.
    Ruwaard J et al. Efficacy and effectiveness of online cognitive behavioral treatment: a decade of interapy research. Stud Health Technol Inform. 2011;167:9–14.PubMedGoogle Scholar
  103. 103.
    Alschuler K, Hoodin F, Byrd M. The need for integrating behavioral care in a college health center. Health Psychol. 2008;27(3):388–93.PubMedCrossRefGoogle Scholar
  104. 104.
    Blount A. Integrated primary care: Organizing the evidence. Families, Systems Health. 2003;21:121–34.CrossRefGoogle Scholar
  105. 105.
    Hillestad R et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff (Millwood). 2005;24(5):1103–17.CrossRefGoogle Scholar
  106. 106.
    Nathan PE, Gorman JM. A guide to treatments that work. 3rd ed. New York: Oxford University Press; 2007.Google Scholar
  107. 107.
    Miller WR, Sovereign RG, Krege B. Motivational interviewing with problem drinkers: II. The Drinker's Check-up as a preventive intervention. Behav Psychother. 1988;16(4):251–68.CrossRefGoogle Scholar
  108. 108.
    Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol. 2003;71(5):843–61.PubMedCrossRefGoogle Scholar
  109. 109.
    Westra HA. Managing resistance in cognitive behavioural therapy: the application of motivational interviewing in mixed anxiety and depression. Cogn Behav Ther. 2004;33(4):161–75.PubMedCrossRefGoogle Scholar
  110. 110.
    Ramchandani P, Psychogiou L. Paternal psychiatric disorders and children's psychosocial development. Lancet. 2009;374(9690):646–53.PubMedCrossRefGoogle Scholar
  111. 111.
    Pilowsky DJ et al. Psychopathology and functioning among children of treated depressed fathers and mothers. J Affect Disord. 2014;164:107–11.PubMedCentralPubMedCrossRefGoogle Scholar
  112. 112.
    Roozen HG, de Waart R, van der Kroft P. Community reinforcement and family training: an effective option to engage treatment-resistant substance-abusing individuals in treatment. Addiction. 2010;105(10):1729–38.PubMedCrossRefGoogle Scholar
  113. 113.
    Turrisi R et al. Examination of the short-term efficacy of a parent intervention to reduce college student drinking tendencies. Psychol Addict Behav. 2001;15(4):366–72.PubMedCrossRefGoogle Scholar
  114. 114.
    Turrisi R et al. Heavy drinking in college students: who is at risk and what is being done about it? J Gen Psychol. 2006;133(4):401–20.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2014

Authors and Affiliations

  • Paola Pedrelli
    • 1
    Email author
  • Maren Nyer
    • 1
  • Albert Yeung
    • 1
  • Courtney Zulauf
    • 1
  • Timothy Wilens
    • 1
  1. 1.Massachusetts General HospitalBostonUSA

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