Counsellors and psychotherapists can easily find themselves working with people whose emotional distress is rooted in more significant mental health issues. * What do you need to know to work safely and ethically? * In what circumstances might you need to refer on? * How should you interpret available research and guidelines on 'what works'? * Where does providing a safe space to experience, express and reflect on emotions fit in? Offering a pluralistic framework that will suit counsellors and therapists across all therapeutic approaches, this clear and cogent text: * Looks in-depth at a uniquely wide range of mental health issues including depression, anxiety, stress and bereavement, eating disorders, substance misuse, sexual and identity issues, and personality disorders. * Provides guidance on possible therapeutic approaches and interventions. * Pinpoints ethical and professional issues for consideration. * Systematically uses case examples to draw out typical challenges and implications for practice. * Explores situations where specialist referral is advised. At once sharply structured and broad-based, The Troubled Mind is designed to work both as a textbook for trainees taking courses on assessment, psychopathology/mental health or research evidence for practice, and as a reference tool for qualified professionals looking to deepen their understanding of this complex spectrum of work.