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Book Depression For Dummies

    Book Details:
  • Author : Laura L. Smith
  • Publisher : John Wiley & Sons
  • Release : 2021-04-06
  • ISBN : 1119768594
  • Pages : 407 pages

Download or read book Depression For Dummies written by Laura L. Smith and published by John Wiley & Sons. This book was released on 2021-04-06 with total page 407 pages. Available in PDF, EPUB and Kindle. Book excerpt: The good news on beating the blues Do you want the good, the bad, or the best news first? OK, the bad news is that an estimated 264+ million people worldwide suffer from a depressive illness. The good news is that we know how to defeat these illnesses better than ever before using a growing range of highly effective psychotherapies, medications, and other therapeutic methods that are improving all the time. And the best news: because of these advances, the majority of people no longer need to suffer the debilitating—and sometimes dangerous—effects of long-term depressive illness. The new edition of Depression For Dummies shows how you can make this happen for you by providing the latest and best information on how to banish the noonday demon and bring the sunshine back into your world. In this friendly, cheerful, no-nonsense guide, leading clinical psychologists Laura L. Smith and Charles H. Elliot give you the straight talk on what you face and proven, practical advice on how to punch back and win. Showing you how to know your enemy, they demystify common types of depression, explain its physical effects, and help identify the kind you have. Armed in this way, you can take firmer steps toward the lifestyle changes—as well as therapy or medication—that will put you back in control. Learn about different forms of depression Build simple, daily habits into your life that help banish the blues Understand conventional, alternative, and experimental therapies Move on: avoid relapses and stay happy! Whatever your level of depression—occasional bouts or long-term—this book gives you the insight, the tools, and the inner strength and persistence to put enjoyment back in your life.

Book Overcoming Depression For Dummies

Download or read book Overcoming Depression For Dummies written by Elaine Iljon Foreman and published by John Wiley & Sons. This book was released on 2011-01-21 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up to 1 in 5 people in the UK suffer from diagnosable depression (bbc.co.uk) – that’s approximately 12 million people. Depression takes multiple forms, including seasonal affective disorder, bipolar disorder, and postnatal depression. Research by the BBC claims that up to 75% of sufferers are not receiving any form of professional medication or therapy, which strongly suggests that self-help is often a preferred course of action. Overcoming Depression For Dummies outlines practical methods for recognising and managing the symptoms of depression for those readers who might be too scared to go to their GP, who want to know more about the illness before they seek professional medical guidance, or for those who are just curious about depression and what it means. Overcoming Depression For Dummies: Is written by an expert team of clinical psychologists and provides step-by-step guidelines on proven therapeutic exercises and ways to implement positive psychology methods Provides sound advice on nutrition, relaxation and support, to help make those vital first steps towards a happier life Gives comprehensive information on the wide variety of prescription medication and complementary therapies available, including their effectiveness and side effects Is aimed at people suffering from depression looking for straightforward, realistic advice and also loved ones and parents of those suffering from depression wanting to better understand the condition and find out how they can help.

Book Anxiety For Dummies

    Book Details:
  • Author : Charles H. Elliott
  • Publisher : John Wiley & Sons
  • Release : 2021-01-07
  • ISBN : 1119768500
  • Pages : 368 pages

Download or read book Anxiety For Dummies written by Charles H. Elliott and published by John Wiley & Sons. This book was released on 2021-01-07 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take control of your anxiety—and start living your life Feel like your life is spinning out of control? Not sure how to handle what seems like constant change and chaos? You’re not alone—the world has taken some pretty crazy turns recently—but if you suffer from an anxiety disorder, you’re likely suffering far more than you need to. Anxiety is our natural reaction to unfamiliar, stressful, and dangerous situations, but for some of us this reaction can become all-consuming and ultimately debilitating. Anxiety For Dummies has the antidote to this, showing you how to manage feelings of uneasiness, distress, and dread—and take back control of your life. In a straightforward and friendly style, clinical psychologists Charles H. Elliot and Laura L. Smith show you how to pinpoint your triggers, use proven techniques and therapies, improve health and eating habits, and make other practical changes to your lifestyle that will have you feeling better fast. Understand what makes you anxious and learn to let go Change your thinking to “right-size” your worry Evaluate self-help as an adjunct to professional therapy Explore healthy lifestyles and medication options Including updates to the clinical literature and discussions of the impacts of world events—such as COVID-19—this book has everything you need to manage your worries and put you, not them, in charge of your life.

Book Depression For Dummies

    Book Details:
  • Author : Laura L. Smith
  • Publisher : John Wiley & Sons
  • Release : 2011-04-22
  • ISBN : 1118068912
  • Pages : 395 pages

Download or read book Depression For Dummies written by Laura L. Smith and published by John Wiley & Sons. This book was released on 2011-04-22 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: "What do you have to be depressed about?" Bet you've heard that one before. Or how about, "You're depressed? Just get over it!" Easier said than done, right? Or here's a favorite, "They have a pill for that now, you know." Unfortunately, such naïve armchair psychology rarely works for someone suffering from the very real plight of depression. All it does is seek to trivialize depression and characterize depressed people as "whiners" who have nothing better to do than to "complain about their lives." But the truth is, depression is a very real problem. In fact, the World Health Organization estimates that, on any given day, 121 million people worldwide suffer from depression. And depression rates continue to increase – for example, kids exhibit depression at nearly ten times the rate of previous generations. Theories abound as to why depression rates are increasing, but regardless of the cause, this scourge continues to rob its victims of happiness, joy, and the capacity to give and receive love. So why Depression For Dummies, when there's already a glut of self-help books on the market peddling so-called cures and remedies for depression? Because this book satisfies the need for a straight-talking, no-nonsense resource on depression. The only agenda of Depression For Dummies is to present you with the facts on depression and explain the options for dealing with it. Rest assured, this is no infomercial in a yellow and black cover. Here's just a sampling of what you'll find in Depression For Dummies: Demystifying the types of depression Discovering what goes on in the body of a depressed person Detecting and diagnosing depression Seeking help through therapy and medication Modifying depressed behavior and solving life's headaches Dealing with depression resulting from grief and relationship issues Cutting through the hype of alternative treatments for depression Moving beyond depression: Avoiding relapses and pursuing a happy life Top Ten lists on getting rid of a your bad mood and helping your kids and other family members out of depression So, whatever your level of depression – whether you suffer from occasional bouts or you find yourself seriously debilitated by depression – Depression For Dummies can give you the insight and tools you need to once again find enjoyment and happiness in life. All it takes is one step.

Book Postpartum Depression For Dummies

Download or read book Postpartum Depression For Dummies written by Shoshana S. Bennett and published by John Wiley & Sons. This book was released on 2011-04-18 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's a great blessing when a new mom with postpartum depression (PPD) is fortunate enough to be diagnosed early by a knowledgeable medical practitioner or therapist. But without guidance, it isn't always clear where the boundary between normal baby blues and PPD lies. As with any other illness, the quicker that PPD is identified and treated, the faster the woman will recover. Postpartum Depression For Dummies can help you begin the process of determining what’s going on with you and give you a better idea of where you fall so that you can get yourself into proper treatment right away. The book covers all aspects of PPD, from its history and its origins to its effects on women and their families to the wide variety of treatments available—including conventional Western medicine, psychological therapy, alternative medical treatments, and self-care measures. Postpartum Depression For Dummies reveals: Why some doctors may be hush-hush about PPD How to distinguish between pregnancy hormone changes, "baby blues," and PPD The difficulties of getting a proper diagnosis The role and importance of a therapist The benefits of medication for depression Alternative treatments with a successful track record How to find the right balance of psychological, medical, and alternative treatment Ways you can help foster recovery The nutrition you need to care for yourself properly How to help your partner help you Postpartum Depression For Dummies also provides the additional resources you need—web sites, organizations, and further reading—to help avoid the unnecessary suffering caused by undiagnosed and untreated PPD and survive and thrive as a new mom.

Book Overcoming Anxiety For Dummies  UK Edition

Download or read book Overcoming Anxiety For Dummies UK Edition written by Elaine Iljon Foreman and published by John Wiley & Sons. This book was released on 2011-02-16 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are many forms of anxiety disorder, including General Anxiety Disorder (GAD), Panic Attacks, Phobias (including social anxiety), Obsessive Compulsive Disorders, Post-Traumatic Stress Disorder, and Acute Stress Disorder. Even in their most mild forms, these disorders can be troubling and exhausting – at worst they can severely disable a person’s ability to function in day-to-day life. Severe anxiety and phobic disorders affect 18% of the UK population. (nopanic.org.uk) Symptoms of anxiety range from the mental and emotional – depression, having difficulty concentrating, losing patience easily – to the physical – excessive thirst, headaches, pins and needles, and more (www.bbc.co.uk) Often the problem is self-feeding – people try to keep things under control whilst simultaneously worrying about being anxious all the time, and the cycle goes on. Psychotherapy, medication and self help are the key treatments for anxiety – however, as many people either don’t have access to, or choose not to take, professional treatment, self help is the key for a majority of sufferers. A Dummies book on the subject will present the facts without the jargon, and help people find the trustworthy guidance they need.

Book Overcoming Anxiety For Dummies

Download or read book Overcoming Anxiety For Dummies written by Charles H. Elliott and published by John Wiley & Sons. This book was released on 2011-03-08 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discover new medications for easing symptoms Fight anxiety and win the war against your worries! Think you worry too much? You're not alone - over 25 million Americans suffer from some form of anxiety. Help is here in this friendly guide, which offers sound advice on identifying anxiety triggers through taking self-tests, improving your eating habits, relaxing, and finding support for you and your loved ones. Praise for Overcoming Anxiety For Dummies "In Overcoming Anxiety For Dummies, Elliot and Smith have provided a timely and informitive description of the reasons why people become anxious and what they can do about it." - Steven D. Hollon, PhD. Professor of Psychology, Vanderbilt University, Nashville, Tennessee

Book Anxiety and Depression Workbook For Dummies

Download or read book Anxiety and Depression Workbook For Dummies written by Elaine Iljon Foreman and published by John Wiley & Sons. This book was released on 2011-01-06 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anxiety and depression affect over 10% of the population. They can become debilitating conditions if not managed carefully sothere are thousands of people looking for advice on how to keeptheir symptoms under control. Anxiety & DepressionWorkbook For Dummies provides readers with practical exercisesand worksheets to help them analyse their thinking patterns andovercome the issues that are holding them back. The workbookformat is ideal for those wanting to track their progress and makepositive changes to both their mental and physical health. Anxiety & Depression Workbook For Dummies, UK Editioncovers: Part I: Recognising and Recording Anxiety andDepression Chapter 1: Spotting the Signs of Anxiety and Depression Chapter 2: Digging Up the Roots of Your Worries Chapter 3: Overcoming Obstacles to Change Chapter 4: Monitoring Your Moods Part II: Understanding Your Thinking: Cognitive Therapy Chapter 5: Viewing Things A Different Way Chapter 6: Challenging and Changing Thoughts Chapter 7: Seeing Clearly: Gaining A New Perspective Chapter 8: Maintaining Awareness and Achieving Acceptance Part III: Taking Action: Behaviour Therapy Chapter 9: Facing Feelings: Avoiding Avoidance Chapter 10: Lifting Your Spirits With Exercise Chapter 11: Taking Pleasure from Leisure Chapter 12: Just Do It! – Tackling Life’s Problems Part IV: Feeling It Where It Hurts: Healing the Body Chapter 13: Taking the Relaxation Route Chapter 14: Making Your Mind Up About Medication Part V: Revitalising Relationships Chapter 15: Working on Relationships Chapter 16: Smoothing Out Conflict Part VI: Life Beyond Anxiety and Depression Chapter 17: Reducing the Risk of Relapse Chapter 18: Promoting The Positive Part VII: The Part of Tens Chapter 19: Ten Helpful Resources Chapter 20: Ten Terrific Tips

Book Managing Depression with Mindfulness For Dummies

Download or read book Managing Depression with Mindfulness For Dummies written by Robert Gebka and published by John Wiley & Sons. This book was released on 2016-03-21 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rise above depression and build a positive future using mindfulness If you suffer from depression, you know that it′s not something you can simply snap yourself out of. Depression is a potentially debilitating condition that must be treated and managed with care, but not knowing where to turn for help can make an already difficult time feel even more harrowing. Thankfully, Managing Depression with Mindfulness For Dummies offers authoritative and sensitive guidance on using evidence based and NHS approved Mindfulness Based Interventions similar to Cognitive Behavioural Therapy (CBT) to help empower you to rise above depression and discover a renewed sense of emotional wellbeing and happiness. The book offers cutting edge self-management mindfulness techniques which will help you make sense of your condition and teach you how to relate differently to negative thought patterns which so often contribute to low mood and depression. The World Health Organization predicts that more people will be affected by depression than any other health problem by the year 2030. While the statistics are staggering, they offer a small glimmer of hope: you aren′t alone. As we continue to learn more about how depression works and how it can be treated, the practice of mindfulness proves to be an effective tool for alleviating stress, anxiety, depression, low self–esteem, and insomnia. With the tips and guidance offered inside, you′ll learn how to apply the practice of mindfulness to ease your symptoms of depression and get your life back. Heal and recover from depression mindfully Understand the relationship between thinking, feeling, mood, and depression Reduce your depression with effective mindfulness practices Implement positive changes and prevent relapse Whether you are struggling with low mood or simply wish to learn mindfulness as a way of enriching your life, Managing Depression with Mindfulness For Dummies serves as a beacon of light and hope on your journey to rediscovering your sense of wellbeing, joy and happiness.

Book Managing Depression with CBT For Dummies

Download or read book Managing Depression with CBT For Dummies written by Brian Thomson and published by John Wiley & Sons. This book was released on 2012-09-28 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rise above depression with CBT Cognitive Behavioural Therapy (CBT) is a hugely popular self-help technique, which teaches you to break free from destructive or negative behaviours and make positive changes to both your thoughts and your actions. This practical guide to managing depression with CBT will help you understand your depression, identify solutions to your problems, and maintain your gains and avoid relapse. Managing Depression with CBT For Dummies is a practical guide to using CBT to demolish depression by identifying and correcting negative thought patterns, recognizing the destructive power of ruminative thinking, confronting problems, and finding positive solutions. Helps you understand depression and how it develops Shows you how to correct negative thought patterns Gives you tried-and-true CBT techniques to combat your depression If you're struggling with depression, Managing Depression with CBT For Dummies gives you the tools you need to break down the barriers that prevent happiness from taking hold, and allowing you to build a positive future.

Book The Anxiety and Depression Workbook

Download or read book The Anxiety and Depression Workbook written by Michael A. Tompkins and published by New Harbinger Publications. This book was released on 2021-04-01 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Don’t let anxiety and depression keep you from living life to the fullest. If you suffer from co-occurring anxiety and depression, you may experience an overwhelming urge to avoid difficult emotions and emotional experiences. The last thing you want to do is kick the hornet’s nest you carry around with you. However, the latest research in psychology emphasizes the importance of approaching—rather than avoiding—your emotions. Avoiding emotions works in the short term, but in the long term it only teaches you to believe you can’t handle your feelings. What you need is a solid set of tools that will allow you to feel a full range of emotions with confidence. This book will provide just the tool set you require. In this workbook, psychologist Michael Tompkins offers evidence-based cognitive-behavioral therapy (CBT) skills to help you target and tear down the emotional avoidance barriers that drive your anxiety and depression. By engaging with the emotions you’ve been seeking to avoid, you’ll learn, “I can handle this feeling.” You’ll also find strategies to help you stay calm during emotional situations; and discover relaxation and mindfulness techniques to deal effectively with difficult thoughts and feelings, and improve your mood and well-being. The tools in this workbook help you learn this important lesson: You can handle emotions, even unpleasant ones. When you believe you can handle feeling anxious and depressed, you’re less likely to avoid those feelings, creating space for you to be more willing to do the things that you want to do in your life.

Book Overcoming Anxiety and Depression

Download or read book Overcoming Anxiety and Depression written by Bob Phillips and published by Harvest House Publishers. This book was released on 2007-08-15 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anxiety and depression are the two most common emotions that plague people, causing emotional distress and feelings of inferiority, loneliness, and despair. Help is available for these people in pain—help from God, from His Word, and from the experience of gifted men and women who seek to lead people to wholeness. Readers will readily identify with licensed family counselor Bob Phillips as he provides descriptions of the potentially debilitating effects of these difficult emotions. He reveals the root causes of anxiety and depression, which are fear and anger, and he helps readers acknowledge and deal with these driving forces in an effective, godly way. He includes a gentle and helpful presentation of spiritual issues and the gospel that will benefit believers and nonbelievers alike. This hands-on, user-friendly approach is written with the lay person in mind and includes plenty of practical and effective self-help exercises that readers can use to find freedom. Christian counselors will recognize that Bob's system is built on a solid foundation of scriptural principles and up-to-date technical research on mental health.

Book Angst

    Book Details:
  • Author : Jeffrey P. Kahn
  • Publisher : Oxford University Press
  • Release : 2013
  • ISBN : 0199796440
  • Pages : 311 pages

Download or read book Angst written by Jeffrey P. Kahn and published by Oxford University Press. This book was released on 2013 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why do so many people suffer the slings and arrows of outrageous angst? Some twenty percent of us are afflicted with common Anxiety and Depressive disorders. That's not just nervous or scared or sad - that is painful dysfunction without obvious benefit. A new theoretical synthesis suggests that while animals share a set of evolved social instincts, we humans experience commonplace Anxiety and Depressive disorders when we use our reason to defy that biology.

Book Borderline Personality Disorder For Dummies

Download or read book Borderline Personality Disorder For Dummies written by Charles H. Elliott and published by John Wiley & Sons. This book was released on 2009-07-01 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Your clear, compassionate guide to managing BPD and living well Looking for straightforward information on Borderline Personality Disorder? This easy-to-understand guide helps those who have BPD develop strategies for breaking the destructive cycle. This book also aids loved ones in accepting the disorder and offering support. Inside you'll find authoritative details on the causes of BPD and proven treatments, as well as advice on working with therapists, managing symptoms, and enjoying a full life. Review the basics of BPD discover the symptoms of BPD and the related emotional problems, as well as the cultural, biological, and psychological causes of the disease Understand what goes wrong explore impulsivity, emotional dysregulation, identity problems, relationship conflicts, black-and-white thinking, and difficulties in perception; and identify the areas where you may need help Make the choice to change find the right care provider, overcome common obstacles to change, set realistic goals, and improve your physical and emotional state Evaluate treatments for BPD learn about the current treatments that really work and develop a plan for addressing the core symptoms of BPD If someone you love has BPD see how to identify triggers, handle emotional upheavals, set clear boundaries, and encourage your loved one to seek therapy Open the book and find: The major characteristics of BPD Who gets BPD and why Recent treatment advances Illuminating case studies Strategies for calming emotions and staying in control A discussion of medication options Ways to stay healthy during treatment Tips for explaining BPD to others Help for parents whose child exhibits symptoms Treatment options that work and those you should avoid

Book Anxiety and Depression Workbook For Dummies

Download or read book Anxiety and Depression Workbook For Dummies written by Laura L. Smith and published by John Wiley & Sons. This book was released on 2022-03-23 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tackle anxiety and depression head-on with this practical workbook If you're one of the millions of people affected by—or whose loved ones are affected by—anxiety and depression, you're probably looking for strategies to help subdue or even transcend these debilitating and painful disorders. In that case, Anxiety and Depression Workbook For Dummies is a great place to start. This book is filled with chapters that cut across diagnostic categories, incorporating treatment techniques based on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Emotion Focused Therapy, and Interpersonal Therapy. Use the techniques explored in this book to start making real changes, which can quickly lead to you feeling better. It also includes: Practical and hands-on descriptions of mindfulness-based practices you can implement immediately Brand-new updates to reflect modern changes in technology, social media, and the prevalence of loneliness Consideration of the pros and cons of medications and other biological interventions for depression and anxiety, including exploration of the placebo effect Additional worksheets online available for download Perfect for anyone trying to work through the challenging issues presented by anxiety and depression, for those trying to help a loved one do the same thing, or for those in therapy, this book is an excellent supporting resource that can help contribute to positive changes in the lives of people affected by emotional distress.

Book Depressed and Anxious

    Book Details:
  • Author : Thomas Marra
  • Publisher : New Harbinger Publications
  • Release : 2004-05-01
  • ISBN : 1608824209
  • Pages : 477 pages

Download or read book Depressed and Anxious written by Thomas Marra and published by New Harbinger Publications. This book was released on 2004-05-01 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: As if coping with feelings of depression or anxiety by themselves weren’t difficult enough, clinical research suggests that as many as 60 percent of depression sufferers concurrently experience some kind of anxiety disorder. If you are in this group, it is quite common to simultaneously experience profound loss of energy and initiative along with substantial stress and anxiety. Caught between the push and pull of these two conditions, you might find that neither is easy even to recognize, much less cope with. But, by adapting for the first time the powerful techniques of dialectical behavior therapy, or DBT, to the special needs of people troubled by co-occurring depression and anxiety, this book offers powerful tools for overcoming this condition. DBT is designed for people who have lost hope and meaningfulness in life, who question their own ability to be influential in their world, who find their emotions intolerable, and who find that they try to escape and avoid important aspects of their lives. DBT may be just the tool you’ve been looking for to move beyond depression and anxiety. The step-by-step exercises, techniques, and worksheets in this book work to identify painful inner conflicts that might underlie depression and anxiety symptoms. Then, by negotiating a series of compromises, the techniques help acknowledge these issues while limiting their ability to interfere with your life—effectively reducing the extent to which your emotions govern who you are or what you are capable of. This book explains mindfulness techniques that encourage participation in the world and allow easier adaptation to change. It treats the difference between “threat cues” and “safety cues” and how recognizing and reacting to them constructively can reduce the effects of anxiety and depression. By teaching you how to monitor and limit negative self-evaluations and how to best tolerate negative experience, this book gives you a powerful set of tools for the control of co-occurring depression and anxiety.

Book Depression  Anxiety  and Other Things We Don t Want to Talk About

Download or read book Depression Anxiety and Other Things We Don t Want to Talk About written by Ryan Casey Waller and published by Thomas Nelson. This book was released on 2021-01-05 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental illness loves to tell lies. One of those lies is that you should be able to manage what you're struggling with all by yourself, but in Depression, Anxiety, and Other Things We Don't Want to Talk About, pastor and psychotherapist Ryan Casey Waller reminds us that we don't have to suffer alone. Mental health issues aren't a symptom of a spiritual failing or insufficient faith. In fact, suffering is the very thing our Savior seeks to heal as he leads us toward restoration. And yet, as Waller has experienced firsthand, the battle can be lonely and discouraging--but it doesn't have to be. Combining practical theology, clinical insights, and deep empathy, Waller offers a rare mix of companionship and truth, inviting us to: Have shame-free conversations about mental health Discover why self-knowledge is so important to a deep relationship with God Understand the intersection of biology, psychology, and spirituality Explore varying avenues of healing in community, therapy, and medication Be equipped to support loved ones while practicing self-care Waller bridges the gap between the spiritual and the psychological in this empathetic, imminently helpful guidebook, reminding us all that we are not alone. Hope starts now. Praise for Depression, Anxiety, and Other Things We Don't Want to Talk About: "I work with Christian leaders from all over the country and have seen firsthand how desperately we need to be talking about depression and anxiety. What prior generations considered taboo, the leaders of today and tomorrow consider essential. Whether you're new to the conversation of mental health or intimately familiar with its complexities, Waller's book has something for you. I can't wait for you to read this." --Grant Skeldon, author of The Passion Generation and Next Gen Director at Q