One would easily imagine from a recent TV report that psychiatrically ill and suicidal students are routinely being shipped off to hospitals and removed from their colleges without due process or discussion.
Some of the most common challenges include the diagnosis of a mood disorder, especially a bipolar disorder, and the assessment and management of comorbidities and suicidalities in patients with a mood disorder. Here's an overview.
What is the actual risk of suicide attempts or suicide death in people with bipolar disorder? How does a BD diagnosis affect short-term and long-term suicide risk? How should a BD diagnosis help guide us toward the most effective suicide prevention strategies?
There is no substitute for understanding one’s patient as an individual, and treating accordingly, keeping in mind the possibility that not all psychosis is schizophrenia and that moodiness may or may not indicate a place in the bipolar spectrum.
Art theory from the 20th century onward-despite the latter day efforts at denial-was nearly indistinguishable from psychoanalytic theory, and it parallels the philosophical struggles and pains that continue to plague psychiatry.