Major Depressive Disorder

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Is prevention of bipolar disorder possible? What happens before a manic or hypomanic episode that identifies this illness? Researchers asked whether there are any signs or symptoms that predict later diagnosable bipolar disorder with reasonable accuracy.

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Playing helpless witness to a growing epidemic with no cure takes us back in time. The Hippocratics called it the “art” of medicine. It does not take a psychiatrist, however, to see that this “artful” approach frequently fails in public health crises.

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Critics of psychiatry claim there is an “epidemic” of mental illness in the US-and some argue this is a consequence of psychiatric treatment. But the best epidemiological evidence reveals no such epidemic in this country, rendering the iatrogenic “explanation” null and void.

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Is it possible to add creative twists to proven therapeutic techniques in order to encourage reluctant patients to try safe and effective treatments that we believe can benefit them? After reading the case, tell us what you think.

This is usually one of the first questions asked by patients and their families following a psychotic episode, suicide attempt, or manifestation of any serious mental illness. More from the Director of NIMH.