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" It's more common than not that bipolar illness will start in the teens. One of the reasons I spend a lot of time on college campuses is exactly that reason. It's terribly important to talk to students about knowing these things in advance. "

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" There is no common standard for education about diagnosis. Distinguishing between bipolar depression and major depressive disorder, for example, can be difficult, and mistakes are common. Misdiagnosis can be lethal. Medications that work well for some forms of depression induce agitation in others. "

Kay Redfield Jamison

Mistakes

Education

Depression

" Moods are complicated and very much a part of who we are. People would be very boring without them. "

" I am one of millions who have been treated for depression and gotten well; I was lucky enough to have a psychiatrist well versed in using lithium and knowledgeable about my illness, and who was also an excellent psychotherapist. "

" Knowledge is marvelous, but wisdom is even better. "

" With grief, you have reason to despair; it's a human thing. "

" I believe that curiosity, wonder and passion are defining qualities of imaginative minds and great teachers; that restlessness and discontent are vital things; and that intense experience and suffering instruct us in ways that less intense emotions can never do. "

" No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. "

" Mania is as bad as it gets. If not treated, it will become worse, more frequent, and harder to treat. "

" Scientists have made extraordinary advances in understanding the brain and its disorders. "

" Psychotherapy is a sanctuary; it is a battleground; it is a place I have been psychotic, neurotic, elated, confused, and despairing beyond belief. "

" Grief is so human, and it hits everyone at one point or another, at least, in their lives. If you love, you will grieve, and that's just given. "

" I have had manic-depressive illness, also known as bipolar disorder, since I was 18 years old. It is an illness that ensures that those who have it will experience a frightening, chaotic and emotional ride. It is not a gentle or easy disease. "

" We expect well-informed treatment for cancer or heart disease; it matters no less for depression. "

" In some cases, some people do get depressed in the middle of their grief, and they really need to be treated for depression. "

" Lithium prevents my seductive but disastrous highs, diminishes my depressions, clears out the wool and webbing from my disordered thinking, slows me down, gentles me out, keeps me from ruining my career and relationships, keeps me out of a hospital, alive, and makes psychotherapy possible. "

" I think one thing is that anybody who's had to contend with mental illness - whether it's depression, bipolar illness or severe anxiety, whatever - actually has a fair amount of resilience in the sense that they've had to deal with suffering already, personal suffering. "

" Lithium remains the gold standard, but many drugs now treat bipolar disorder. Medication is critical and should be combined with psychotherapy. Compliance is a major problem. Patients believe that once they're better, they no longer need the medication. It doesn't work that way. "

" Because I teach and write about depression and bipolar illness, I am often asked what is the most important factor in treating bipolar disorder. My answer is competence. Empathy is important, but competence is essential. "

" A possible link between 'madness' and genius is one of the oldest and most persistent of cultural notions. "

" I say I'm an academic: a professor of psychiatry at Johns Hopkins. And I write. "

" It is important to value intellect and discipline, of course, but it is also important to recognize the power of irrationality, enthusiasm and vast energy. "

" Never once, during any of my bouts of depression, had I been inclined or able to pick up a telephone and ask a friend for help. It wasn't in me. "

Kay Redfield Jamison

Friend

Depression

" One of things so bad about depression and bipolar disorder is that if you don't have prior awareness, you don't have any idea what hit you. "

" Several politicians and wives of politicians have been public about their experiences with depression or bipolar illness, including Lawton Chiles, Patrick Kennedy, Tipper Gore and Kitty Dukakis. Each made a tremendous difference by doing so. "

" People respond differently to people who are grieving. They reach out. But depression is so very isolating. It's hard to explain to anyone who has never been depressed how isolating it is. Grief comes and goes, but depression is unremitting. "

" Mood disorders are terribly painful illnesses, and they are isolating illnesses. And they make people feel terrible about themselves when, in fact, they can be treated. "

" Confidentiality is an ancient and well-warranted social value. "

" I love animals, and I was always attracted to the idea of being a zoo veterinarian or a veterinarian with the circus. "

" It is an odd thing, owing life to pills, one's own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy. "

" When public figures remain silent about depression, there is a cost to the rest of society. Silence contributes to the misperception that successful people do not get depressed, and it keeps the public from seeing that treatment allows many individuals to return to competitive professional lives. "