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" 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. "

Kay Redfield Jamison

Believe

Gold

Problem

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

" 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. "

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

" Nothing good comes out of depression. "

" People talk about grief as if it's kind of an unremittingly awful thing, and it is. It is painful, but it's a very, very interesting sort of thing to go through, and it really helps you out. At the end of the day, it gets you through because you have to reform your relationship, and you have to figure out a way of getting to the future. "

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

" 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

" When I'm talking about depression, I'm talking about the more severe forms of depression, and I think that conceptualising as a form of grief is probably not the most effective way of looking at it. I mean, at the end of the day, people suffer enormously, and you want to treat it. "

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

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

" 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. "

" 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. "

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

" 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. "

" Grief comes and goes, but depression is unremitting. "

" There are scientists all around the world looking for the genes responsible for bipolar illness and major depression. "

" 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. "

" 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. "

" 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. "

" 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. "

" There are a lot of studies that suggest a higher rate of creativity in bipolars than the general population. "

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

" Psychologists, for reasons of clinical necessity or vagaries of temperament, have chosen to dissect and catalog the morbid emotions - depression, anger, anxiety - and to leave largely unexamined the more vital, positive ones. "

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

" 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. "

" 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. "

" 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. "

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

" 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. "

" 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. "