ABSTRACT
Psychiatrists usually take a more thorough history and are able to pick out patterns of cycling, poor sleeping habits, and eating problems. A psychiatrist might start a bipolar patient like Beth on an antidepressant without a mood stabilizer but would be watchful for hypomania or manic symptoms. The negative introject in bipolar disorder insults the patient during depression and then gives a delusion that everything is fine during mania. Depression is not the only cause of suicide, although it is an important one of which we must be aware. Patients with delirium, addictions schizophrenia, or bipolar disorder often consider and attempt suicide. Most people believe that if they are coping with a tragic event or difficult situation, they have a right to be depressed.
