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Pinel
La Manie

Falret
Folie circulaire

Baillarger
Folie a double forme
BELGIUM

  MANIC-DEPRESSIVE ILLNESS WAS
    10 per million new cases per year
         100 new cases per year
8 Times less common than Schizophrenia
Articles on Mood Stabilizers
         140

         120

         100
Number




         80
                                                                        N
         60

         40

         20

          0
               1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Bipolar & Manic-Depressive Publications
                 1960-2007 Medline
600

500

400

300

200

100

 0
EVIDENCE BASED MEDICINE
All studies of life expectancy on antipsychotics
Show a doubling of mortality rates
And a reduction of life expectancy

All studies of prophylaxis with mood stabilizers
Show a doubling of suicidal act risk compared to placebo

Valproate and other mood stabilizers
are among the most teratogenic drugs in medicine
1870
Weighing Scales
1873
Anorexia Nervosa

1920s
Scales in Drugstores
1920s
Increase in Eating Disorders

1960s
Bathroom Scales
1960s
Bulimia Nervosa
Suicide
Divorce
Alcoholism
Substance Abuse
Career Failure
1997
       Zyprexa MDL Documents
Zyprexa MDL Documents
Zyprexa MDL Documents
Zyprexa MDL Documents
BELGIUM

  MANIC-DEPRESSIVE ILLNESS WAS
    10 per million new cases per year
         100 new cases per year
8 Times less common than Schizophrenia

       BIPOLAR DISORDER IS
           5% + of Belgium
           400,000 Belgians
      As common as Depression
10 times commoner than Schizophrenia
THEODORE
ZIEHEN
Many of the mothers we interviewed remembered
      their baby’s excessive activity in utero.
 1/    While my daughter was in the womb, she kicked
so hard and often that I had very little rest… much of
the time it felt like she was in a fight - rolling and
tumbling around and then, when she was born.. she
kept all the other babies up with her screaming.
 2/ I too noticed signs that this was an extra-spirited
child. In fact, while I was pregnant, I remember
saying, “Uh-oh, the baby is angry again.” His kicks
would last for an hour as I doubled over in pain..
3/     “At 14 weeks the sonographer and obstetrician
were unable to get a picture of Ian’s face and could not
sample the amniotic fluid due to
constant, unpredictable activity.”
EVIDENCE BASED MEDICINE
J American Academy of Child & Adolescent Psychiatry
                 42, 1494-1503
Car dans la Manie,
comme dans beaucoup d’autres maladies,
s’il y a un art
de bien administrer les médicamentes,
il y a un art encore plus grand
de savoir quelquefois s’en passer.

Philippe Pinel 1800.
www.davidhealy.org

  www.Rxisk.org
www.davidhealy.org

  www.Rxisk.org
Dear Dr Healy,

Thank you very much for all your hard work on this
article. I'm afraid we've run into a legal wall with our
libel lawyer reluctant for us to publish your piece… I
remain supportive of publication but obviously can't do
this against legal advice.

Our lawyer has several questions that he wants us to
address at this stage. He isn't ruling out
publication, but we need to reassure him about the
facts first.

Best wishes,
UNMET NEEDS

Bipolar disorder       5%

Under-acknowledged and under-researched

My doc and I decided not to have antidepressants

Identify triggers ….

My feelings of persecution are really …

In my most recent episode I used a mood scale ..
Zyprexa MDL Documents
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Powerpoint david healy

  • 2. BELGIUM MANIC-DEPRESSIVE ILLNESS WAS 10 per million new cases per year 100 new cases per year 8 Times less common than Schizophrenia
  • 3.
  • 4.
  • 5.
  • 6. Articles on Mood Stabilizers 140 120 100 Number 80 N 60 40 20 0 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
  • 7. Bipolar & Manic-Depressive Publications 1960-2007 Medline 600 500 400 300 200 100 0
  • 8.
  • 9.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. All studies of life expectancy on antipsychotics Show a doubling of mortality rates And a reduction of life expectancy All studies of prophylaxis with mood stabilizers Show a doubling of suicidal act risk compared to placebo Valproate and other mood stabilizers are among the most teratogenic drugs in medicine
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. 1870 Weighing Scales 1873 Anorexia Nervosa 1920s Scales in Drugstores 1920s Increase in Eating Disorders 1960s Bathroom Scales 1960s Bulimia Nervosa
  • 27.
  • 28.
  • 29.
  • 31.
  • 32. 1997 Zyprexa MDL Documents
  • 36.
  • 37.
  • 38. BELGIUM MANIC-DEPRESSIVE ILLNESS WAS 10 per million new cases per year 100 new cases per year 8 Times less common than Schizophrenia BIPOLAR DISORDER IS 5% + of Belgium 400,000 Belgians As common as Depression 10 times commoner than Schizophrenia
  • 39.
  • 40.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62. Many of the mothers we interviewed remembered their baby’s excessive activity in utero. 1/ While my daughter was in the womb, she kicked so hard and often that I had very little rest… much of the time it felt like she was in a fight - rolling and tumbling around and then, when she was born.. she kept all the other babies up with her screaming. 2/ I too noticed signs that this was an extra-spirited child. In fact, while I was pregnant, I remember saying, “Uh-oh, the baby is angry again.” His kicks would last for an hour as I doubled over in pain.. 3/ “At 14 weeks the sonographer and obstetrician were unable to get a picture of Ian’s face and could not sample the amniotic fluid due to constant, unpredictable activity.”
  • 64.
  • 65. J American Academy of Child & Adolescent Psychiatry 42, 1494-1503
  • 66.
  • 67.
  • 68.
  • 69.
  • 70. Car dans la Manie, comme dans beaucoup d’autres maladies, s’il y a un art de bien administrer les médicamentes, il y a un art encore plus grand de savoir quelquefois s’en passer. Philippe Pinel 1800.
  • 73.
  • 74.
  • 75.
  • 76. Dear Dr Healy, Thank you very much for all your hard work on this article. I'm afraid we've run into a legal wall with our libel lawyer reluctant for us to publish your piece… I remain supportive of publication but obviously can't do this against legal advice. Our lawyer has several questions that he wants us to address at this stage. He isn't ruling out publication, but we need to reassure him about the facts first. Best wishes,
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  • 80. UNMET NEEDS Bipolar disorder 5% Under-acknowledged and under-researched My doc and I decided not to have antidepressants Identify triggers …. My feelings of persecution are really … In my most recent episode I used a mood scale ..
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