Prevalence, comorbidity, and service utilization for mood disorders in the United States at the beginning of the twenty-first century.
The results of recent community epidemiological research are reviewed, documenting that major depressive disorder (MDD) is a highly prevalent, persistent, and often seriously impairing disorder, and that bipolar disorder (BPD) is less prevalent but more persistent and more impairing than MDD. The higher persistence and severity of BPD results in a substantial proportion of all seriously impairing depressive episodes being due to threshold or subthreshold BPD rather than to MDD. Although the percentage of people with mood disorders in treatment has increased substantially since the early 1990s, a majority of cases remain either untreated or undertreated. An especially serious concern is the misdiagnosis of depressive episodes due to BPD asto let family time together feel too precious, too heightened, too sad.



How does one fight cancer on the sly? When Marla needed Neulasta shots for her bone strength, she slipped the doctor into our house quietly in the evenings, while the kids were upstairs doing their homework.



Despite the fatigue and nausea of chemo, she continued to run long distances, for her own mental fitness, and more important, so her kids would see her strong. I knew these miles were a miracle.



Bimonthly Amtrak trips to Boston for treatment were disguised to our daughters as volunteer efforts to participate in cancer trials, but the truth was that she was the trial. Marla was lucky enough to enroll in medical Hail Marys at Dana-Farber Cancer Institute that kept her alive.



When tumors