By E. Fuller Torrey M.D., Michael B. Knable D.O.
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Additional resources for Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers
Yet if the these same four individuals had been compliant with their medications, the average annual costs for their outpatient treatment would have been only $5,068. The noncompliance of just four individuals essentially cost the state of Kentucky approximately $93,000 per year. Still another way to calculate the costs of diseases like manic-depressive illness is to look at expenditures by federal, state, and local governments to subsidize the living expenses of affected individuals. The two large programs that provide such subsidies are Supplemental Security Income (SSI) and Old Age, Survivors, and Disability Insurance (OASDI, also known as SSDI), as further discussed in Chapter 11.
40 This amounts to a fourfold increase over thirteen years—an increase that should alarm federal officials. In short, manic-depressive illness is an extremely expensive disease. Its costs to individuals and their families are incalculable. Its costs to federal, state, and local governments, which can be calculated, are exceedingly high. Moreover, these costs appear to be increasing rapidly. 2 THE INNER WORLD: MANIA AND DEPRESSION FROM THE INSIDE Retaining his original sensibility he gives himself up to all the extravagances of maniacal fury, or sinks inexpressibly miserable into the lowest depths of despondence and melancholy.
For families and friends, understanding the symptoms of manic-depressive illness may also increase sympathy for the person affected. True sympathy requires that we be able to put ourselves into the other person’s place. That is relatively easy to do when a flood or earthquake takes place, because we can imagine ourselves in rising waters or trembling houses. But it is much more difficult for us to imagine ourselves in advanced mania or profound depression. It should be clearly stated, however, that the disease is not the person.
Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers by E. Fuller Torrey M.D., Michael B. Knable D.O.