Mental Health

The History of Mood Disorders

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Posted By Alex Perez - Mental Health Writer, B.A.

Which physicians identified the most common mood disorders?

This is part two of an eight-part series where we discuss the physicians who charted the most common mental illnesses. A little-discussed topic that is nevertheless very interesting.

The History of Mood Disorders: Depression, Bipolar Disorder

Who first described depression?

Emil Kraepelin
Emil Kraepelin

German psychiatrist Emil Kraepelin first described the various forms of melancholy as “depressive states” in the 19th century, since the depressed mood defines this condition.

Who First Described Bipolar Disorder?

Jean-Pierre Falret
Jean-Pierre Falret

In 1851, French psychiatrist Jean-Pierre Falret published an article describing “la folie circulaire”, which translates to circular madness. The article describes people transitioning from major depression to manic excitement.

This article is considered the first documented diagnosis of bipolar disorder.

Jules Baillarger
Jules Baillarger

On January 31, 1854, Jules Baillarger gave a lecture to the Imperial French Academy of Medicine in which he described a new variant of insanity, “la folie à double forme”, the main feature of which is the occurrence of both manic and depressive episodes.

During a lecture to the Imperial French Academy of Medicine in February of the same year, his colleague Jean-Pierre Falret pointed out that he had already published a description of the same condition in 1851, which he had called “foil circular”. He was immediately accused of plagiarism by Baillarger.

In 1895, German psychiatrist Emil Kraepelin was the first to distinguish manic depression, what we now know as bipolar disorder, as an illness separate from dementia praecox (the term for schizophrenia at the time).

Emil Kraepelin continued to refine his classification over the next few years, publishing several revisions of his psychiatry textbook.

In 1899, in the sixth edition, he first distinguished between manic-depressive psychosis and dementia praecox, now called schizophrenia.

He believed that manic-depressive disorders and melancholy (depression) were exogenous and thus treatable, while dementia praecox was one of the endogenous, incurable diseases.

Emil Kraepelin attributed dementia praecox to organic changes in the brain. He further identified at least three clinical variants of the disease: catatonia, in which motor activities are disrupted (overly active or inhibited); hebephrenia, characterized by inappropriate emotional responses and behavior; and paranoia, characterized by delusions of grandeur and persecution.


REFERENCES

DEPRESSION

https://www.britannica.com/biography/Emil-Kraepelin

BIPOLAR DISORDER (French)

https://www.academie-medecine.fr/150eme-anniversaire-de-la-folie-circulaire/?lang=en


The History of Depression

The History of Bipolar Disorder

The History of Bipolar Disorder

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