Reply to Overdiagnosis and Underdiagnosis of Bipolar Disorder

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Letter to the Editor

Sir: We wish to thank Drs. Manning and Kane for bringing to our attention the study by Hirschfeld et al. Their observation is important: clinical setting will affect the relative rate at which bipolar disorder is overdiagnosed or underdiagnosed. The study by Hirschfeld et al., however, raises another variable in this debate that is seldom discussed but perhaps as important, namely, the extent to which researchers, in publishing their results, highlight one set of findings versus another.

J Clin Psychiatry 2009;70(1):145