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He was love. Successful. Wealthy. Famous. As emotional tributes cascade in for Robin Williams, there is too an unspoken, troubling question: Why?
Depression can strike anyone, at any time — merely for many it comes as a surprise when someone who seemingly has it all and makes the world laugh is quietly suffering.
"Every time someone commits suicide it is a surprise, a sad surprise," said Dr. David Kupfer, a professor of psychiatry at the University of Pittsburgh School of Medicine and chair of the chore force that developed the latest version psychiatry's diagnostic manual, the DSM-5.
When information technology's someone as prominent as Williams, "nosotros say, oh my God, why would somebody similar that commit suicide, when he's so successful, so productive and has and so much to look forward in life," Kupfer said. "Simply there are times when an individual can become so depressed and and then concerned almost how they experience that they believe that in that location is no other way out other than to attempt suicide."
Though Williams never publicly best-selling suffering from any kind of mood disorder, a printing representative said the comedian had been "battling severe depression." Williams was found dead at his home at historic period 63 from "asphyxia due to hanging," officials said Tuesday.
Williams' comic mode was described as "manic" by just about everybody, including Williams. He spoke openly most some of his struggles, and his most contempo Idiot box foray was called "The Crazy Ones."
Only the comedian had denied having manic-depression, or bipolar disorder, or even clinical low. In a 2006 interview with NPR'south Terri Gross, he described being slapped with the characterization afterwards posing for the encompass of Newsweek for a 1998 story headlined, "Are Nosotros All A Lilliputian Crazy?"
"And when the guy said, `Well, do yous ever become depressed?' I said, `Yep, sometimes I get distressing.' I hateful, you can't watch news for more three seconds and go, `Oh, this is depressing.' Then immediately, all of a sudden, they branded me manic depressive. I was like, `Um, that's clinical. I'thousand not that,'" Williams said on NPR. "Do I perform sometimes in a manic style? Aye. Am I manic all the time? No. Do I go sad? Oh, yep. Does it hit me hard? Oh, yeah."
It is near a cliché to say that comedy comes from tragedy, but in that location is some enquiry to confirm the indicate. One early study found that comedians oft felt misunderstood, angry, anxious and depressed.
Before this twelvemonth, Gordon Claridge and his colleagues at Oxford University published a written report looking at psychotic traits among comedians. They found that comedians tended to have what he calls a "conflicted" profile: "a combination of introverted, depressive traits, on the one manus, and on the other, the complete opposite: extraverted, impulsive, manic traits."
"So this does requite substance to the thought of the sad clown," Claridge explained Tuesday by email, calculation that for some comedians, performance tin exist a "front end" or a class of self-medication for underlying depression, shyness or insecurity. "Sadly Robin Williams was a prime example of that determination: a man with underlying insecurity and low who covered it with comedy."
While no one tin be sure exactly what was going on in Williams' mind, just knowing that he'd told others he was depressed could offer some clues. Cautioning that she could not speaks specifically about Williams, psychologist Kay Redfield Jamison said "The rate of suicide in patients with bipolar disorder and also in severe depression is high and information technology's one of the many reasons for getting treatment."
Jamison, who nearly killed herself in a suicide attempt subsequently going off her medication for bipolar disorder, certainly understands the dangers of untreated mood disorders.
In fact, some 75 to lxxx percentage of people who impale themselves accept suffered from a mood disorder, said Jamison, a professor of psychiatry at the Johns Hopkins School of Medicine and author of"Touched with Fire: Manic-Depressive Illness and the Artistic Temperament" and "An Unquiet Listen: A Memoir of Moods and Madness."
Williams had also been open about his ongoing battle with alcohol and most drug use before in his career. In a 2010 interview with The Guardian, he spoke of going off the wagon on location in Alaska in 2003 later on 20 years of sobriety. "I only idea, hey, peradventure drinking volition help," Williams told the newspaper. "Considering I felt lonely and afraid."
He underwent treatment for alcohol corruption in 2006, and merely this summer sought treatment once more, this fourth dimension to maintain his sobriety, non for a relapse, co-ordinate to a representative.
A combination of depression or bipolar disorder and continuing struggles with alcohol abuse would be of particular business organisation in a patient, said Dr. Liza Gold, a clinical professor of psychiatry at Georgetown Academy and a forensic psychiatrist.
"The prognosis is always guarded, unless yous can really stabilize someone and they tin maintain sobriety for a long menstruation of time," she said.
That Williams was fighting habit at age 63 put him at fifty-fifty higher chance, she said, emphasizing that she could only speak more often than not since she had never treated him. White males overall take the highest charge per unit of suicide, the 10th leading crusade of expiry in the U.South., and that adventure rises with age, she said.
"As we get older we become less resilient," Gold said. "That which does non kill united states of america makes us stronger? That's not true."
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Dr. J. John Mann, a professor of psychiatry at Columbia Academy and managing director of the molecular imaging and neuropathology division at the New York Country Psychiatric Constitute, said Williams' contempo return to rehab "is probably highly relevant."
"What happens in someone like Robin Williams is that alcohol tin change the whole equation. When they drink they are different. They are altered. Their conclusion making procedure is changed. Their probability of acting on emotions increases," he said. "The lesson for anybody suffering from a mood disorder is that alcohol is a tremendous gamble cistron for suicide."
Still, Gold said, protective factors can help bring someone dorsum from the edge: Having family unit and friends around you; removing the means of suicide, such equally pills or a gun; getting appropriate handling, fifty-fifty intervention, if it comes to that.
In the end, talent, fame, wealth and power don't guarantee a good upshot for someone with low or bipolar disorder.
"No matter what their strengths or gifts are, in that location are moments when these people are in crisis," Golden said.
Families of someone who may be struggling should be on the lookout for signs of trouble like sleeping all day or missing work, and "not be persuaded in that location is cypher wrong when their hearts tell them otherwise," said Lloyd Sederer, Medical Director of the New York Country Function of Mental Health.
If y'all see someone suffering, Sederer suggests gathering a family unit together and giving support like housing or money to insist that a loved 1 gets care. "It is hard, actually hard, but no less can move a person who may not see his/her illness, or feel too ashamed, or hopeless, or guilty to get treatment that tin can exist lifesaving."
Source: https://www.nbcnews.com/storyline/robin-williams-death/robin-williams-funny-face-depression-n178756
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