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In bipolar depression, those with mixed features showed more elevated self-esteem and psychomotor agitation compared to pure depressive episodes, and the time to remission was significantly longer [10]. Topics such as the therapeutic potential of psychedelic-assisted interventions, the role of the gut–brain axis and microbiome, neuroimmune mechanisms, and the transgenerational transmission of trauma represent domains where emerging data are reshaping conceptual boundaries. While some researchers reported that depression was associated with future obesity [5, 19] or abdominal obesity, [20] others found no such link [8]. As a result, clinicians are frequently required to manage even high-risk patients in outpatient settings.