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Episode 580

The Biggest Obstacles to Improving Mental Health: Dr. Steve Strakowski, Professor and Vice Chair for Research in Psychiatry at Indiana University School of Medicine

May 21, 2026
23:37

Episode Description

We mark National Mental Health Awareness Month on this episode by tapping the expertise of Dr. Steve Strakowski, an internationally recognized expert in bipolar disorder, who has spent decades studying the neurobiology and treatment of mood conditions while pushing just as hard on the structural barriers that keep effective treatments out of reach for more than half the people who need them.

In this conversation with Raise the Line from Elsevier host Michael Carrese, Dr. Strakowski explains why access, not science, is now the biggest obstacle to improving mental health outcomes. He also addresses the heavy toll society pays for underfunding mental health prevention and treatment programs. “The money is spent eventually, but in the most expensive places like emergency rooms and prisons, and there is the human cost of suffering and suicides."

This important discussion also covers:

  • The persistent problem of Black patients presenting with mania being misdiagnosed with schizophrenia; 
  • Why he describes bipolar disorder as a reward-processing illness; 
  • The emerging therapies he finds encouraging.

Mentioned in this episode:
Indiana University School of Medicine

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