The psychiatrist should be aware that the views of a patient may be distorted by mental illness such as depression.

精神科医师要清楚，患者的态度可能因精神疾病，如抑郁，而受到扭曲。

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He says it can be challenging to tell immediately if a patient is having an acute episode of mental illness, or a predictable reaction to extreme stress.

WSJ: Time for a Good Old-Fashioned Nervous Breakdown