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Letters Before and after pictures

A time honoured way of oversimplifying complex problems

BMJ 2007; 335 doi: (Published 05 July 2007) Cite this as: BMJ 2007;335:8
  1. Dave W H Baillie, specialist registrar in adult psychiatry,
  2. Mark Salter, consultant psychiatrist
  1. London and the City Mental Health Trust, London E1 6LP
  1. Dave.Baillie{at}

    With its foreboding talk of an impending epidemic that will overwhelm services and its eye grabbing before and after photos of a woman after two and a half years of taking crystal meth, Coombes's article reminded us of an article published 80 years earlier, warning of yet another contemporary psychiatric epidemic.1 2 As in the BMJ article, a first photo shows a relaxed and dignified …

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