Transitioning from Reactive to Proactive Approaches: A Comprehensive Framework for Preventive Psychiatry

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Mental disorders are the leading cause of years lived with disability, yet treatment often begins only after diagnostic thresholds are met.
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Psychological interventions at subclinical symptom levels can reduce major depression incidence by 43% post-treatment and 33% at 12-month follow-up.
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Shorter duration of untreated illness correlates with a 70% greater likelihood of treatment response and a 65% greater likelihood of remission.
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Early intervention for first-episode psychosis reduces hospitalisation by 26%, highlighting the benefits of timely treatment.
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Five modifiable domains—sleep, nutrition, stress physiology, autonomic function, and immune signaling—are crucial for implementing proactive psychiatric care.

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