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The goal of this organized analysis was to characterise the effectiveness of most of the available emotional and pharmacological remedies for early input in folks at high risk of developing manic depression. The research ended up being registered with PROSPERO (CRD4201913342. We did a systematic search to spot researches posted in ten databases up to March 27, 2020. Randomised controlled trials and cohort scientific studies that assessed the effect of pharmacological or emotional treatments in folks at risky of building bipolar