Our target population was all general psychiatry outpatients between 18-65 years old (N=943) who were seen by psychiatry residents of Hacettepe Psychiatry outpatient department within the month of December 2019. Out of the eligible 943 patients included, 361 could not be reached despite three attempts, and 90 refused. We ended up with 492 completed interviews. A further 68 people were excluded (see below) because they did not belong to any of the four major diagnostic groups that we wanted to study. The analyses therefore were based on 424 patients. All patients that were included had International Classification of Diseases 10th Revision (ICD-10) diagnoses, which was grouped into four broad categories: 1. bipolar disorder (BPD), 2. major depressive disorder (unipolar depression-MDD), 3. anxiety disorders and OCD (ANX/OCD), 4. schizophrenia and other psychotic disorders (SCZ). A hierarchy of severity was applied for grouping comorbid conditions (i.e., schizophrenia and depression was grouped under schizophrenia, bipolar and OCD was grouped under bipolar, and major depression and generalized anxiety disorder under major depression). Sixty-eight people, with primary diagnoses of alcohol-drug related disorders, somatization, attention deficit hyperactivity disorder, autism spectrum disorder, eating disorders, and sexual dysfunction were not included in the analyses, since these groups were very heterogeneous, with few people in each group.