Bipolar disorder is a debilitating psychiatric condition characterized by recurrent episodes of mania and depression, affecting millions worldwide. While pharmacotherapy remains the cornerstone of treatment, a significant proportion of patients exhibit inadequate response or intolerable side effects to conventional medications. In recent years, neuromodulation techniques have emerged as promising adjunctive or alternative treatments for bipolar disorder. We performed a narrative review to provide a comprehensive overview of the current literature on neuromodulation interventions in bipolar disorder across the course of lifespan. Specifically, it examines the efficacy, safety, and mechanisms of action of various neuromodulation strategies, including, among others, transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), deep brain stimulation (DBS), and it describes the therapeutic experiences across the different ages of illness. Additionally, this review discusses the clinical implications, challenges, and future directions of the integration, in the clinical practice, of neuromodulation into the management of bipolar disorder. By synthesizing evidence from different studies, this review aims to inform clinicians, researchers, and stakeholders about the evolving landscape of neuromodulation treatments and their potential role in improving outcomes for individuals with bipolar disorder.

In recent years, the advances in sperm morphology and genetic analyses in Perumytilus purpuratus allowed to suggest two evolutionary scenarios for this mussel: 1) the scenario of cryptic species and 2) the scenario of incipient or in progress speciation. To a better understanding of the evolutionary history of P. purpuratus, we performed an extensive sampling effort along a latitudinal gradient of ca. 7,180 km of coastline, from Southern Pacific to Atlantic Oceans and, we have also gone deeper in sperm morphology in P. purpuratus, exploring its association with phylogeny and population genetics to contrast if variability in sperm traits between northern and southern regions are signals of cryptic or incipient species. Overall, our results showed three sperm morphotypes and genetic structure in males of P. purpuratus strongly correlated. Additionally, we found evidence of a genetic admixture between lineages suggesting an introgressive hybridization zone at 38°S. These findings suggest the hypothesis that P. purpuratus is under incomplete reproductive isolation, with the presence of mechanisms of postzygotic isolation between lineages and, therefore, under an incipient or in fraganti speciation process. Finally, we discovered a new long morphotype for this species restricted to southern localities. Overall, our results support the hypothesis of historical events and postglacial recolonization as causal phenomena for the observed divergences.