There can be little doubt of how Nietzsche would have been managed by psychiatrists of today. He would have been diagnosed with manic depressive psychosis (current terminology uses the less meaningful term bipolar disease). He would have been loaded with drugs from the armamentarium of psychotropic medications, which no doubt would have suppressed some of the more bizarre symptoms that he displayed during his fourteen months of institutionalization. If, in spite of medications, Nietzsche continued to show signs of psychosis, his diagnosis would have been changed to chronic schizophrenia, a common switch in long term manifestations of psychosis. In either case, Nietzsche’s unique creative life would have come to an end, as it did in the actual course of his illness.