 |
|
|
|
|
August 23rd, 2011
01:29 PM ET
Could my bipolar brother develop schizophrenia?Every weekday, a CNNHealth expert doctor answers a viewer question. On Tuesdays, it's Dr. Charles Raison, an associate professor of psychiatry and behavioral sciences at Emory University, and an expert in the mind-body connection for health. Question asked by Benjamin from St. Catharines, Ontario I was wondering if my brother, who we have been told is bipolar, could develop schizophrenia? My uncle, my mom's brother, was schizophrenic and unfortunately fell victim to the mental illness. We are aware that there have been some mental health issues with males on my mother's side of the family, so could it be possible that he could be schizophrenic as well as bipolar? Dear Benjamin, Your question points to a major problem confronting the field of psychiatry, which is the imprecision of our diagnostic categories. The problem has a simple cause but no simple answer. The cause comes from the fact that all our disease states are based on symptoms and how they are clustered together, rather than on any real biological mechanism. In this way, our diagnoses are similar to the way most medical illnesses were defined before the 20th century. For example, in the old days people with fluid in the lungs and chest pain were said to have pleurisy - it was defined by its symptoms. Nowadays we recognize literally hundreds of different reasons for pleurisy symptoms, many of them with specific treatments that have no effect on other causes for pleurisy. Diseases such as schizophrenia and bipolar disorder are like pleurisy and not like adenocarcinoma of the lung or pneumococcal pneumonia or an aortic dissection, all of which cause pleurisy, but all of which are disease conditions based on an understanding of physical mechanisms rather than symptoms. Both schizophrenia and bipolar disorder are better thought of as syndromes rather than specific diseases. As such, someone has schizophrenia if he or she meets symptom criteria for schizophrenia spelled out in the diagnostic manual. The same thing holds for bipolar disorder. It sounds simple enough, but things immediately get complicated. First, schizophrenia and bipolar disorder share important symptoms; for example, psychotic thought and behavior can be present in both conditions, making the syndromes hard to differentiate. If a person is heavy on psychosis and relatively light on either depression or mania, he or she looks schizophrenic and is called such. If a person is heavier on depressions and manias and only has psychotic episodes when in a mood state, he or she looks more like someone with bipolar disorder and is called such. To add to our diagnostic troubles, over time many people's symptom patterns swing from mostly psychotic to mostly mood-related and back again, making them sometimes seem schizophrenic and sometimes bipolar. And other people spend most of their lives in an intermediate state, with lots of psychosis and lots of depression or mania, but not enough to be fully bipolar. These people are called schizoaffective. By definition, a person can't have bipolar disorder and schizophrenia at the same time. But a person can sure struggle for years with psychosis, odd behavior and mood swings and be hard to classify clearly into one diagnosis or the other, which sounds to be the case with your brother. In the midst of these complications, there is some good news. More important than his exact diagnosis (which is after all only a description of his symptoms and how they cluster over time) is the fact that both schizophrenia and bipolar disorder respond to similar medications. The important thing is not his diagnosis, but his need to get into - or remain in - consistent treatment, which offers the best hope of providing a hopeful long-term outcome. |
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
list of approved canadian pharmacies canada drugs pharmacy pharmacy prescription
https://virusscan.jotti.org/cookies-ok?redirect=https://ocrvcenter.com/rv-repair-shop-beaumont-california
http://test.www.feizan.com/link.php?url=https://ocrvcenter.com/motorhome-inspection-near-me
Everything is very open with a very clear description of the issues. It was definitely informative. Your website is extremely helpful. Thanks for sharing!
http://tamiroom.com/bbs/cafe.php?mode=node&id=936&page=1&home=http://ocrvcenter.com/mack-collision-repair-shop-near-me/
Hi, I do think this is an excellent site. I stumbledupon it 😉 I may revisit yet again since i have bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.
http://sweetcotton.com/osanpo/search/rank.cgi?mode=link&id=1154&url=http://qsm.co.in/profile/WilliamsBu/
/
I want to to thank you for this good read!! I absolutely enjoyed every bit of it. I have got you bookmarked to check out new stuff you post…
/
You are so cool! I don't think I've truly read a single thing like this before. So great to find somebody with some unique thoughts on this subject matter. Really.. thanks for starting this up. This site is something that is required on the internet, someone with a little originality!
/
https://www.ttf.sdsu.edu/?URL=guenterreiter.eu/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&limitstart=64480
https://www.raftingadventure.sk/html//sk/frames.php?siteUrl=http3A2F2Faffordableranking.com
buy online prescription drugs http://xlnpharmacy.com/ anti fungal
After checking out a number of the articles on your site, I really appreciate your way of writing a blog. I saved it to my bookmark site list and will be checking back soon. Please check out my website too and let me know your opinion.
https://newpactforeurope.wiscnet.biz/__media__/js/netsoltrademark.php?d=affordableranking.com
http://shp.hu/hpc_uj/click.php?ml=5&url=https://forkliftswildwestlifttrucks.com/fountain-valley-forklifts/
Hi there! I could have sworn I’ve visited this website before but after looking at many of the articles I realized it’s new to me. Anyhow, I’m certainly happy I stumbled upon it and I’ll be bookmarking it and checking back frequently!
http://www.waterfields.net/__media__/js/netsoltrademark.php?d=affordableranking.com
Good information. Lucky me I came across your site by accident (stumbleupon). I've saved as a favorite for later!
https://login-tk.ewe.de/module.php/core/loginuserpass.php?AuthState=_f129e4d348645839698b4d7d776dd3affbd987fedc:http://forkliftswildwestlifttrucks.com/lake-elsinore-forklifts
It’s difficult to find experienced people on this subject, however, you seem like you know what you’re talking about! Thanks
https://knitty.com/banner.php?id=587&url=https://forkliftswildwestlifttrucks.com/forklift-dealer-orange-county-california
https://www.evasbeautyshop.com/__media__/js/netsoltrademark.php?d=affordableranking.com
viagra lowers blood pressure https://loxviagra.com/ – how fast does viagra work viagra expiration
https://trends.gab.com/visit?url=https://forkliftswildwestlifttrucks.com/placentia-forklifts/
After going over a few of the articles on your blog, I honestly like your technique of blogging. I bookmarked it to my bookmark website list and will be checking back in the near future. Please visit my web site as well and let me know your opinion.
https://www.emex.ru/error?url=https://affordableranking.com
https://eventlog.centrum.cz/redir?data=aclick1c68565-349178t12&s=najistong&v=1&url=https://www.affordableranking.com/
http://www.masteram.us/away?url=https://affordableranking.com/
http://www.zenithtrans-oceanic.portabletubes.co.uk/gbook/go.php?url=http://www.affordableranking.com/
sanofi cialis otc https://rcialisgl.com/ – compare viagra cialis levitra cialis tadalafil 20 mg
https://sc-jellevanendert.com/pages/gastenboek/go.php?url=http://affordableranking.com
https://carglitz.com/__media__/js/netsoltrademark.php?d=http://www.affordableranking.com/
tadalafil goodrx where to order tadalafil tablets where to buy cialis without prescription cost tadalafil generic https://tadagatadalafil.com/
https://www.client.myserver.net/__media__/js/netsoltrademark.php?d=affordableranking.com
Good blog post. I definitely love this site. Keep writing!
http://www.okayama-tbox.jp/kosodate/topics/344/logging?url=http://affordableranking.com/
cialis lilly 20mg https://ckacialis.com/ – cialis samples free gnereic cialis
I was very pleased to find this great site. I need to to thank you for ones time for this wonderful read!! I definitely appreciated every part of it and i also have you book marked to check out new stuff on your blog.
http://www.bolagsplatsen.se/go/financing/6?url=https://affordableranking.com/
I like reading an article that will make men and women think. Also, thank you for allowing me to comment!
http://agenciapara.com.br/email_tracking_links.asp?c=20417-11e6fc96ab4947513b60214735e999e0-4228887&h=https://affordableranking.com
http://www.dodeley.com/?action=show_ad&url=http://www.affordableranking.com
https://www.gorhodes.com/__media__/js/netsoltrademark.php?d=affordableranking.com
I really like it when people get together and share opinions. Great site, continue the good work!
http://www.offtheracktires.com/__media__/js/netsoltrademark.php?d=http://affordableranking.com
https://www.argose.com/__media__/js/netsoltrademark.php?d=affordableranking.com
http://www.lexingtonsc.org/Redirect.aspx?destination=http://www.affordableranking.com
https://ww.coraholland.com/__media__/js/netsoltrademark.php?d=affordableranking.com
https://pixel.sitescout.com/iap/ca50fc23ca711ca4?cookieQ=1&r=http://www.affordableranking.com
https://www.ielts.org/api/sitecore/RecognisingOrganisations/RegisterGoalAndRedirect?ROId=F1FCFC07-CD4C-451E-9FB1-85D2EDF276BA&link=https://vizitka.az/2016/09/10/we-are-the-best-car-dealers-world-wide-2/
/
https://tadagatadalafil.com/ tadalafil liquid cialis without prescription buy tadalafil what is tadalafil
You are so interesting! I don't think I've read through a single thing like this before. So wonderful to find someone with a few unique thoughts on this subject matter. Seriously.. thank you for starting this up. This web site is something that is needed on the web, someone with some originality!
/
I wanted to thank you for this wonderful read!! I certainly enjoyed every bit of it. I've got you book marked to look at new things you post…
https://www.5ivestarlondon.com/track.aspx?click=I&group=Z&item=Primrose+Bakery+Bespoke+Service&url=https://crazy4smiths.com/snyders-lance-variety-packs-coupon-save-2-smiths/
differences between viagra levitra and cialis https://krocialis.com/ – cialis price at walmart genic cialis
Pretty! This was an incredibly wonderful article. Thank you for providing this information.
http://adventuresonly.com/redirecthandler.ashx?url=http://troy7t5f9.blog2freedom.com/3492835/rv-service-near-me-no-further-a-mystery
https://tracking.wpnetwork.eu/api/TrackAffiliateToken?token=0bkbrKYtBrvDWGoOLU-NumNd7ZgqdRLk&skin=ACR&url=http://ingenieurleistungenreiter.com/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=180+&limitstart=56920
http://www.aidenpan.com/home/link.php?url=https://bestseniorlife.com/2019/08/01/reducing-eye-strain-from-technology-our-tips/
cùng với trung tâm là màn so tài thân Man City vs Chelsea.|Giấy phép tin tức điện tử số 2526/GP-TTĐT do Sở Thông tin và Truyền thông Hà Nội Thủ Đô cấp cho. Thủ môn Alisson đã rơi nước đôi mắt sau Khi làm bàn thắng đưa ra quyết định đến Liverpool trước West Brom nhằm nuôi bánh cuốn từ bánh tráng hy vọng top 4 Ngoại hạng Anh. VTV.vn – Vào 23h00 tối nay, Wolfsburg sẽ tiếp đón Bayer Leverkusen vào phạm vi vòng đấu đầu tiên của Bundesliga. HLV Tan Cheng Hoe mang đến biết, ông không quan tâm đến đến tác dụng đối với tuyển chọn Malaysia vào cuộc tranh vé đi tiếp ở trên bảng
https://hibongda.vn
http://www.ladygamer.jp/ws/rank.cgi?mode=link&id=299&url=http://www.saintpaulfamily.com/board/board_topic/6534426/3813339.htm?page=5