home
RSS
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?

Expert answer

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.

Ask our doctors a question

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.

Follow @CNNHealth on Twitter.


soundoff (1,758 Responses)
  1. store near me

    http://www.mycargo.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 17, 2021 at 13:06 | Report abuse | Reply
  2. seafood market near me

    https://moshtix.com.au/v2/ForceDesktopView?callingUrl=https://wholesalenearme.com/

    June 17, 2021 at 13:51 | Report abuse | Reply
  3. tacos near me

    http://ww31.quicktest.testbp.org/__media__/js/netsoltrademark.php?d=bestservicenearme.com/

    June 17, 2021 at 14:53 | Report abuse | Reply
  4. passport photos near me

    You're so interesting! I don't suppose I have read anything like that before. So good to find somebody with genuine thoughts on this topic. Really.. many thanks for starting this up. This website is one thing that is needed on the web, someone with some originality!

    https://www.sunhun.com/link.php?url=https://reviewnearme.com/

    June 17, 2021 at 15:08 | Report abuse | Reply
  5. convenience store near me

    http://cappuccinomachine.com/__media__/js/netsoltrademark.php?d=www.bestshopnearme.com/

    June 17, 2021 at 15:57 | Report abuse | Reply
  6. dunkin donuts near me

    http://bbs.cfish.idv.tw/link.php?url=https://bjsnearme.com

    June 17, 2021 at 18:03 | Report abuse | Reply
  7. napa near me

    http://www.otinasadventures.com/index.php?w_img=bjsnearme.com&link=bjsnearme.com

    June 17, 2021 at 18:53 | Report abuse | Reply
  8. self storage near me

    https://blog.so-net.ne.jp/_pages/mobile/step/index?u=http://nearmyspot.com/

    June 17, 2021 at 21:13 | Report abuse | Reply
  9. homes for rent near me

    http://deepfamily.com/__media__/js/netsoltrademark.php?d=wholesalenearme.com

    June 17, 2021 at 21:55 | Report abuse | Reply
  10. ymca near me

    Very good article! We will be linking to this great content on our website. Keep up the great writing.

    https://www.commissionsoup.com/opts.aspx?t=P6MCR2&u=https://www.reviewnearme.com/

    June 17, 2021 at 22:13 | Report abuse | Reply
  11. places for rent near me

    http://www.advertisementave.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 17, 2021 at 23:31 | Report abuse | Reply
  12. truc tiep bong da nha cai

    Thẳng Bóng Đá Ngày Hôm Nay, Link Coi Bóng Đá Trực Tuyến 24h lich phat song atv1Đội tuyển chọn nước Việt Nam chỉ cần thiết một kết quả hòa có bàn thắng nhằm lần thứ hai góp mặt tại World Cup futsal. Nhưng, để thực hiện được điều đó

    https://sshuebner.org/

    June 17, 2021 at 23:48 | Report abuse | Reply
  13. chơi bài

    Coi Trực Tiếp Viettel Vs Tỉnh Bình Dương Tại V League 2021 Ở Kênh Nào? xem vtv3 trực tuyến nhanh nhấtĐội tuyển chọn futsal Việt Nam đã có được một trận đấu chấp nhận được trước đối thủ đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.

    https://frontsportsbox.com/

    June 18, 2021 at 01:19 | Report abuse | Reply
  14. jack in the box near me

    http://www.h2hummerlimousine.com/__media__/js/netsoltrademark.php?d=reviewnearme.com

    June 18, 2021 at 01:20 | Report abuse | Reply
  15. farmers market near me

    I was very pleased to uncover this site. I want to to thank you for ones time just for this wonderful read!! I definitely liked every bit of it and i also have you book-marked to look at new things on your blog.

    https://www.bungersurf.com/Redirect.aspx?destination=http://www.reviewnearme.com

    June 18, 2021 at 01:47 | Report abuse | Reply
  16. podiatrist near me

    http://www.hammer.if.tv/cgi/search/rank.cgi?mode=link&id=2613&url=http://www.bestservicenearme.com

    June 18, 2021 at 01:47 | Report abuse | Reply
  17. supercuts near me

    http://webtoys.com/__media__/js/netsoltrademark.php?d=wholesalenearme.com

    June 18, 2021 at 02:19 | Report abuse | Reply
  18. assisted living near me

    http://rd.or.tl/jp.php?url=https://bulknearme.com

    June 18, 2021 at 02:56 | Report abuse | Reply
  19. hd jav

    Thẳng Soccer Việt Nam Vs Lebanon. Xem Truc Tiep Bong Da. Futsal Việt Namvtv2 onlineĐây có lẽ rằng là trường hợp “của đi thay cho nhân viên" khá như mong muốn đối với Ben McLemore. Thiếu chút nữa tay ném của Los Angeles Lakers đã được thể gặp gỡ tai nạn nguy hiểm. Cập nhật kết trái trận nước ta vs Lebanon thuộc play-off vòng chủng loại Futsal World Cup 2021.

    https://virandoamor.com/detail/truc-tiep-bong-da-copa-america-23664.html

    June 18, 2021 at 03:00 | Report abuse | Reply
  20. lien khuc nhac tre hai ngoai mp3

    Tỷ Số đá Bóng Trực Tuyến Thời Điểm Hôm Naythe thao tvTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania trong ngày hội bóng đá lớn nhất thế giới cho futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội không ngán Lebanon song sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch tranh tài, quý khách hoàn toàn có thể chuẩn bị xếp làm việc

    https://questiontime.info/detail/i-bong-da-tivi-truc-tuyen-119989.html

    June 18, 2021 at 05:08 | Report abuse | Reply
  21. pest control near me

    That is a great tip especially to those new to the blogosphere. Short but very accurate infoÖ Thanks for sharing this one. A must read article!

    http://maps.google.com.eg/url?q=http://bestshopnearme.com

    June 18, 2021 at 05:27 | Report abuse | Reply
  22. chick fil a near me

    http://p-hero.com/hsee/rank.cgi?mode=link&id=88&url=http://bjsnearme.com/

    June 18, 2021 at 05:28 | Report abuse | Reply
  23. m88bet

    Xoilac Tv Thẳng Soccer m88betĐội tuyển chọn futsal nước Việt Nam đã có một trận đấu chấp nhận được trước đối thủ cạnh tranh đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước hôm nay 18h00 ngày 5/5, Hạng nhất nước Việt Nam.

    https://thisisthegreenroom.com/

    June 18, 2021 at 05:37 | Report abuse | Reply
  24. htv2 hd

    Coi Trực Tiếp Soccerdemkhuya tvTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania vào ngày hội bóng đá lớn nhất thế giới mang đến futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội ko ngán Lebanon tuy nhiên sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch thi đấu, quý khách rất có thể chuẩn bị xếp làm việc

    https://arubaeducation.info/detail/tv101vn-105700.html

    June 18, 2021 at 06:03 | Report abuse | Reply
  25. ihop near me

    http://mccallisterconsulting.com/__media__/js/netsoltrademark.php?d=bulknearme.com/

    June 18, 2021 at 06:51 | Report abuse | Reply
  26. bong da gh

    Trực Tiếp Bóng Đá Thời Điểm Hôm Nay, Liên Kết Xem đá Bóng Trực Tuyến 24hthi truong chuyen nhuong bong da anhTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania trong ngày hội bóng đá lớn nhất thế giới đến futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội ko ngán Lebanon song sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch tranh tài, bạn hoàn toàn có thể sắp xếp làm việc

    https://virandoamor.com/detail/xem-bongda-truc-tuyen-vinh-long-1-69123.html

    June 18, 2021 at 06:53 | Report abuse | Reply
  27. enterprise near me

    Greetings! Very helpful advice in this particular article! It is the little changes that will make the greatest changes. Many thanks for sharing!

    http://kazumanoyu.com/__media__/js/netsoltrademark.php?d=www.bestlocalnearme.com

    June 18, 2021 at 07:33 | Report abuse | Reply
  28. sex offenders near me

    https://www.kanazawa-navi.com/navi/rank.cgi?mode=link&id=725&url=https://www.bulknearme.com

    June 18, 2021 at 08:42 | Report abuse | Reply
  29. minute clinic near me

    Hello there! I could have sworn Iíve visited this blog before but after looking at some of the articles I realized itís new to me. Anyways, Iím definitely happy I found it and Iíll be book-marking it and checking back frequently!

    http://nationalgarden.org/__media__/js/netsoltrademark.php?d=reviewnearme.com/

    June 18, 2021 at 09:05 | Report abuse | Reply
  30. driving school near me

    Aw, this was a very good post. Spending some time and actual effort to generate a really good articleÖ but what can I sayÖ I put things off a lot and don't manage to get nearly anything done.

    http://beautyformula.com/__media__/js/netsoltrademark.php?d=www.wholesalenearme.com/

    June 18, 2021 at 09:55 | Report abuse | Reply
  31. sally beauty near me

    Very nice blog post. I definitely love this site. Thanks!

    https://www.nfaap.org/sso/sso.aspx?nfredirect=https://bestshopnearme.com/

    June 18, 2021 at 10:17 | Report abuse | Reply
  32. RV Repair San Clemente California

    http://mitsui-shopping-park.com/lalaport/iwata/redirect.html?url=https://ocrvcenter.com/rv-bed-repair-near-me

    June 18, 2021 at 11:20 | Report abuse | Reply
  33. new construction near me

    https://connerq15e6.iyublog.com/4697159/5-essential-elements-for-generator-repair

    June 18, 2021 at 11:40 | Report abuse | Reply
  34. RV Repair Santa Ana

    Saved as a favorite, I like your site!

    http://local.katc.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com/camper-van-collision-repair-shop-near-me/

    June 18, 2021 at 12:05 | Report abuse | Reply
  35. RV Repair Around Me

    http://fr.paltalk.com/client/webapp/client/External.wmt?url=http://ocrvart.com/rv-repair-shop-laguna-niguel-california

    June 18, 2021 at 13:07 | Report abuse | Reply
  36. truc tuyen vtv3

    Kết Trái Futsal Việt Nam Vs Lebanonbảng xếp hạng hạng nhất anhTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania trong ngày hội bóng đá lớn nhất thế giới mang đến futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội ko ngán Lebanon song sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi bên trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch tranh tài, bạn hoàn toàn có thể chuẩn bị xếp làm việc

    https://virandoamor.com/detail/vtv6-tructuyen-34974.html

    June 18, 2021 at 13:58 | Report abuse | Reply
  37. general contractors near my location

    Everything is very open with a very clear description of the issues. It was really informative. Your website is useful. Thank you for sharing!

    https://finnm82v2.bloguerosa.com/4677101/generator-repair-things-to-know-before-you-buy

    June 18, 2021 at 16:18 | Report abuse | Reply
  38. lịch phát sóng sctv9

    Tin Tức, Sự Khiếu Nại Liên Quan Lại Đến Trực Tiếp Soccer Phái Nữ vwinĐội tuyển nước Việt Nam chỉ muốn một kết trái hòa có bàn thắng để lần thứ hai góp mặt trên World Cup futsal. Nhưng, để làm được điều này

    https://arubaeducation.info/

    June 18, 2021 at 16:34 | Report abuse | Reply
  39. game bài

    Thẳng Soccer Ngày Hôm Nay, Links Coi đá Bóng Trực Tuyến 24h đánh bài onlineĐội tuyển chọn futsal Việt Nam đã có một trận đấu đồng ý được trước đối thủ đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước Việt Nam.

    https://sshuebner.org/

    June 18, 2021 at 17:30 | Report abuse | Reply
  40. dessert near me

    http://www.camping-channel.eu/surf.php3?id=1523&url=https://www.quotenearme.com

    June 18, 2021 at 17:40 | Report abuse | Reply
  41. RV Repair Shops Near My Location

    https://intranet.canadabusiness.ca/?URL=http://www.ocrvcenter.com/rv-repair-shop-vista-california

    June 18, 2021 at 18:40 | Report abuse | Reply
  42. RV Repair Around Me

    http://webredirect.garenanow.com/?p=gp&lang=en&url=www.ocrvcenter.com/rv-repair-shop-poway-california/

    June 18, 2021 at 20:41 | Report abuse | Reply
  43. RV Repair Shop Near My Location

    http://community.rsa.com/t5/custom/page/page-id/ExternalRedirect?url=www.ocrvcenter.com/rv-repair-shop-rosemead-california

    June 18, 2021 at 21:07 | Report abuse | Reply
  44. keo nha cai hom nay

    Xem Trực Tiếp Viettel Vs Tỉnh Bình Dương Trên V League 2021 Ở Kênh Nào? letouĐội tuyển Việt Nam chỉ cần thiết một kết trái hòa có bàn thắng nhằm lần thứ hai góp mặt tại World Cup futsal. Nhưng, để làm được điều đó

    https://naija5.com/

    June 18, 2021 at 22:16 | Report abuse | Reply
  45. RV Repair Near Me Now

    http://www.webhosting-wmd.hr/index?URL=https://www.ocrvcenter.com/motorhome-technician-near-me

    June 18, 2021 at 23:27 | Report abuse | Reply
  46. nha cai so 1

    Xoilac Tv Trực Tiếp đá Bóng sanh rongĐội tuyển chọn futsal Việt Nam đã có được một trận đấu chấp nhận được trước phe đối lập đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.

    https://naija5.com/

    June 19, 2021 at 01:41 | Report abuse | Reply
  47. Sprinter Repair Costa Mesa

    I'd like to thank you for the efforts you have put in penning this site. I am hoping to view the same high-grade content from you in the future as well. In fact, your creative writing abilities has motivated me to get my own site now 😉

    https://findit.timesleader.com/__media__/js/netsoltrademark.php?d=http://ocrv.club/rv-alignment-repair-near-me

    June 19, 2021 at 04:03 | Report abuse | Reply
  48. panera bread near me

    http://xango.com/__media__/js/netsoltrademark.php?d=www.bestshopnearme.com

    June 19, 2021 at 04:55 | Report abuse | Reply
  49. thvl truc tiep

    Tỷ Số đá Bóng Trực Tuyến Ngày Hôm Naydemkhuya tvTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania vào ngày hội bóng đá lớn nhất thế giới cho futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội không ngán Lebanon tuy nhiên sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi bên trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch thi đấu, bạn hoàn toàn có thể chuẩn bị xếp việc làm

    https://questiontime.info/detail/ti-so-bong-da-hom-30638.html

    June 19, 2021 at 07:10 | Report abuse | Reply
  50. RV Repair Orange County California

    I quite like looking through an article that can make men and women think. Also, thank you for allowing for me to comment!

    http://promo.pertinger.com/?URL=www.ocrvcenter.com/tow-truck-collision-repair-shop-near-me

    June 19, 2021 at 07:47 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

Leave a Reply to co tuong zingplay


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
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.