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. JbbnEncox

    tomar metade cialis cialis 20 mgr cialis e lexotan

    February 16, 2021 at 06:29 | Report abuse | Reply
  2. MatthewJex

    Maybe you're brand-new to online gaming or fidget about "going live" in an online casino video game. Here are some pointers to help you make your time invested at casinos online more satisfying if so.

    Craps is another popular game in online gambling establishments. While the video game looks rather complicated because of the variety of betting choices, you can employ a basic technique to assist you win. If you put only bets in which your house edge is low then you will increase your wins. Your home has a low edge in pass bets, come bets and place bets on 6 or 8. If you concentrate on placing these bets you will see your wins increase.

    Baccarat, craps, and blackjack are video games you'll discover at any CASINO ONLINE, and all have low house edges. Blackjack is another "leading three" game in appeal at the majority of internet casinos. It's simple, and establishing a great blackjack strategy is possible for anybody going to learn the method charts (which is not the very same thing as card counting). One caution for beginning blackjack players is to state "no" when the dealership has an ace dealing with up and asks if you wish to "buy insurance." By doing this, you're betting that the dealer has natural blackjack (with a face card or 10 dealing with down), and the odds are greatly versus that. Your home edge on insurance coverage bets in blackjack is over 14%.

    Next comes the laborious part. A minimum of it can be tiresome, however if you browse the search results page listings one by one, you ought to have the ability to determine one or more websites with video GAME CASINO you wish to play.

    The very first one is CASINO POKER. Poker is a video game in which ability figures out the winner. In this game the gamers complete with each other and your home is not involved. Your house edge is beside nil. If you handle to practice the ability needed to play CASINO POKER, you can easily win, particularly if you have less experience gamers contending against you.

    More tables and more possibilities to play! If you have ever visited a genuine gambling establishment then you understand how crowded the home can get. With online poker there is no long waiting durations for tables to open. Additionally, you can participate in "multi tabling" and play a number of video games at once. Some knowledgeable online players can deal with as much as 10 or more video games at the exact same time. Do not attempt this in Vegas unless you've mastered human cloning.

    Although it's irritating to some, you got to love my wife for being passionate about something. I would much rather her buy 100 sets of these chips then go out to a store and purchase all kinds of those bowling ball globes for the front lawn. To keep it genuine though, even if you aren't a fan of Hoyt's, the poker chips are the very best I have actually ever seen. See, I'm just a fan since my partner's one. If she wasn't, I 'd still buy these even.

    February 16, 2021 at 07:56 | Report abuse | Reply
  3. JbnvCrulk

    no lender search payday loans advance fee loan scams canada best credit card for international cash advance

    February 16, 2021 at 15:44 | Report abuse | Reply
  4. FbsgZisse

    cialis generic shopping cialis canada how much does cialis cost

    February 16, 2021 at 19:52 | Report abuse | Reply
  5. 500000Scrapebox CommentBacklinks

    I will drive 20000 google organic visitors using targeted keywords: https://www.seoclerk.com/Traffic/833336/I-will-drive-20000-google-organic-visitors-using-targeted-keywords


    February 16, 2021 at 22:23 | Report abuse | Reply
  6. Pauletta Morger

    How can you tell if a video has copyright content or not?.


    February 17, 2021 at 06:06 | Report abuse | Reply
  7. AhbzEncox

    hayward payday loans payday loans in london ontario huntington bank cash advances

    February 18, 2021 at 04:21 | Report abuse | Reply
  8. Rolande Vilanova

    Great post. I really enjoyed reading this. I'll make sure to share with my friends.


    February 18, 2021 at 08:54 | Report abuse | Reply
  9. SocialMedia Services2021

    Do you want get more social network traffic, likes, and retweets? SMM Supreme uses his own panel system to generate social media traffic to any website. Best Quality-Price Ratio on the market with 714928 orders until now. – Facebook Fan Page Likes: $4.50/1000 – Instagram Followers: $0.78/1000 – Youtube Views: $1.62/1000 – Twitter followers: $2.10/1000 – Paypal Deposit – Payeer Deposit – Automatic order processing – Our Website: https://smmsupreme.com/


    February 19, 2021 at 12:47 | Report abuse | Reply
  10. plaquenil insomnia

    erectile vacuum pump demonstration plaquenil antimalarial erectile problems and solutions

    February 19, 2021 at 23:23 | Report abuse | Reply
  11. takipci satin al

    Aldığımız geri dönüşlerde daha aktif bir profile sahip olmak için hizmet alan müşterilerimiz satışlarının arttığını söylemektedir.


    February 27, 2021 at 16:40 | Report abuse | Reply
  12. ClarkTauts

    z5f2z ngyeo kpsr

    February 28, 2021 at 23:21 | Report abuse | Reply
  13. KndnMile

    viagra military canadian generic viagra international viagra online

    March 1, 2021 at 08:12 | Report abuse | Reply
  14. ClarkTauts

    2388a zz228 q7ag

    March 1, 2021 at 19:54 | Report abuse | Reply
  15. NbmoZisse

    viagra/cialis packs cialis black 800 to buy in the uk one pill order cialis no prescription

    March 1, 2021 at 22:14 | Report abuse | Reply
  16. FjjuZisse

    viagra savings card sildenafil 20 mg vs viagra xanax and viagra

    March 3, 2021 at 07:05 | Report abuse | Reply
  17. Wesley Klingen

    Hi! Do you know if they make any plugins to help with SEO? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good gains. If you know of any please share. Thanks!


    March 3, 2021 at 08:59 | Report abuse | Reply
  18. Gilda Cianflone

    You could definitely see your expertise within the work you write. The world hopes for even more passionate writers such as you who are not afraid to mention how they believe. At all times go after your heart. "Man is the measure of all things." by Protagoras.


    March 4, 2021 at 09:54 | Report abuse | Reply
  19. LmoppEncox

    http://essaywriteris.com/ – write my essay canada buy essay online cheap online essay writers write my essay 4 me

    March 24, 2021 at 15:11 | Report abuse | Reply
  20. JvqqEncox

    https://dissertationahelp.com/ – best dissertation editing services umi dissertation express dissertation proposal help psychology dissertation topics

    March 26, 2021 at 19:44 | Report abuse | Reply
  21. BrfgMile

    https://ljcialishe.com/ – best online pharmacy for cialis https://cialisvja.com/ – when will generic cialis be available in the us https://viagraonlinejc.com/ – is viagra a blood thinner https://viagratx.com/ – cialis vs viagra https://buycialisxz.com/ – cialis canada pharmacy

    March 29, 2021 at 10:35 | Report abuse | Reply
  22. GrvCrulk

    https://kloviagrli.com/ – free viagra https://vigedon.com/ – viagra on steroids https://llecialisjaw.com/ – cialis reviews https://jwcialislrt.com/ – cialis versus viagra https://jecialisbn.com/ – cialis time to work

    March 31, 2021 at 09:19 | Report abuse | Reply
  23. FbshEncox

    [url=https://thesisacloud.com/]thesis in writing[/url] thesis abstracts editing thesis thesis writing help uk

    April 3, 2021 at 08:28 | Report abuse | Reply
  24. 90phut .tv

    The club also produced Prince Afejukwu, Oshoff Shogbene, goalkeeper Nasiru Momoh, Samuel Afejukwu and Ighoraye Ogayone.|This can have how much you offer the team you love. I said getting faster would be hard but am not complicated. It may be an obvious gift but any football fan will let you it's won.|You should have a week associated with caffeine every 8-weeks much longer than that. The team was then captained by inspirational defender Gabriel Igarri from 1975 to 1983. College football is an exciting event.|The height of the faculty football months are bowl month. For example, man or woman is in a win the first leg. As such, football lovers are at liberty to select the ones that fancy.|Who would not want to find out these proven techniques? These questionnaires are sometimes available in the school's football website. They make researches and studies regarding each game and its players.|Desire to get recognized in the world? That's hard for any team to accomplish but it is vital Boise State we're regarding here. Ultimataely the picks are what keeps him from being decent QB play.|Starting strength is a pricy way for saying explosiveness. You can put that to good use and earn several by placing football gambling bets. Making this when massive of football commenced.|Online betting for football operates similar to other sports bets. Now, purchase play football anytime, any place. Should you deadlift great form, you're fine. When there is often a football match the crowd goes odd.|It additionally be popular as a result of team aspect. Really the system reduces possibility faced by people. A tailgate party could be more fun than the sport itself and have everyone psyched up for that game.|Sports bets are done on the outcome or using a players. Therefore, you will need to have advanced strategies to be successful in football fighting. Having add a part of excitement to the game!|The people consider their professional sport advices before implementing any major bets. There are several other traditions that always accompany the Navy football team. Urhiapele F.C was founded in the 1985/1986 time period.|This type of football odds involves a basis of 100 position. The Prowler is also great since you use it laterally, which as I said earlier, most athletes neglect. A lot that I guarantee are probably still around today.|Like football there furthermore basketball health experts. I didn't have experience pimple control kicking a ball just around the village square once a week. The football scarf was basically made in great britan.|Even Offensive and Defensive lineman must be fast. You have got to find something that is unique and that will show your ex for simple . team. Even kids do this putting any one their prized possession on the net.|To keep a convenient football betting experience, you may do it online. No, I don't mean "speed exercises" a person run with a vest on or pulling your teammate around. It is a legacy which will last for a entire life.|You can easily design a Navy football ring as well as have it shipped directly to the cadet at Md. To start making football bets, you must put together some finances. It can even be as important as following a religion.|Know when the announcers regarding a guy's "explosive first step?" They're talking about starting toughness. The higher priced football fundraisers that are sold, add more money per trade.|However, it is not that simple as although. I said getting faster would be hard but not complicated. Take one tablet 45-minutes prior along with big workout, practice or game.|There's been debate over using the Olympic Lifts in host to Dynamic Function. He is too small, and his grades aren't up to the level of the university. But, let's clear factor up.protein is simply food in liquid outline.|But, let's clear one thing up.protein is actually simply food in liquid form. Rather opt for such brands vs . scarves in which sold through the street four corner. These games are patterned after American Football.|Ultimataely the picks are what keeps him from as a decent QB play. The third type of Football betting odds that you may encounter is the American odds. You've probably already purchased the jerseys, hats and football fan gear.|That needed changed and so there were more data. Look for coordinating curtains to match the mattress sheets. I do this for all of their off and on field behavior and commitment.|Using a football and betting will be different by using a professional football tips service. The odd thing is the turf isn't the color we're previously used to watching games played inside.|See, your max strength determines all other elements of athleticism. When there is often a football match the crowd goes goofy. Also, when simply have five people from a team, everybody has to play in a full-fledged form.|If you want to purchase these kits, you can order them in a store selling these kinds of accessories. It means something that we're grown accustomed to time. This bell sits in front of Bancroft Hall in Annapolis.|However, you also need to have capabilities for management of their bucks in sports betting. The club which ended up being playing within State League/ State Challenge Cup was sponsored by Chief Michael Ibru.|Not only the Kids Football Coaching, even the Adult Football Coaching is modernized. But it did make a major difference for me. The football scarf was made in great britain.|However, this may need a lot of time and energy. Flag football is a simple way for children to burn energy. This makes the game more exciting to look. Weights are certainly a huge part for this equation.|It is important towards value advisors items is authentic. Again, save it for the ones.if you keep hammering away, it'll lose it's efficiency. Want to get recognized in planet?|Football is to become the most admired team-sport. Get going, with implausible prospects of becoming well-known a world of football! Matt Ryan: 32/50 for 316 yards with 3 TD's and 0 INT's.|This will demonstrate how much you secure the team that you simply love. However, it is always a good idea to only make use of your extra salary. From the three teams, a joint team to represent Sapele was fashioned.|He/she can watch Sunday football wearing a popular team shirt. Is that the type of football they may play in future colonies? The exercises will not only NOT make you faster, but sometimes actually enable you to be slower!|Sure, you tell everybody a person need to support your team, but how can in fact prove this tool?


    April 4, 2021 at 13:12 | Report abuse | Reply
  25. canadian diet pills

    canadian pills pharmacy https://canadapillstorex.com/ canadian pills pharmacy

    April 16, 2021 at 06:55 | Report abuse | Reply
  26. antibiotic zithromax

    zithromax 500 mg side effects https://zithromaxes.com/ is zithromax penicillin

    April 16, 2021 at 20:09 | Report abuse | Reply
  27. poker online terpercaya

    Greetings from California! I'm bored at work so I decided to check
    out your website on my iphone during lunch break.
    I enjoy the knowledge you present here and can't wait to take
    a look when I get home. I'm shocked at how quick your blog loaded on my cell phone ..
    I'm not even using WIFI, just 3G .. Anyways, good site!

    April 17, 2021 at 09:25 | Report abuse | Reply
  28. cakhia.tv truc tiep

    Go baseball team! tivi 101 Sports memorabilia fans are lucky! There are many and varied articles and apparel available to eager football fan. He/she can watch Sunday football wearing a favourite team . Whether you choose to watch professional football games live, with fellow enthusiasts with a favorite sports bar, possibly in the convenience of your home in front of that big screen TV, wearing your team's logo is a good way to show team loyalty and advertise that you're an avid fan to ensure that it is in is in the comfort to their home.


    April 17, 2021 at 10:02 | Report abuse | Reply
  29. muse alprostadil

    how much alprostadil vials https://alprostadildrugs.com/ alprostadil injection where to buy

    April 17, 2021 at 22:57 | Report abuse | Reply
  30. tiso bong ro

    Go team! ket qua v league 2019 Therefore, it is not a tricky task which you can get hold of these sets.|Make sure ALL your players obtain the proper coaching. Should you not get the loading phase of the rear arm correct, it's challenging for your swing or throw to recoup. There are thousands of online autographs sites.|Move the ball down the area 10 yards at a time. eat on the clock. Finally, no football bedroom would be complete without real footballs. At one end of record will be most probable home is awarded.|The American odds are called as money shapes. In 1935 the Heisman Trophy, was developed to be awarded to probably the most outstanding football player. Late Olayinka John (Ayogi) was the then coach of eleven brothers.


    April 18, 2021 at 05:04 | Report abuse | Reply
  31. nba league pass

    Express Your Love For Soccer With Football Cufflinks nba scores Every sport has its unique way of promoting its game. Football fans are known for wearing items like scarves and hats and also fans like better to make funny outfits as well. The type that you with regard to needs to be light and soft therefore you do not get outraged. There are well known brands tend to be known for designing extremely in terms of sports gear. Rather opt for such brands vs . scarves which usually sold through the street side.


    April 19, 2021 at 05:29 | Report abuse | Reply
  32. thedo.tv trực tiếp

    There are a few other traditions that always accompany the Navy football team xem bóng đá trực tuyến For example, the "E" Bell rings whenever Navy beats Army most of the three seasons of sports. This bell is from the bridge of USS Enterprise, a famed World War II aircraft carrier. It is been a tradition since 1950. The Gokokuji Bell is really a replica of a bell which brought to the United States by Commodore Matthew Perry in 1854. The original bell, which was donated to the Academy by his widow, was retur ned to Okinawa in 1988. This bell is also rung each time the team scores a football victory over their Army equals. This bell sits in front of Bancroft Hall in Annapolis.


    April 19, 2021 at 08:13 | Report abuse | Reply
  33. amanda cerny neymar

    I've been in both sides of the ball. Being a coach I the opportunity coach for a head coach and an assistant. To be a parent I have 2 sons that played both youth and high school football. Both were average players. Knowing my place as a parent AND like a coach forced me to be get through some difficult parenting certain times.. ronaldo to juventus After obtain the motion down, for you to do the overall movement 1 complete exercise rather than pausing an issue bag at chest height before stressing. This is an ideal time to video the lift or have a coach/teammate watch you and critique your form. There's not many guarantees in football or football training, but, I can damn-near guarantee that this exercise will boost up your blocking and tackling.


    April 20, 2021 at 22:44 | Report abuse | Reply
  34. canada viagra

    viagra without a doctor prescription canada https://canadaviagrastore.com/ viagra sin receta en farmacias de canada

    April 21, 2021 at 17:08 | Report abuse | Reply
  35. viagra sildenafil

    sildenafil 50mg tablets coupon https://eunicesildenafilcitrate.com/ sildenafil citrate uk

    April 22, 2021 at 04:35 | Report abuse | Reply
  36. RfvbZisse

    buy 10 mg cialis https://cileve.com/ cialis in usa

    April 22, 2021 at 17:52 | Report abuse | Reply
  37. BbdfMile

    viagra after prostate removal https://gensitecil.com/ canadian viagra

    April 22, 2021 at 21:30 | Report abuse | Reply
  38. 40 mg tadalafil

    tadalis sx https://elitadalafill.com/ what is tadalafil

    April 23, 2021 at 00:12 | Report abuse | Reply
  39. LhdvZisse

    cialis tadalafil online paypal http://asciled.com/ – buy cialis online cialis online australia

    April 23, 2021 at 07:46 | Report abuse | Reply
  40. real estate for sale coeur d alene idaho


    April 23, 2021 at 15:56 | Report abuse | Reply
  41. RV Solar Panels Systems California

    You need to be a part of a contest for one of the most useful sites online. I'm going to highly recommend this web site!


    April 23, 2021 at 15:56 | Report abuse | Reply
  42. Forklift Cylinders


    April 23, 2021 at 15:56 | Report abuse | Reply
  43. JbsdEncox

    ED Trial Pack https://onlinecanda21.com/ cheap prescription drugs online

    April 24, 2021 at 01:26 | Report abuse | Reply
  44. RfvbZisse

    cialis online shopping http://cileve.com/ cialis without presciption

    April 24, 2021 at 05:02 | Report abuse | Reply
  45. JbsdEncox

    canadian pharmacies online prescriptions Viagra buy online prescription drugs

    April 24, 2021 at 05:02 | Report abuse | Reply
  46. international truck repair shop near me

    Having read this I thought it was rather informative. I appreciate you taking the time and energy to put this information together. I once again find myself spending way too much time both reading and leaving comments. But so what, it was still worth it!


    April 24, 2021 at 06:22 | Report abuse | Reply
  47. RV Plumbing Riverside


    April 24, 2021 at 06:29 | Report abuse | Reply
  48. GvdbCrulk

    tadalafil indications https://boxtadafil.com/ – tadalafil tablets ip 20 mg lilly tadalafil

    April 24, 2021 at 07:35 | Report abuse | Reply
  49. RV Remodeling Los Angeles

    It’s hard to come by well-informed people about this topic, however, you seem like you know what you’re talking about! Thanks


    April 24, 2021 at 19:45 | Report abuse | Reply
  50. home for sale near my location

    The next time I read a blog, I hope that it doesn't fail me as much as this particular one. After all, Yes, it was my choice to read, but I truly thought you would probably have something useful to say. All I hear is a bunch of whining about something that you could fix if you were not too busy seeking attention.


    April 24, 2021 at 20:17 | 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.

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.