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. LrbsEncox

    levitra shelf life http://uslevitraanna.com/ free levitra samples

    April 24, 2021 at 21:20 | Report abuse | Reply
  2. Forklift Parts

    http://gaggedtop.com/cgi-bin/top/out.cgi?ses=HuclLrT4Bb&id=117&url=https://wildwestlifttrucks.com/anaheim-forklifts

    April 25, 2021 at 00:17 | Report abuse | Reply
  3. real madrid total sportek

    Therefore, it is not a tricky task for someone to get their hands on these sets.|Make sure ALL your players get the proper helping. Should you not get the loading phase ofbảng xếp hạng premier league the back arm correct, it's very difficult for your swing or throw to extract. There are thousands of online sports memorabilia sites.|Move the ball down industry 10 yards at a moment. eat increase the clock. Finally, no football bedroom would be complete without real footballs. At one end of the list will be most probable home profits.|The American odds furthermore called as money shapes. In 1935 the Heisman Trophy, was produced to be awarded to probably the most outstanding football player. Late Olayinka John (Ayogi) was the then coach of eleven brothers.

    https://messivietnamfans.com/

    April 25, 2021 at 11:56 | Report abuse | Reply
  4. vardenafil vs viagra

    is vardenafil in the va formulary https://vegavardenafil.com/ how does vardenafil work

    April 25, 2021 at 15:21 | Report abuse | Reply
  5. LrbsEncox

    levitra vardenafil http://uslevitraanna.com/ levitra cheap

    April 25, 2021 at 18:14 | Report abuse | Reply
  6. rv remodeling companies near me

    http://mailer.revisionalpha.com/includes/php/emailer.track.php?vinculo=https://ocrvcenter.com/motorhome-maintenance-near-me

    April 25, 2021 at 21:58 | Report abuse | Reply
  7. RV Camera California

    Good write-up. I absolutely appreciate this website. Continue the good work!

    http://library.cust.edu.tw/global_outurl.php?now_url=https://innovplay.com/gallery/emodule/477/eitem/440

    April 25, 2021 at 22:15 | Report abuse | Reply
  8. GvdbCrulk

    tadalafil xtenda https://boxtadafil.com/ – tadalafil 20mg tadalafil ebay

    April 26, 2021 at 00:35 | Report abuse | Reply
  9. FbsfEncox

    canadian pharmaceuticals http://uspharmus.com/ canadian pharmacy king

    April 26, 2021 at 04:04 | Report abuse | Reply
  10. bayern v real madrid

    High rep C&P is a reliable exercise but tend be difficult do along with a barbell.|This guy will be a top 5 fantasy football QB any time next season. Get going, with implausible prospects of becoming well-known on the inside world of football! Inside your deadlift in good form, you're fine.|The football draw game – uncommon juventus vs barca them don't you think so? But, most coaches focus on 40-speed when in reality increasing football game speed is the real key. Now it will continue to expand up as the great trade.|But, for a lot of guys, this can be in overabundance of 700-lbs.In addition to these not being big ticket items, do supporters really would like these football fundraising principles?|However, you are not satisfied the actual use of collection of merchandises may have.For example, the "E" Bell rings whenever Navy beats Army in most of the three seasons of divertissement.|Therefore if they play inside, they will have to inside the football field very small-scale.In the following practices select the tempo up and evaluate them once again.|A team that has internal problems and conflicts has chances of failure. Nowadays, all of us have access to information from anywhere they are looking. Now you should look in the forthcoming matches and compare the teams' ratings.|Over 24 years of coaching youth football I to be able to fortunate enough to have run successful programs. Load up sandbag and do full Cleans and the best press you can manage.

    https://realmadrid24.football

    April 26, 2021 at 10:53 | Report abuse | Reply
  11. LhdvZisse

    cialis online paypal payment http://asciled.com/ – cialis generika paypal buy cialis online overnight shipping

    April 26, 2021 at 16:24 | Report abuse | Reply
  12. AbdgEncox

    canadian king pharmacy http://canadianeve21.com/ pharmacy cheap no prescription

    April 27, 2021 at 04:36 | Report abuse | Reply
  13. impotence

    erectile function returns as copper decreases https://canadaerectiledysfunctionpills.com/ erectile diet

    April 27, 2021 at 07:41 | Report abuse | Reply
  14. AbdgEncox

    Fildena http://canadianeve21.com/ canada drug pharmacy

    April 27, 2021 at 17:47 | Report abuse | Reply
  15. homes for sale coeur d' alene idaho

    You're so cool! I don't believe I've read something like this before. So good to discover another person with some genuine thoughts on this topic. Really.. thanks for starting this up. This site is something that is required on the internet, someone with a bit of originality!

    https://pcweek.ua/bitrix/redirect.php?event1=&event2=&event3=&goto=http://meganleary.com

    April 27, 2021 at 21:06 | Report abuse | Reply
  16. three bedroom homes for sale near me

    http://www.firstamericanpaymentsystems.biz/__media__/js/netsoltrademark.php?d=www.meganleary.com

    April 27, 2021 at 22:34 | Report abuse | Reply
  17. la liga top goal scorers all time

    High rep C&P is a reliable exercise but tend be tough to do along with a barbell.|Individual will be a top 5 fantasy football QB the moment next season. Get going, with implausible prospects getting well-known in the world of football! If you deadlift in good form, you're fine.|The football draw game – rare to find real madrid fifa club world cup them it's really? But, most coaches focus on 40-speed when in reality increasing football game speed is the true secret. Now it will continue to expand up being a great corporate.|But, for a lot of guys, this can be in overabundance 700-lbs.In addition to these not being big ticket items, do supporters really want these football fundraising tips and hints?|However, you are not satisfied while using the collection of merchandises a person have.For example, the "E" Bell rings whenever Navy beats Army in most of the three seasons of baseball.|Therefore if they play inside, they'll have to create football field very smaller sized.In the following practices choose tempo up and evaluate them a lot more.|A team that has internal problems and conflicts has associated with failure. Nowadays, many people access to information everywhere they want. Now you need to look at the forthcoming matches and compare the teams' ratings.|Over 24 years of coaching youth football.

    https://juventusallstars.com/

    April 28, 2021 at 01:41 | Report abuse | Reply
  18. FbsfEncox

    shoppers pharmacy https://uspharmus.com/ online pharmacy no prescription

    April 28, 2021 at 03:46 | Report abuse | Reply
  19. RfvbZisse

    cialis 20mg pills https://cileve.com/ buy cialis no prescription australia

    April 28, 2021 at 12:59 | Report abuse | Reply
  20. canadian pharmacies ed pills

    average perscription pills taken by 65 year old canadian? https://canadapillstorex.com/ canadian pharmacies ed pills

    April 28, 2021 at 17:52 | Report abuse | Reply
  21. LhdvZisse

    where do you inject liquid cialis https://asciled.com/ free shipping for cialis from india

    April 29, 2021 at 05:06 | Report abuse | Reply
  22. poker online terpercaya

    Nice blog right here! Additionally your website quite a bit up fast!
    What host are you using? Can I get your affiliate link to your host?
    I wish my site loaded up as fast as yours lol

    April 29, 2021 at 16:16 | Report abuse | Reply
  23. poker server idn

    We're a group of volunteers and starting a new scheme
    in our community. Your site provided us with valuable info to work on. You've done an impressive job and our entire community will be grateful to you.

    April 29, 2021 at 20:38 | Report abuse | Reply
  24. BbdfMile

    female viagra pill walmart https://gensitecil.com/ how much is a viagra pill

    April 30, 2021 at 12:40 | Report abuse | Reply
  25. RfvbZisse

    cialis on line paypal payment http://cileve.com/ – rx party cialis cialis original

    April 30, 2021 at 21:23 | Report abuse | Reply
  26. JbsdEncox

    Tenoretic 100mg canada pharma limited canadian drugs

    May 1, 2021 at 13:20 | Report abuse | Reply
  27. JbsdEncox

    Plendil canada drugs pharmacy online canadian pharmacies top best

    May 1, 2021 at 16:58 | Report abuse | Reply
  28. viagra without a doctor prescription in canada

    pfizer viagra canada pharmacy https://canadaviagrastore.com/ canada viagra

    May 1, 2021 at 21:44 | Report abuse | Reply
  29. counterfeit canadian drugs cialis

    canadian pharmacy tadalafil viagara cialis https://canadacialisstore.com/ is it safe to order cialis from canadian pharmacy

    May 2, 2021 at 08:40 | Report abuse | Reply
  30. LrbsEncox

    glaxo levitra http://uslevitraanna.com/ levitra 20mg filmtabletten preisvergleich

    May 2, 2021 at 09:52 | Report abuse | Reply
  31. poker online terpercaya

    Hi there, every time i used to check weblog posts here
    early in the dawn, since i enjoy to gain knowledge of more and more.

    May 2, 2021 at 10:34 | Report abuse | Reply
  32. BbdfMile

    viagra online no prescription http://gensitecil.com/ – viagra government funded buy viagra online canadian

    May 2, 2021 at 14:49 | Report abuse | Reply
  33. nyx madrid

    The swing is an accessory exercising. Go with multiple sets of low to medium reps. Don't be afraid in order to Chelsea vs some real weight and go with sets of 4. These do best following much movement like deadlifts.Whether it is a basketball pick, or football or another sport pick, you ought to conservative. Your individual game of Football is often a national regular past time. Football betting is heavily because of various ideas.{But, let's clear reduced up.protein is merely food in liquid means.

    https://realmadrid24.football/chu-tich-perez-danh-gia-cao-ngoi-sao-nguoi-na-uy-martin-odegaard/

    May 2, 2021 at 16:01 | Report abuse | Reply
  34. RebfZisse

    cialis payment with paypal https://rcialisgl.com/ cialis no prescriotion

    May 3, 2021 at 11:05 | Report abuse | Reply
  35. BbshMile

    viagra cost https://loxviagra.com/ buy viagra in mexico

    May 3, 2021 at 15:09 | Report abuse | Reply
  36. buletin manchester united

    Watch the film and diagram almost any neighborhood mechanic play the c's runs including repeats. Which i Neymar use papers. Write down the play number and also the down and distance for the best of one's knowledge including caption each and every play our.e. I would write play 1, 1 and 10, Pitch Sweep Right and diagram the blocking assignments as executed and the backfield player numbers. To get playoff game I would take winds up time to jot down every player's number.

    https://bundesligafans.com/2021/04/22/sao-bayern-lot-vao-tam-ngam-cua-chelsea/

    May 3, 2021 at 16:09 | Report abuse | Reply
  37. LbsoZisse

    buy generic cialis online http://ucialisdas.com/ – cialis usa cialis super active 20 mg

    May 4, 2021 at 04:51 | Report abuse | Reply
  38. aralen price usa

    cloroquina 250 mg https://chloroquineorigin.com/ chlorowuine

    May 4, 2021 at 05:09 | Report abuse | Reply
  39. RV Body Shop Riverside

    http://www.tamron-objektivy.cz/redir.asp?wenid=8887&wenurllink=https://ocrvcenter.mobi

    May 4, 2021 at 15:40 | Report abuse | Reply
  40. international truck repair near me

    Hi, I do think this is a great website. I stumbledupon it 😉 I am going to return once again since i have bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to help others.

    https://google.kz/url?rct=j&sa=t&url=https3A2F2Fcommercialvanrepairshop.com&sa=D&sntz=1&usg=AFQjCNGaY_nlK9ozc51fqwjiVdMaYZL7rg

    May 4, 2021 at 15:45 | Report abuse | Reply
  41. aika private server

    https://maps.google.si/url?sa=i&source=web&rct=j&url=https://aikareborn.com

    May 4, 2021 at 16:03 | Report abuse | Reply
  42. Optometrist Phoenix Az

    An impressive share! I have just forwarded this onto a friend who has been conducting a little homework on this. And he in fact bought me lunch simply because I stumbled upon it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending time to discuss this topic here on your web site.

    https://clients1.google.co.za/url?rct=i&sa=t&url=https://arizonasvision.com

    May 4, 2021 at 17:14 | Report abuse | Reply
  43. RV Upgrades California

    Hello, I believe your blog might be having web browser compatibility issues. When I look at your web site in Safari, it looks fine however, when opening in Internet Explorer, it's got some overlapping issues. I merely wanted to provide you with a quick heads up! Other than that, great blog!

    https://maps.google.com.pg/url?q=j&rct=j&url=https://ocrv.pro

    May 4, 2021 at 17:46 | Report abuse | Reply
  44. aika private server files download

    Oh my goodness! Incredible article dude! Thank you, However I am encountering issues with your RSS. I don’t understand why I cannot join it. Is there anyone else getting identical RSS issues? Anyone that knows the solution can you kindly respond? Thanks!!

    https://maps.google.co.ck/url?q=https3A2F2Faikareborn.com&sa=D&sntz=1&usg=AFQjCNGaY_nlK9ozc51fqwjiVdMaYZL7rg

    May 4, 2021 at 18:29 | Report abuse | Reply
  45. GtnbCrulk

    viagra drug class http://jokviagra.com/ how does viagra work

    May 4, 2021 at 19:03 | Report abuse | Reply
  46. JebgEncox

    recommended canadian pharmacies https://pharmacylo.com/ pharmacy online prescription

    May 4, 2021 at 19:24 | Report abuse | Reply
  47. mercedes benz metris van

    Good article. I will be going through some of these issues as well..

    http://clients1.google.ee/url?sa=t&source=web&rct=j&url=https://boxtruckrepairshop.com

    May 4, 2021 at 19:32 | Report abuse | Reply
  48. Optometrist Phoenix

    Oh my goodness! Impressive article dude! Thanks, However I am encountering issues with your RSS. I don’t know the reason why I am unable to subscribe to it. Is there anybody else getting identical RSS problems? Anyone who knows the solution will you kindly respond? Thanx!!

    http://www.mel-belarus.com/__media__/js/netsoltrademark.php?d=www.arizonasvision.com

    May 4, 2021 at 19:55 | Report abuse | Reply
  49. JebgEncox

    Ditropan https://pharmacylo.com/ indian pharmacy online

    May 4, 2021 at 21:57 | Report abuse | Reply
  50. freedom vans

    https://local.google.com.co/url?sa=t&source=web&rct=j&url=https://boxtruckrepairshop.com

    May 4, 2021 at 22:05 | 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

Post a comment


 

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.

Archive
August 2011
M T W T F S S
1234567
891011121314
15161718192021
22232425262728
293031  
  • An error has occurred, which probably means the feed is down. Try again later.