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Secrets of Schizophrenia and Depression "Unlocked"

Oracle Goddess writes "According to the US National Institute for Mental Health in Bethesda, Maryland, scientists have discovered a remarkable similarity between the genetic faults behind both schizophrenia and manic depression in a breakthrough that is expected to open the way to new treatments for two of the most common mental illnesses, affecting millions of people. Previously schizophrenia and depression were assumed to be two separate conditions, but the new research shows for the first time that both have a common genetic basis that leads people to develop one or the other of the two illnesses."

76 of 334 comments (clear)

  1. Thanks by Anonymous Coward · · Score: 2, Funny

    i'd like to thank Steve Ballmer for making himself available for this important breakthrough.

    1. Re:Thanks by eldavojohn · · Score: 3, Informative

      i'd like to thank Steve Ballmer for making himself available for this important breakthrough.

      Steve says, "show yourself, human!"

      --
      My work here is dung.
  2. This is a very interesting finding by BadAnalogyGuy · · Score: 5, Funny

    No it isn't, you moron. These people are lying. They're all lying.

    1. Re:This is a very interesting finding by Anonymous Coward · · Score: 3, Funny

      BadAnalogyGuy forgot to take his lithium today.

    2. Re:This is a very interesting finding by BadAnalogyGuy · · Score: 2, Funny

      Shut up. Shut up! SHUT UP!

    3. Re:This is a very interesting finding by Maxo-Texas · · Score: 3, Funny

      We are very happy that a solution has been found. REALLY HAPPY!!!!!!!!!! JOY AND BUTTERFLIES OH THE WORLD IS WONDERFUL ...

      oh what the heck, there is no point, I might as well just give up.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
    4. Re:This is a very interesting finding by Anonymous Coward · · Score: 3, Informative

      You seem to have the same faulty knowledge of Schizophrenia as most. What you are talking about is something like Dissociative identity disorder. Being Schizophrenic doesn't mean you have multiple personalities. I should know as I'm Schizophrenic myself.

    5. Re:This is a very interesting finding by sy5t3m · · Score: 2, Funny

      I communicate with the voices in your head!

    6. Re:This is a very interesting finding by Zencyde · · Score: 2, Funny

      Tom?

      --
      What day is it? Could you please tell me?
  3. I used to be schizophrenic by jayme0227 · · Score: 3, Funny

    But we're all better now.

    I know, I know, that's dissociative identity disorder, but you still laughed. Maybe.

    --
    But then I realized the cable was blue, so I only gave it one star. I hate blue.
    1. Re:I used to be schizophrenic by schon · · Score: 2, Funny

      I know, I know, that's dissociative identity disorder, but you still laughed.

      Roses are red,
      Violets are blue,
      I'm schizophrenic,
      And so am I.

    2. Re:I used to be schizophrenic by geekoid · · Score: 4, Funny

      I was until I shot myself in the head after destroying the nations credit system.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  4. It's Not a "Disease" by RobotRunAmok · · Score: 3, Funny

    It's an Orientation.

    Get with the program.

    1. Re:It's Not a "Disease" by IflyRC · · Score: 3, Informative

      I just want to be able to marry myself and file myselves as a depedents.

  5. Warning by Anonymous Coward · · Score: 3, Funny

    BadAnalogyGuy (945258) is a scientologist.
    If he contacts you about a free personality test, firmly refuse him.

    1. Re:Warning by BadAnalogyGuy · · Score: 5, Funny

      You're glib. You don't know the history of psychiatry. I do.

    2. Re:Warning by MindKata · · Score: 2, Insightful

      "You're glib. You don't know the history of psychiatry. I do."

      BadAnalogyGuy, judging from your other posts on this thread, you sound like you've probably got more drugs in you than Amy Wine-warehouse on a "I've just forgot the world getting high day" (Its a national holiday in Amsterdam), so I guess you were probably there when they opened Bethlem as a hospital in the 13th century. ;)

      (Bethlem as in i.e. ... http://en.wikipedia.org/wiki/Bethlem_Royal_Hospital)

      (See humor and a relevant educational history lesson all in one neatly packaged post ;)

      --
      There are 10 kinds of people in the world... those who understand binary and those who don't.
    3. Re:Warning by RichardJenkins · · Score: 2, Funny

      You're glib.

      You mean he provides the core object system used in GNOME?

  6. Downside by Ukab+the+Great · · Score: 4, Funny

    This could be very bad for the tin foil hat industry.

    1. Re:Downside by camperdave · · Score: 2, Informative

      No. It's real tin. They WANT you to put on tinfoil hats. That's because they've got UNDERGROUND SENSORS and the tinfoil hat makes a PERFECT PARABOLIC DISH that focuses on the brain. NEVER step on those grates in the sidewalk.

      --
      When our name is on the back of your car, we're behind you all the way!
    2. Re:Downside by damien_kane · · Score: 2, Funny

      If you are truly paranoid though, you extract your own tin and make it into foil then fold the foil into hats. Its the only way to be sure.

      No, the only way to be sure is to nuke the site from orbit. Yours is a distant second, though.

  7. Need to slow down when reading the article titles by Minwee · · Score: 4, Funny

    "Achievement unlocked: Secrets of Schizophrenia and Depression!"

  8. I find it highly dubious by ihatewinXP · · Score: 3, Informative

    ... how would you determine how they are related in the first place if you dont RTFA? Especially given the complexity of these issues in their relation to your understanding of them.

    There, fixed it.

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    ---- The real Slashdot is still here. You just have to browse at -1 to read the comments.
  9. Science for the win! by geekoid · · Score: 2, Insightful

    More articles like this one, please.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    1. Re:Science for the win! by cool_story_bro · · Score: 4, Informative

      I just wish the summary were better. The title and summary use Depression and Manic Depression interchangeably, which is just dead wrong.

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      You must wait a little bit before using this resource; please try again later.
  10. manic depression is biopolar disorder by Anonymous Coward · · Score: 5, Informative

    ... it is not the 'depression' you may be lead to believe.

  11. Re:I find this highly dubious... by $RANDOMLUSER · · Score: 4, Funny

    Statistical correlation. You know, like the link between tooth-brushing and intravenous drug abuse.

    --
    No folly is more costly than the folly of intolerant idealism. - Winston Churchill
  12. Clarification by Peregr1n · · Score: 2, Informative

    That would be CLINICAL depression. As in, the type caused by a chemical imbalance in the brain; as opposed to the type caused by your wife leaving you.

    1. Re:Clarification by $RANDOMLUSER · · Score: 5, Funny

      No, that would be elation.

      --
      No folly is more costly than the folly of intolerant idealism. - Winston Churchill
    2. Re:Clarification by russotto · · Score: 4, Informative

      That would be CLINICAL depression. As in, the type caused by a chemical imbalance in the brain; as opposed to the type caused by your wife leaving you.

      Despite the drug company propaganda, there's no objective test to distinguish the two. In general the levels of neurotransmitters in a patient's brain aren't measured anyway... and even if they were, there's no available way to tell if the levels were what they were because of some physical issue, or if they're that way because your wife left you.

      However, TFA is talking about bipolar disorder, which is not the same as clinical depression.

    3. Re:Clarification by mcgrew · · Score: 2, Informative

      The type cause by your wife leaving you is called "adjustment disorder with depressed mood", and they'll prescribe the same drugs as they prescribe for depression (SSRIs like Paxil and Zoloft).

    4. Re:Clarification by Hurricane78 · · Score: 3, Informative

      Exactly. Especially in times, where people prefer to take meds, instead of healing their problems, it should always be made very clear, that there is a huge difference between genetic disorders, and environment-based disorders. And that there also is a huge difference between intoxication (bad food, toxic waste, polluted nature, etc) and purely psychological influences (evil people, mind-boggling events, wars, extreme mobbing, and especially bad parents).

      Because the last one can't be cured by and medicine at all! At least not in your lifetime.
      It can only be partially overlayed, and numbed down, having more bad than good effects.
      That kind has to be treated with a proper psychotherapy. With the help of someone, who does not fear to take you at the hand and help you go to the deepest and darkest place in your soul, to face it. Luckily this has a very good chance of really healing you.

      But the genetic kind of course can only be treated with meds.

      It is very important to make this distinction, for sure.

      --
      Any sufficiently advanced intelligence is indistinguishable from stupidity.
    5. Re:Clarification by mcgrew · · Score: 2, Interesting

      That's entirely correct, at least in my case. I'd have been far better off riding out the pain than taking the Paxil. The worst part was, they took me off Paxil right as I and my then-teenaged daughter were moving out of my foreclosed home into a tiny apartment. "My ROOM was bigger than this apartment," she wailed.

      The thought of what it would do to my kids and especially my parents if I killed myself is the only thing that kept me alive. Suicidal thoughts are one of the withdrawal effects of Paxil.

  13. Re:I find this highly dubious... by ColdWetDog · · Score: 4, Informative

    I know this is Slashdot and all, but that is rather the point of TFA. In fact, for a change, it does a reasonably good job.

    Recommended.

    --
    Faster! Faster! Faster would be better!
  14. Manic Depression is awesome by grub · · Score: 5, Interesting


    When I on lithium (~15 years ago) I found my creative spark had gone. Sure, the window of emotion had narrowed considerably, but the super-fast mental edge was lost. That made me even more depressed when the time came. Spoke with my doc, dropped all the meds (but can get lithium if I become Superman again)

    If you can harness it, manic depression is wonderful thing.

    Posted non-anonymously because it's not embarrassing or a big stigma.

    --
    Trolling is a art,
    1. Re:Manic Depression is awesome by Xaedalus · · Score: 2, Interesting

      Kudos to you for posting w/ your name. I agree, IF you can harness it then yes, it can be a wonderful thing. The sticky point is being able to harness it.

      --
      Here's to hot beer, cold women, and Glaswegian kisses for all.
    2. Re:Manic Depression is awesome by grub · · Score: 3, Interesting


      The sticky point is being able to harness it.

      Yep, that's the kicker.

      When I spoke with the doc I told her my concerns. Things/answers/analysis/even jokes which would have come to me in a flash actually took mental work. Maybe it's parallel to how Alzheimer's patients start to feel, hope I never know.

      In any case, the high end isn't usually the problem, it's the bottoming out that comes. I take reasonable care of myself and overall it's worked out well. Hey, I've just had the past 15 years virtually med free. I shudder when the idea of Me taking all those meds during that time being just a functioning zombie.

      --
      Trolling is a art,
    3. Re:Manic Depression is awesome by grub · · Score: 2, Insightful


      Are you in a mania right now?

      Nope. Remember that different people have different 'windows'. When the bottoming out came it was pretty shitty, slept all the time, would bawl my eyes out for no reason, etc. But I wasn't seriously suicidal.

      The past many years have had a few odd low ends but nothing as drastic as when I was in my late 20's. Part of the problem with the low end was self-medicating with booze or non-pharm drugs. Nowadays if I feel even remotely bummed out I won't touch a drop of booze, it may not make things necessarily rosey right away but it won't lower me further into the pit.

      --
      Trolling is a art,
    4. Re:Manic Depression is awesome by BadAnalogyGuy · · Score: 4, Interesting

      Not to be glib, but couldn't it just be part of the disease to feel that the medicated state is unnatural? Whereas you feel muted when on the medicine, it is actually the way most people feel all the time?

    5. Re:Manic Depression is awesome by ae1294 · · Score: 2, Funny

      it is actually the way most people feel all the time?

      and he should really care how "normal" people fell why????

      fuck normal... give me bat shit crazy and totally happy any day....

    6. Re:Manic Depression is awesome by grub · · Score: 2, Funny


      heh heh heh, don't get all depressed over it. Life's too short... :P

      .

      --
      Trolling is a art,
    7. Re:Manic Depression is awesome by geminidomino · · Score: 2, Interesting

      I envy you then.

      While mania makes me a lot more productive, since I don't sleep but 2-3 hours a night for a few weeks, it's not really worth it. My mind starts going so fast, I get dysphasic and develop a stutter, become even more ornery than I normally am because they're interrupting my brilliant works (even something as trivial as tweaking my mythbox's remote settings), and spend way too much money.

      But nothing is as bad as the mixed episodes... Being depressed enough to off oneself at the same time as being hyper and judgement-impaired to actually start going through with it... that is some scary shit...

    8. Re:Manic Depression is awesome by ColdWetDog · · Score: 3, Informative

      Not to be glib, but couldn't it just be part of the disease to feel that the medicated state is unnatural? Whereas you feel muted when on the medicine, it is actually the way most people feel all the time?

      Well, the medicated state is unnatural. And there are certainly people who feel 'muted' much of the time and the tolerance to mood swings is quite varied among folks. Lots of bipolar patients like the "up" when the can handle it. Everybody seems to hate the down part and it can be rough to cycle up and down quite a bit. The differences between monopolar (clincal, classical, typical depression) and bipolar disease aren't all that great and there is no strict line between "normal" and a "disease" state. Sometimes it's really obvious and much of the time it isn't.

      IMHO (and IAAMD) the term "antidepressant" is a big misnomer. They are really mood stabilizers, ala lithium. They do flatten both the ups and downs and they do interfere with creative energy and ability. If you look at the personal lives of many creative people, both in the sciences and arts and in fact in much of the religious sphere, you can discern clear DSM-IV diagnoses. They are 'mentally ill' by our current definitions. And if you look at their often short lived, self destructive lifestyles it's easy to believe that.

      There currently is no such thing as a free lunch when it comes to neuropsychiatric drugs - they're really more like hand grenades then rifle bullets. They hit the target, but often cause collateral damage. Whether and how much and what you should take is often a long term, complicated dance between the patient, the physician and occasionally the courts.

      --
      Faster! Faster! Faster would be better!
    9. Re:Manic Depression is awesome by tbuskey · · Score: 2, Insightful

      Well, the medicated state is unnatural.

      I can agree with you there.

      IMHO (and IAAMD) the term "antidepressant" is a big misnomer. They are really mood stabilizers, ala lithium. They do flatten both the ups and downs and they do interfere with creative energy and ability.

      I've been suffering from clinical depression for over 10 years. I've tried a number of different medications due to side effects and the meds no longer working. Now this is for depression, not bipolar so I might be way off from what you're talking about.

      I mainly experience the meds making it possible to be happy. With the depression, it just doesn't seem possible. But I haven't had problems with my creative energy or ability while on the meds.

      Without the meds, I have no creative ability so there's no peak. With the meds, its possible to have a peak.

    10. Re:Manic Depression is awesome by curunir · · Score: 2, Interesting

      But I cannot believe so many of us have brains that need chemical help to function adequately.

      I don't think it's that people need these drugs to function adequately, I think it's more of a coping mechanism for a lifestyle that we're just not well adapted to. Our society is so overstimulated that many people can't cope with it over long periods of time. For many people, this results in a constant level of stress. And not the touchy-feely stress that people talk about, stress that directly leads to the release of certain chemicals, like adrenaline, in our bodies that are intended for short-term use in survival situations.

      My personal belief is that the majority of the people on anti-depressants would get better if they could remove as many of the stress-causing elements of their lives. For example, ditch the cell phone, TV and limit yourself to only a couple of hours in front of a computer each day (including work), and I think a lot of people would find they don't need the drugs. Unfortunately, these kinds of lifestyle changes just aren't feasible for most people so the drugs end up being used as the coping mechanism.

      So I agree with you that most people do not need these drugs in an absolute sense, but I do believe that so many people need them in the context of the lives they're living.

      --
      "Don't blame me, I voted for Kodos!"
  15. Depression vs. Bipolar by david_thornley · · Score: 4, Informative

    The summary seems to confuse being depressive with being bipolar (i.e., manic-depressive). Clinical depression is a common problem, and is generally treatable to some extent with drug and cognitive therapy. Last I checked, bipolar was much less common and a lot less treatable.

    So, it isn't going to lead to new treatments for two common problems. It may well lead to new treatments for two problems, one of which is distinctly less common. Those who are clinically depressed but not bipolar may well not benefit at all.

    --
    "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  16. Nice to see the worst elements of /. are here by NoNeeeed · · Score: 3, Insightful

    With three comments, this article has already been tagged with "nutjobs".

    Grow up. Chances are you know someone who has (or will develop) one of these conditions to some degree, even if you don't know it (which is likely if you are that much of a jackass, they probably wouldn't tell you).

    I don't normally do angry rants, but sometimes I'm surprised by the juvenile and compassionless attitudes of some people on /.

    1. Re:Nice to see the worst elements of /. are here by geekoid · · Score: 4, Funny

      That was your angry rant? Man, you need some practice~

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    2. Re:Nice to see the worst elements of /. are here by xednieht · · Score: 3, Funny

      Since one of the symptoms is "purposeless agitation" it would seem that /. is a schizo-magnet.
      Not me of course since the voices told me I wasn't.

      --

      Hope is the currency of fools
    3. Re:Nice to see the worst elements of /. are here by Maxo-Texas · · Score: 4, Funny

      He would probably give an angrier rant if not for the meds.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
  17. Re:Need to slow down when reading the article titl by neowolf · · Score: 4, Insightful

    The title is a bit misleading. There is a big difference between Depression and Bipolar/Manic-Depressive disorders.

  18. Re:I find this highly dubious... by geekoid · · Score: 4, Insightful

    Just becasue they are complex doesn't mean the information can't be found.

    Just becasue something is unknown doesn't mean it's unknowable.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  19. Important findings by Cluster2k1 · · Score: 2, Interesting

    Anything that sheds new light onto Schizophrenia and related disorders is very welcome. It's heart breaking to watch someone close to you go through Schizophrenia symptoms. It's not the funny Hollywood version of split personalities. People suffering the disorder believe they are incredibly important (on a world scale), that they're on a special mission, they're related to Jesus, that others are coming to commit harm. Most of all, they can't tell you who sent them on the 'mission' or why. They sometimes turn on friends and accuse them of literally giving the disease. The paranoia accompanying the illness can reach critical levels. Saddest of all, a person with Schizophrenia does not believe they have a problem. They believe everyone else is either wrong, out to get them, or 'just doesn't understand.' Getting a sufferer to realise anything is wrong, let alone getting them to accept medical treatment is a real trial.

  20. Re:So what is it? by mcgrew · · Score: 5, Informative

    Indeed, the disease is no longer called "manic depression". It's "bipolar disorder" now. And BTW, schitzophrenia is not multiple personalities, that one is called "disassociative identity disorder". Schitzophrenics experience delusions, like changing their memories of a movie or TV show into memories of their own life experience; or hallucinations, like hearing voices in their heads telling them what a terrible person they are.

    Depression is a completely different disease and often leads to suicide and usually leads to drug or alcohol abuse, although the metal health industry usually blames the substance abuse for the depression that started before the substance abuse did.

    You meet a lot of crazy people in bars. One guy I saw in a bar said "I'd rather have a bottle in front of me than a frontal lobotomy".

  21. Re:I find this highly dubious... by cowbutt · · Score: 3, Informative

    Similarity of some symptoms, medication that is effective for both conditions, a history of one or other condition in a person's ancestry...

  22. Re:Need to slow down when reading the article titl by geekoid · · Score: 3, Insightful

    Awesome. I have saidf for a while that will be the killer app for future devices. uilt in achievments, as well as achievements that can be added.

    Achievement unlocked! you ahve walked 1,000,000 steps.
    Achievement unlocked! You have run a 10 minute mile! next achievement, 8 minute mile.

    You have listened to your 10000 th minute of music.

    And so on.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  23. This is what is being done now... by bogaboga · · Score: 2, Informative

    In order to treat these conditions, ECT is the tool of choice these days. It has its own detractors (me inclusive) for I do not see how inducing a seizure helps an individual.

    Worst of all you could lose all your memory. There was a story of a lady who did not remember anything about her clothes and wondered who had put "foreign" clothes in her closet. In another case, a former doctor could not remember who the hell he was after the procedure. Scary indeed.

  24. In perspective by tgibbs · · Score: 4, Informative

    Just to put this in perspective, this is not a gene, but just a region of a chromosome. And the association with any particular locus is weak, so it doesn't look like it is strong enough for diagnosis or prenatal testing. Even when the gene is identified, going from a gene to a treatment tends to be very difficult. We've know of genes for Huntington's Disease and Alzheimer's Disease for years, and while this has inspired a lot of promising research, so far this knowledge has not yet resulting any major improvements with respect to treatment or prevention.

    Moreover, finding that the same genes are involved does not necessarily mean that the diseases are the same, because genes can be "broken" in multiple ways.

    The idea that there is a relationship between schizophrenia and bipolar disorder is not actually new, as there are some people who exhibit characteristics of both disorders, and some people diagnosed with one respond to drugs that are commonly used to treat the other. So this basically adds a bit more evidence to a long-standing suspicion.

    1. Re:In perspective by tgibbs · · Score: 2, Interesting

      I have a longstanding theory that I admittedly have not done enough research into trying to find it I am way off base or not...but I firmly believe that all too often the physicatric community is so focused on Serotonin being what causes feelings of depresssion when quite often it could very well be the delicate Dopamine/GABA balancing act.

      A long-standing puzzle is that SSRIs enhance serotonergic transmission pretty much immediately, yet it takes weeks for the effects on mood to emerge. Contrast that with stimulant drugs that enhance dopamine release or inhibit uptake, which enhance mood pretty much immediately (ask anybody who has tried cocaine). This has led to a widespread suspicion that it is not enhanced serotonin transmission per se that relieves depression, but rather some downstream regulatory change that occurs in response

  25. I hope this brings things closer to a treatment. by Anonymous Coward · · Score: 5, Interesting

    I hope this brings things closer to a more reliable form of treatment. I grew up with three (yes, 3) women with schizophrenia, and the drugs only muted the symptoms. I (amazingly) don't have the disease myself. My mom and grandma, who I lived with the first ten years of my life, had noticeable symptoms...I'd get told to do things that didn't make sense to me. I'm a rather geeky and analytical girl, and it is very frustrating when the adults in your life tell you things that *make no sense*, and there's nobody around *without* the disease to talk to. They tried to "protect" me from the "ghosts" on one hand, so I'm sure they cared for me in their own way, but on the other hand my mom would attack my grandma because my grandma (who was a heavy smoker and had issues with her lungs) was "talking under her breath". (She wasn't.) Pretty terrifying to see when you're five years old. I wasn't allowed to go to friends' birthday parties if they were in a certain town that, some hundred years ago, had been the former county seat, because apparantly folks from that town were still pissed off at our town and would try to hurt me (this is the paranoia part of paranoid schizophrenia showing). I wasn't allowed to wear the color red, eat strawberries, or get ice cream from the ice cream man truck. My mom would randomly become enraged at my friends dads simply since they were male, so I'd be cut off from friends randomly. My aunt had less noticeable symptoms, but the disease made her a target for an abusive husband, and of course I was exposed to that when I went to live with them as an 8th grader (my mom went back into the mental hospital, and my grandma had died when I was 10). I finally ran away at 16 and went into the state ward system, which was much, much better since I could make decisions for myself, instead of having to obey people who made no sense.

    Schizophrenia sucks. It sucks for the person having it, since you can't hold down a job, and it sucks for the family that has to put up with it.

  26. DSM diagnostic criteria: by circletimessquare · · Score: 2, Informative

    poor impulse control, disinhibition, lack of concern for others, overly aggressive emphasis on one's own pleasure

    this is the mental condition known as "internet troll"

    familiarize yourself with the Diagnostic and Statistical Manual of Mental Disorders entry for this particular disorder, and show some sensitivity to those affected

    your anger doesn't help in the care and treatment of the mentally altered. more compassion next time please for these poor suffering souls. thank you

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
  27. Duh by Areyoukiddingme · · Score: 3, Insightful

    Anybody who has had long association with a manic-depressive already knew this. I'm related to one. The first time, he went completely manic. Didn't sleep for a week, etc. The last time he went around the bend, he DIDN'T go manic-depressive. He went paranoid schizophrenic. I can't believe any competent clinician hadn't already noticed that the same patient can easily exhibit symptoms of both, even at the same time. Given that both are caused by imbalances in brain chemistry, and given that the same patient can be both, how big of a leap is it to notice that they're really just different manifestations of the same problem?

    He's much better now, though he still prefers his own flights of fancy to reality. But at least he's capable of distinguishing the two again. After over a decade of on-again off-again lunacy, he's finally decided to take his meds regularly, and he, his therapist, and his mother have found an effective dosage (of Depacote, for the morbidly curious. The stuff works very well, IF, and I repeat IF the dosage is precisely correct. Too little does nothing. Too much ruins the patient's ability to stay awake, let alone function.) It is perhaps telling that regardless of whether he was manic, depressive, paranoid, or schizophrenic, his therapist wanted him to use Depacote. Practitioners already know that the same drug can treat a patient with any of those symptoms.

    So, at the risk of repeating myself... duh?

    1. Re:Duh by Reziac · · Score: 2, Interesting

      I've been saying for years that they are not separate disorders but rather a continuum, with OCD at one end, bipolar in the middle, and schizo at the other.

      I've also noted a cyclic pattern -- typically a crazed episode, followed by a brief apologetic period, then some unpredictable time of being apparently-normal. If the cycle is not interrupted, or if it is in any way enabled, it trends toward worse with each cycle.

      I also content this: ALL children are schizophrenic, and progress thru bipolar and OCD phases as they mature. NORMAL children eventually leave all of these behaviours behind. We notice people "going wrong" in their teens and twenties not because they are "getting sick" but because they are failing to outgrow these normal childhood behaviours, which don't work so well once you leave the nest.

      --
      ~REZ~ #43301. Who'd fake being me anyway?
    2. Re:Duh by Reziac · · Score: 2, Interesting

      I've known a number of schizophrenics who were sufficiently low-key that they would never be diagnosed -- but in some way they don't relate properly. The low-key ones don't necessarily hear voices, but they may have other issues, like "feeling like my skin is crawling" when stressed. Some fake normal so well that you have no idea there is a problem -- til you realise there's a coping mechanism at work, such as rehearsing every action til it's "perfect" to avoid embarrassment... and completely losing it (eg. panic attack) when 'caught' being imperfect.

      Two strong common factors are a black/white mentality (inability to deal with shades of grey) and a need to be the center of attention, while simultaneously never ever being *seen* to do anything 'wrong' or otherwise embarrassing. Being 'caught' at being wrong is the single most reliable trigger for a bad episode, for those that do have episodes (not all seem to).

      I started putting that together with kids when I realised that kids do so many of the same behaviours, but in kids we think it's just -- being kids. And it is NORMAL in kids -- until they outgrow it. You can probably predict which kids will NOT outgrow it by observing which are most intolerant of adults interfering with the way they order their small worlds, those that cannot cope with ordinary embarrassments, etc.

      Ever notice kids ordering all their books or toys just so, and getting terribly upset at someone who disorders them? Disorder something an adult OCD has fixated on and watch the same behaviour erupt. OCD in this form is a need to pigeonhole everything, because grey areas cannot be dealt with.

      Ever notice how almost all teenagers have manic and nadir periods, sometimes with only the most trivial trigger?

      Ever noticed little kids playing with imaginary friends?? How many actually think they hear those 'friends' talking??

      Failure to outgrow all this, lack of the chemical triggers that comprise adult behaviour, is what I'm talking about... and if it isn't outgrown, it gets worse, since it doesn't work in Adult Life, and the automatic defense mechanism is to BE EVEN MORE NUTSO.

      And then yes, there is that disconnect from reality -- in the clinical cases. But I've known enough socially-functional schizos that I now believe the clinical/obvious cases are a minority, and that it is actually about 10x more widespread than that -- but we chalk it up to someone being odd or childish rather than recognising that it is a failure to mature compounded by adult stresses. (The math and programming communities are rife with the behaviours... but note that both professions are fundamentally "pigeonholing the universe" ie. OCD.)

      --
      ~REZ~ #43301. Who'd fake being me anyway?
    3. Re:Duh by lwsimon · · Score: 2, Informative

      I think you're dead on. I had serious issues coping in college, and these days, I believe I am what you call a "socially-functional" case.

      I have bordered on schizophrenia in the past - I have felt my own thoughts race and become uncontrollable, and turn to topics that didn't seem to follow (as if someone else was in control). In my case, I knew that could not be the case, and held tightly the idea that it was a chemical issue. Over time, and with the help of medication (Lexapro and Abilify, for the curious), I learned to stop those lines of thought before they got out of control.

      I hate being wrong - I've learned to deal with it in a professional capacity largely by disconnecting my internal dialogue and my external presence. I may be raging or crawling under the table inside, but as long as I focus on maintaining a professional composure on the outside, I can simply wait it out.

      When I was very young, I remember getting sheets of stickers and not using them, because I couldn't bear the thought of a full sheet with one missing - so I never used the first one. If I was given a half sheet, there would be stickers all over the house ;)

      I'm willing to talk about it if anyone is interested. I can honestly say that managing this has been the greatest challenge in my life so far. I still live with the financial consequences of my actions when I was not yet in control, so it is a bit of an emotional trigger, but I'm happy to do so if it could help someone else live through the same type of thing.

      --
      Learn about Photography Basics.
  28. Awesome but... by XPeter · · Score: 2, Funny

    Slashdot won't be helped until the secrets of Aspergers Syndrome are "Unlocked"

    --
    "The difference between genius and stupidity is that genius has it's limits" - Albert Einstein
  29. Re:I find this highly dubious... by UncleTogie · · Score: 4, Insightful

    ... how would they determine how they are related in the first place? Especially given the complexity of these issues in their relation to the central nervous system.

    Same way they diagnose people. They guess.

    Psychiatry is the only industry where someone can present the same affect to 10 shrinks and get 10 different diagnoses. Trust me on this.

    ...and no, no Dianetics, e-meters, or Xenu for me, thanks for asking.

    --
    Don't tell me to get a life. I'm a gamer; I have LOTS of lives!
  30. A return to the pre-Thorazine days by benwaggoner · · Score: 2, Interesting

    Interesting.

    Back before psychopharmaceuticals, schizophrenia and depression were thought to be very similar or even the same thing. It was only once we had Thorazine (first antipsychotic) and then later tricyclics (first antidepressents) that in the clinical settings schizophrenia and depression began to be sorted much more distinctly, essentially based on the kinds of patients that got better with antipsychotics versus those that got better with antidepressants.

    It's pretty common for diagnostic definitions to align with successful treatment methadologies, since "what will help" is the fundamental answer that diagnosis hopes to lead to.

    Sounds like we're now getting back to the perspective of a half-century ago.

  31. Re:So what is it? by Lemming+Mark · · Score: 4, Insightful

    schitzophrenia [sic] is not multiple personalities, that one is called "disassociative identity disorder"

    Yeah but hillbillies want to be called 'Sons of the Soil', but it's never going to happen....

    I'm not sure where you're going with that one... Sure, in general usage a language is defined by the whims of the people who speak it. But when it's technical jargon - in this case medical jargon - the technical definition, as opposed to "what everyone calls it" is rather important! I've had friends who call a CRT monitor "the computer", yet my CRT is still unable to function without the part that the geeks refer to as "the computer". Sometimes the commonly used phrase can be technically wrong and therefore misleading, despite the fact that it's popular.

    There's also a wider point at stake here: in general, we reserve the right to change the generally accepted meaning of words in the English language (presumably ditto for most other living languages) according to what most people understand them to mean. This typically does not happen in the same way within technical disciplines; physicists draw a distinction between "speed" and "velocity" and show no signs of changing. Usually what terms the techies appropriate to mean something very specific does not affect the rest of us - there's not much point in me labouring the distinction between monitor and computer with my friends, since the misunderstanding doesn't really hurt anyone. This is not the case for medical terminology, where the name of the disease tends to become a label for the sufferers in discussion, as well as a convenient way for a sufferer to explain their condition to an interested third party. The names of diseases have specific technical meanings to a Doctor but are often also used in everyday conversation between people explaining their health situation.

    Doctors aren't going to alter the names of diseases just because common usage often confuses a couple of them - it's technical jargon and there's no sense creating confusion in the medical community by changing that around. So it's up to the rest of us: do we want to stick the wrong label on an ill person because it's a generally accepted misunderstanding, or do we attempt to clarify the differences between disorders, knowing that a greater understanding and better use of the terminology is the only way the confusion will ever be resolved.

    I'm sticking with the latter approach since it raises public awareness of important issues, even though I know there will always be people who remain confused about the distinction.

  32. Comment removed by account_deleted · · Score: 2, Informative

    Comment removed based on user account deletion

  33. Re:So what is it? by arekmenner · · Score: 2, Informative

    I'm going to agree here, please change the slashdot headline and summary to reference Bipolar Disorder instead of Manic Depression and Depression. I'm not going to go on a holy war about calling it Manic Depression, that's at least acceptable, but please DO NOT refer to it as it is in the summary, purely as Depression. When people say Depression (without the manic qualifier), they usually mean Major Depressive Disorder or Dysthymia, totally separate illnesses from Bipolar Disorder. It is mainly for this reason that the old Manic Depression term was dropped, because it made people perceive them as two separate parts of the same entity. There has NOT been found in this article a link between Major Depressive Disorder and Schizophrenia, but between Bipolar Disorder and Schizophrenia. If someone could, please change this to suit. Also, for more proof this is the right way to go, note that the first article linked does not, surveyed via Ctrl+f, reference Depression once.

  34. Re:I find this highly dubious... by Gilmoure · · Score: 2, Funny

    I don' thing t'hose words mean whad you ting dey mean.

    --
    I drank what? -- Socrates
  35. Re:I find this highly dubious... by ElectricRook · · Score: 2, Interesting

    That's an interesting correlation.

    I find it easier to measure the "tooth to tattoo" ratio. Having been an EMT in a past life, I've observed that those who have more tattoos than teeth have a much higher likelihood of dying in an emergency room. Granted this is just a loose hypothesis based on my random observations. YMMV

    --
    - High Tech workers, please say NO to Union Carpenters, their Union sees fit to control our compensation.
  36. Re:I find this highly dubious... by electrons_are_brave · · Score: 3, Interesting
    how would they determine how they are related in the first place? Especially given the complexity of these issues in their relation to the central nervous system

    How "they" are related? By "they" you mean bipolar and schizophrenia? Apart from looking at the co-morbidity of the two conditions, they also use data from studies looking at rates in identical twins, non-identical twins, siblings who have various degrees of genetic overlap versus the overal prevelance. Plus, in a logical, theoretical sense there is diagnostic overlap -bipolar, in a severe from can include delusions, halluncinations, highly inappropriate behaviour, loss of inhibition, sleeplessness, irritability and paranioa, as can some forms of schizophrenia. Likewise, social withdrawal, lack of affect, hyposomnia ect which can occur in the depressed phase of bipolar can also occur in some sorts of schizophrenia. This is the same as any sort of medical diagnosis - both pneumonia, the flu and asthma involve breathing difficulties, so it's not too far fetched to think that there might be some common underlying mechanisms. So that points where to look.

    There's a lot more than this, of course. But epidemiology and reasoning are really the only is the only way you really can go, given that you can't ever get random assignment to conditions and can't "give" someone BP or schizo. So it's got to be correlation.

    If you meant something different by "they" then I'm not sure.

  37. I was going to RTFA... by Samah · · Score: 2

    I was going to RTFA but my other personality was too depressed.
    NO I WASN'T!
    Yes he was!
    Shut up you two!
    I think you ought to know I'm feeling very depressed...

    --
    Homonyms are fun!
    You're driving your car, but they're riding their bikes there.
  38. story by Gar-fonz · · Score: 2, Interesting

    I am not a student of the Psychiatric discipline. I have learned through my experiences and reflection to manage my thoughts. I was 'diagnosed' with Schizophrenia a few years ago, and took Risperdal for about 2 1/2 years. During the first six months of the 2.5 years, my dosage increased from 0.5 mg to 4 mg. I stopped taking the medicine in October, 2008. The voices returned in about 2-4 weeks. "People with schizophrenia have reduced brain receptors for the dopamine messenger. " from: http://www.independent.co.uk/news/science/unlocked-the-secrets-of-schizophrenia-1727987.html I believe that this is inconsistent with 'facts' that my ex-psychiatrist told me ( although I could be remembering wrong, which just creates the need to investigate the facts that scientists have found by means that, well, I do not possess knowledge of). I thought that Schizophrenia is a result of an overproduction of dopamine, oh, oops, now I get it.\ I think the Risperdal is supposed to suppress the production of dopamine, perhaps the surplus of the messenger creates the hallucination. For me, the hallucinations are (attempting mental reconstruction to change the present state of is to past tense) my interpretation of the source of the voices. I used to think that other people's thoughts were being transmitted into my mind. I honestly believed it was, just because the 'hear-think' (that's my term for the voices) always had personal information about me, and well, I was around people that would have facts to produce the analysis (negative at first...). I used to conclude that the voices were not invoked by my volition. Well, yeah, OK, whatever, let's shoot that one down. How do I know that it isn't just my brain using the presence of the those around me, to help me realize new perceptions on past situations in order to affect my future choices in a way that I perceive will increase my self-image. Typing of self-image, maybe my mind/soul/etc is just creating a way to reflect so that my volition doesn't have to be the naysayer. With my mind operating this way, I can now respond to the critique of the voices, as if I am holding a conversation in my mind. Oh yeah, one interesting thing about hear-think is that is seems to be occurring outside of my body, in a variety of locations in space. I hear male and female voices, with classic gender roles intact, with a varying degree of acuity in expression, tone, knowledge, and insight. I think the longest phrase lasted between 1-2 minutes. Another unusual occurrence is how in sync the voices can be with my surroundings, meaning that the voices will match body language of other people, and the hear-think seems to be originating from their bodies. I think that I am just imagining an interpretation. the real struggle for me was learning not to trust the voices by using scientific method, by testing their validity against family and friends. have heart.