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Re: what's in a diagnosis?

Posted by linkadge on November 11, 2017, at 9:03:18

In reply to Re: what's in a diagnosis?, posted by Christ_empowered on November 10, 2017, at 17:54:06

>More...whispers, a vague sense of unease and
>paranoia, apprehension. Like being haunted

These sound more like mood congruent symptoms than a primary disturbance in thinking and perception. Also, the fact that you can identify them / question them hints to the fact that as mood symptoms resolve, you recognize that the symptoms are not normal.

Unfortunately, schizophrenia is diagnosed more in individuals in the lower socioeconomic realm, and bipolar (or depression) in individuals of higher socioeconomic status. Schizophrenia is also more likely to be the diagnosis in certain racial groups (presenting with the same symptoms). This may be partly due to diagnostic biases; but it may also reflect association with risk factors that negatively impact disease outcomes.


The higher economic status may be associated with protective factors (lower stress, more access to supports, better nutrition, cognitive factors) which either improve the outcome, or it may induce a pressure to give a more 'socially acceptable' diagnosis.

Stress is a big risk factor in initiating a psychotic episode. Refugees, for instance, have a much higher rate of psychosis than the normal population. This may be associated with stress induced elevations in dopamine.

Linkadge


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poster:linkadge thread:1095814
URL: http://www.dr-bob.org/babble/20161215/msgs/1095828.html