Mood Instability Linked to Psychosis


Research drawing on the British national survey finds that, despite the fact that psychotic conditions and mood disorders have historically been approached as separate entities, “mood instability is a prominent feature of psychotic experience and may have a role in its genesis.” Specifically, baseline mood instability  predicted roughly a 2.5x greater risk of paranoid ideation and auditory hallucinations over 18 months, as well as mediating a significant portion of the total association of child sexual abuse with psychosis, persecutory ideation, auditory hallucinations.

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Marwaha, S., Broome, M., Bebbington, P., Kuipers., E.; Mood Instability and Psychosis: Analyses of British National Survey Data. Schizophrenia Bulletin. Online October 25, 2013. doi: 10.1093/schbul/sbt149

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].