Mood Instability Linked to Psychosis

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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]

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