Why can we not do more to address psychiatric disorders? We have always regretted the lack of a robust model which links biological cause to behaviour (LSS 11 5 22;14 9 24 et al) Without this treatment can never achieve the same efficacy as it has for thousands of “physical” disorders such as infectious diseases, cancers or deficiency diseases.

Today It is our earnest hope that all this may be about to change. Read this Hidden links between psychiatric condition from Nature Briefing

DNA data from more than one million people suggests that the genetic risk factors linked to many psychiatric conditions fall into five clusters that cut across current diagnostic boundaries. For example, attention deficit hyperactivity disorder and autism, which are classified as separate conditions, both fall into the neurodevelopmental category. The findings hint that the fact that people tend to be diagnosed with multiple disorders at once is a reflection of shared underlying biology, and could help to create a more biologically based way of understanding psychiatric conditions.

Nature | 5 min read
Reference: Nature paper

If this work can be confirmed and extended, then it offers a tantalising possibility: this particular observable gene cluster is associated with this set of behaviours. And not another set of behaviours, which turn have their own identifiable gene cluster. Simple. Robust. Falsifiable. Empirical.  What’s more, the clusters seem to make a curious rule-of-thumb sense.  One for neurodevelopmental disorders such as ASD and ADHD. The second for internalising disorders such as anxiety, depression and so on. A third for compulsive ones like OCD and anorexia. A fourth for psychotic ones such as bipolar and schizophrenia   And a fifth for substance abuse disorders. Simply put , each cluster may have particular underlying neurological architecture. In which case the underlying mechanism may be discerned; and treatment found.

Now for the caveats. First of all, it’s early days and we need to see how the work holds up against existing diagnostic frameworks. Secondly, only a fool would rule out epigenetic and environmental contributions to psychiatric malfunction. As for the thought of any treatments based on the new findings-well, they have to be decades away if possible at all,.

And yet….to end on a personal note. Nothing is sadder, nothing so moves us as seeing yet another lost soul, another hopeless cry for help, in the face of a victim pf psychiatric disorder. And to know the terrible sufferings imposed upon themselves, their families, carers and the professionals who come up against them, which includes anyone from emergency service workers to housing professionals. And to know that nothing can be done, despite the whole of modern science and learning. But now, just maybe, we have a real game changer on our hands, There is something to pray for this Christmas.

#psychiatric disorders #mental health #medicine #neurology #health #society