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Genetics in Psychiatry

12 Aug 2009
Posted by Gene
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There are two main impacts of advancing fields of genetics on psychiatry.

First, we are just starting to understand the complexity that underlies the genetic basis of psychiatric disease. Only ~ 1500 genes are known so far. There are ~20000 uncharacterized genes in the human genome. These genes will be characterized and their roles in human health (including psychiatry) will be interpreted in the very near future (~5 years time). What we know about the genes and psychiatry is going to grow on a logarithmic scale. Therefore, genetic counseling in psychiatry is a tricky proposition. The psychiatrists probably will be seeing patients while looking up their genetic information using a a flash disc and a google like search engine.

Second, knowing that one is prone to a certain psychological disease genetically is different than knowing that one is prone to a common genetic disease. Knowing that you have bipolar or ADD(ADHD) diseases at a young age will have an impact of your social development during primary school. I have ADD and I somehow attended an IV league school for several years. Would I be able to do that if I knew my "disease" ahead of time during primary school years ? No, I do not think so. I would have been stigmatized and lost self confidence in academic issues during primary school. Should all the information regarding genes of psychology be directly translated to individuals ? A question to the point.

As far as psychiatry is concerned genetics is not a "plug it in and inform your patient" issue.