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'Time to Rethink Disorders' continued...
In an interview with WebMD, Owen called the latest research very strong,
with major implications for how patients are managed.
"When someone receives a diagnosis of schizophrenia it is easy for
clinicians to overlook mood disorder and other symptoms that don't fit with
that diagnosis," he says. "The same is true for psychotic symptoms that
may occur in people labeled with a diagnosis of bipolar disorder."
He adds that it is important for clinicians to recognize that symptoms can,
and often do, change over time.
"Most patients don't fit neatly into categories, and the more questions
you ask the more likely you are to find a combination of psychotic and mood
symptoms," he says.
John H. Krystal, MD, of Yale University Medical Center and the VA
Connecticut Healthcare System, agrees.
He tells WebMD that psychiatry has long struggled with "a gray zone"
of patients who do not neatly fit into the categories of bipolar disorder and
He adds that the new research could have major implications for the
development of new treatments for the psychiatric disorders.