Outpatient Care

Blog by Dr Jacob Fyda MD

When it comes to mental health, your family history isn’t just a collection of anecdotes and resemblances – it’s a valuable piece of the puzzle that can significantly impact your treatment plan. Many psychiatric disorders have a strong genetic component, meaning that they can be passed down through families. Understanding this connection is crucial for both patients and providers in making informed decisions about care.   

The influence of genetics in mental health is well-documented.  For example, studies suggest that the heritability of bipolar disorder can be as high as 80%, meaning that genetic factors play a substantial role in its development.  Major depressive disorder also has a significant genetic component, with estimates ranging from 30-50%. While genes aren’t the sole determinant (environmental factors also play a critical role), they can significantly increase your risk.   

Unlocking Clues: How Family History Informs Treatment

Knowing your family’s mental health history can provide vital clues for your provider. For instance, if you have several family members with bipolar disorder, and you’re currently experiencing depression, your provider might consider the possibility of underlying bipolar disorder more seriously.  This is because depression can be a symptom of both unipolar depression and bipolar disorder, and differentiating between the two is crucial for effective treatment. A family history of bipolar disorder might prompt your provider to explore this possibility further, potentially leading to a more accurate diagnosis and a more targeted treatment approach. Click HERE to consult with us and get your history right.

I’ve personally seen numerous cases where treating multiple members of the same family has revealed interesting patterns. Sometimes, the same antidepressant seems to work effectively across multiple family members. This observation isn’t just anecdotal; it suggests that shared genetic factors might influence how individuals respond to specific medications.

A Collaborative Approach: Sharing Your Family’s Story

I always encourage my patients to share information about what medications have worked for other family members, as well as any side effects they’ve experienced. This information can be incredibly valuable when making treatment decisions. While it doesn’t guarantee that a particular medication will work for you just because it worked for a relative, it can certainly be a helpful tie-breaker when considering different treatment options. If we’re choosing between two equally reasonable options, and one of them has a proven track record of success within your family, that might sway us towards that choice.

Take the Next Step: Schedule an Appointment

Understanding your family’s mental health history is a powerful tool in your journey to wellness. By sharing this information with your provider, you can work together to create a personalized treatment plan that maximizes your chances of success. Ready to take the next step? Click HERE to schedule an appointment with a mental health professional at Bespoke Psychiatry. We’re here to support you on your path to better mental health.

Medically written and reviewed by Dr Jacob Fyda MD, Board Certified Psychiatrist.