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Wellness Wednesday for November 4, 2026

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Yes I'm sure. Your linked quote is just filler words in an abstract, we know plenty about the pathophysiology of Schizophrenia with specific gene targets (although it is not fully understood)

Right, yes, I hear that you are asserting this. However, in skimming the literature I'm seeing lots of suggestive findings about genetic and environmental risk factors plus some very partial/local mechanisms, portions of which are being built into assorted models and hypotheses, all of which seem to be discussed with considerably more awareness of limitations than you use. The condition appears incredibly complex with neurodevelopmental, metabolic, immune involvement and I'm not immediately seeing anything that looks like a clear etiology that's supported by solid fieldwide consensus. However, I would certainly be very interested to learn about this if it exists.

Thus, could you help me understand what's going on, by providing the references you were thinking of when you initially said that schizophrenia was "well understood"?

I'm not immediately seeing anything that looks like a clear etiology that's supported by solid fieldwide consensus. However, I would certainly be very interested to learn about this if it exists.

My understanding is that the field believes that the majority of cases stem from a classic "2 hit" model. You have genetic load (with some of these genes being explicitly known) and secondary insult (with some of these insults being explicitly known, such as synthetic marijuana). Some of the details of what translates that into illness are less clear, but we can point to specific brain pathways and impacts on neurotransmitters, and this is extremely clear because of how clearly "traditional" antipsychotics work and how questionable most of the other treatments are (ex: Cobenfy).

Additionally we are talking about concerns about the medical model of mental health, with the implication being that the medical model doesn't have much to add or has some inaccuracy issues, but Schizophrenia is a good example of a disease that we know as much or more about than some "strictly medical" diseases - examples I gave were Parkinson's, Alzheimers, MS, DM1 (and sure in many ways DM2).

The existence of knowledge gaps doesn't mean we know nothing or that the models we do have have no utility, which is often the complaint.