Hosts Michael Vinton and Tina Chevalier welcome psychiatrist Dr. Janine Roach to discuss bipolar disorder, schizophrenia, psychosis, and severe mental illness in the context of grief after murder-suicide, emphasizing “seeking understanding without seeking blame” and avoiding posthumous diagnosis or stigmatizing violence. Dr. Roach explains common misconceptions, including that bipolar disorder is not moment-to-moment moodiness but cyclical episodes, and outlines bipolar I vs. bipolar II, mania/hypomania, depression, euthymia, and how symptoms can go undiagnosed for years. She describes schizophrenia and paranoid schizophrenia, delusions, hallucinations, disorganized thinking, negative symptoms, and how psychosis can occur in mania or depression. The conversation covers family challenges, legal limits to involuntary care, boundary-setting, support resources like NAMI Family-to-Family, and hope from reduced stigma and increased help-seeking.
