Doctor insights on:
Sibling Rivalry In A Dysfunctional Family
Siblings: Some issues involve dominance, control, seeking attention from caretakers, or pursuit to excel. ...Read more
Sibling rivalry is a symptom in which a person does not help with, schemes against, argues with, or fights with one or more siblings to an unusual degree. Sibling rivalry is normal when it is present to a small degree, but is a problem if it is severe enough to prevent or ...Read more
Thanks for asking!: A spouse with alzheimer's disease should be able to attend the funeral of his or her spouse, unless there is concern for the safety of the living spouse or others due to extremely agitated, combative behavior. Other relatives & loved ones can help the surviving spouse feel supported & comfortable w/ the surroundings. ...Read moreSee 1 more doctor answer
Rivalry: Due to unresolved issues with boundaries, dominance, unrealistic expectations , limit setting & control. ...Read more
Can grandparents carry a mutation to cause Asperger syndrome in grandchildren, skipping a generation?
Not that simple: For the most part what are inherited are genes coding for (snp)single nucleotide polymorphisims-different forms of enzymes that do not digest certain proteins. It is possible to be the contributor of (at most 1/4 total)genes that might contribute to certain symptom patterns. ...Read more
Are family members usually able to tell when a member of their family has some sort of mental health problem?
Not always: Some families tolerate very unusual behavior, or are themselves quite ill and dysfunctional. For instance, families in which there is active alcohol and/or substance abuse often have unhealthy communication problems as well. On the other hand, healthy families usually do notice behavioral changes in each other, but may not be able to diagnose the problem and need a physician's help. ...Read moreSee 1 more doctor answer
Unfortunately, many.: Neurofibromatosis (nf) is a progressive, lifelong condition that is associated with growths in the brain, spine, eye area, heart, skin, &/or bone, as well as lung & hearing problems. A child with nf requires regular follow up with a pediatrician and multiple subspecialists to address any complications from these growths. Medication and even surgery can be required, as can educational support. ...Read moreSee 1 more doctor answer
Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?
Genetic counselling: You will need to have a genetic counselling. They will be able to tell you your risk for possible genetic abnormality/syndrome and what tests you would need to have. There is no a standard set of genetics tests -all will depend on your family history of cancer. ...Read moreSee 1 more doctor answer
Lots of variables: Your excellent question is hard to answer, because it depends on who died, age of child, effect on rest of family, and many other variables. Research shows that children who lose their mother before age 11 are at increased risk of depression as adults, but there are many possible explanations. Broadly, helping children grieve in age-appropriate ways is best way to minimize lasting impairment. ...Read moreSee 1 more doctor answer
Could the battle over who knows best about taking care of family occur in part, because of me, but also sisters pent up sibling rivalry and jealously?
Yes...: Families are so interesting ...And complex. Old wounds, perceived wounds, guilt, jealousy, etc can all affect such a situation. If you refer to aging parents then hopefully they handled a lot with medical power of attorney so there should not be a lot of fighting. Family meetings/counseling could help air things out and lead to healing. Everyone hopefully has the best interest of family at heart. ...Read more
Depends on MI: Many mental illnesses tend to "run true, " so having a schizophrenic relative increases your risk for schizophrenia. However, a number of illness (e.g., depression, anxiety, conduct disorders, adhd) all may increase one's risk for substance abuse because of increased impulsivity and life dissatisfaction. Fh of alcoholism and/or substance abuse definitely increase one's risk. ...Read more
If there is an autistic child or sibling or other family member, is there reason for gene testing the family?
Possibly: If there is a known genetic abnormality in the person with autism, then family members of child-bearing age may benefit. Even if physical & neurological exam reveal no signs of a specific syndrome in a child with autism &/or intellectual disability, genetic microarray & dna probe for fragile x reveal an abnormality about 15% of the time. Evaluation by a geneticist is needed in those cases. ...Read moreSee 2 more doctor answers
Very gently: People who truly have narcissistic personality disorder are exquisitely sensitive to criticism or perceived slights. These can result in verbal attack or sometimes a complete cutting off -- both painful for you. Depending on my relationship with this family member, i would tread carefully, protect my own boundaries, and do extreme self-care after being with them. Might even get help myself. ...Read more
If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?
Yes: Ovarian cancer, especially pre-menopausal ovarian cancer is a rare disease and i recommend family members of such patients atleast have a genetics consultation to talk about testing. Brca-1 and brca-2 mutations put women at a much higher risk of developing ovarian, breast and endometrial cancers. More common in jewish women. Hnpcc (lynch syndrome) also increases the risks of female cancers. ...Read moreSee 1 more doctor answer
Will it b right for a man to marry his father's sister's daughter if there are no close relative marriages in their parents generation.Genetic defect?
Consanguinous marria: We discourage consanguinous marriages because sometimes there are genes that when they meet a second one to make a pair ( i mean on e from father and one from mom), the babies might show severe genetic diseases although there are also very healthy kids from consanguinous marriages. ...Read moreSee 1 more doctor answer
Great question!: Caregiver stress/burnout; caregivers develop a love-hate(don't we all) relationship with the pt. The pt with dementia is usually happy but the family's not. Recommend going onto www.Alz.Org and look for local resources. Recommend the caregiver getting 1/2 or 1 day off per week to maintain sanity. Thanks! ...Read more
Should a parent share their abusive past with their children to help explain his/her emotional problem?
Depends: This depends on several factors related to the current situation. The parent would need to examine his/her motives for sharing such information. The appropriateness of this would also be impacted by the age and/or maturity level of the children. I would suggest discussing the matter with a therapist before making a decision about this. Such a disclosure could be helpful, but there are risks. ...Read moreSee 1 more doctor answer
What genetic diseases most commonly occur in a child born from incest (between sibs or between parent & child)?
Varies considerably: The issue is like playing russian roulette. All of us carry recessive genes in our dna that do not express disease because they are balanced by normal genes. Things like cystic fibrosis are carried by 1/20, sickle cell 1/12. All of us carry an estimated 4 defects. Parent child/sib-sib pairings all may have a normal outcome or a bad outcome for any pregnancy. ...Read more
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