paul mchugh: some psychiatric disorders are due to a damage or an injury to the brain, and thus can be construed as diseases, and the problem that the patient faces in life is what they have... they have alzheimer's disease, they have manic depressive disorder. they have schizophrenia. on the other hand, those aren't the only ways that we can experience mental trouble in our life. some of the things that give us trouble, is how we're constituted. not what we have, but who we are, will influence how we feel in certain situations, and sometimes how we feel in certain situations becomes so distressed, we need help with it. and then finally, everyone knows and appreciates that you can have difficulty in life because of what's happened to you, what you've encountered. damage to the brain... the interplay of personality and environment... difficult life situations... all can contribute to mental distress. so can family history. andrew leuchter: if an individual has a first-degree relative, that is a father, mother, brother, sister, who suffers from bipolar disorder, manic depressive illness,