Whether a mental illness is hereditary depends on the specific circumstances of the condition. If it's unrelated to brain pathology, it's likely not. However, if it's related to brain pathology, it's likely to be hereditary.
Mental illness has a genetic predisposition, but it's not absolute. Inheritance is often polygenic and influenced by environmental interactions, with schizophrenia being a common example. People with a family history should monitor their mental health and healthy lifestyles and undergo regular assessments. Parents with a family history should monitor psychological and behavioral changes in children and adolescents. Pregnant women with a family history should avoid adverse environments to reduce the potential risk of developing the disease in their offspring.

The Existence of Genetic Factors in Mental Illness
Mental illness has a certain genetic predisposition, and numerous scientific studies have confirmed that genetic factors play a significant role in its development. For example, twin studies have shown that the co-morbidity rate of mental illness in identical twins is significantly higher than in fraternal twins, suggesting a genetic contribution to the onset of mental illness. For example, genetic studies have shown that schizophrenia has an approximately 80% heritability, meaning that approximately 80% of the risk is determined by genetic factors. However, this is not absolute, and is also influenced by multiple factors, including the environment.
The Complexity of Mental Illness Inheritance
Mental illnesses are not inherited in a single Mendelian pattern; they are often polygenic, involving the cumulative effects of multiple genes. Furthermore, environmental factors, such as infections during pregnancy and stressful events during development, can interact with genetic factors to influence the onset of mental illness. For example, individuals with a genetic susceptibility gene for mental illness who are exposed to adverse environmental conditions have a significantly increased risk of developing the disease. Conversely, individuals with a favorable environmental environment may have a reduced risk, even if they carry the gene.
Common Types of Mental Illnesses with Genetic Predispositions
Common mental illnesses with genetic predispositions include schizophrenia, depression, and bipolar disorder. For example, when a family member has schizophrenia, the risk of relatives developing the disease is significantly higher than in the general population. Depression also clusters in families, with studies finding its heritability to be approximately 30%-40%. Bipolar disorder has an even higher heritability, at approximately 70%-80%.

Precautions for Different Populations
- Those with a family history of the disease:
Pay attention to your mental health and maintain a healthy lifestyle, such as maintaining a regular sleep schedule, exercising moderately, and avoiding chronic high-stress situations, to reduce your risk of developing the disease. Regular psychological assessments should be conducted. If symptoms such as mood disorders or disordered thinking occur, seek professional medical help promptly.
- Children and Adolescents:
Parents with a family history of mental illness should monitor their children and adolescents' psychological and behavioral changes. If persistent low mood or abnormal behavior occurs, they should be taken to a professional psychological assessment as soon as possible. Early intervention can help improve prognosis.
- Pregnant Women:
Pregnant women with a family history of mental illness should avoid adverse environmental factors, such as reducing exposure to toxic and harmful substances and maintaining a positive attitude, to reduce the potential risk of mental illness in their offspring.