Mark has been diagnosed as schizophrenic. It is most likely that

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Schizophrenia is a complex disorder that is believed to be caused by a combination of genetic, environmental, and brain chemistry factors. While genetic vulnerability and high-stress situations can play a role, research has shown that family dynamics, particularly critical and hostile family environments, can also contribute to the development of schizophrenia. Therefore, all of these factors are likely to have contributed to Mark's diagnosis.

Mark Has Been Diagnosed as Schizophrenic