The Brain's Balance: Left and Right Hemisphere Functions in Mental Health - Psychiatry

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Left Brain and Right Brain


I once read in a book that there is a region in the left hemisphere of the brain that generates positive thoughts, while there is a corresponding region in the right hemisphere that produces negative thoughts.
If the area in the left hemisphere is damaged, the negative information from the right hemisphere cannot be filtered out, leading to depression.
Conversely, if the area in the right hemisphere is damaged, it can result in mania.
Doctor, is this really the case? How do these two regions function, and can they fully recover if damaged?

dsa, 20~29 year old female. Ask Date: 2002/12/09

Dr. Chen Wenyu reply Psychiatry


Hello, the brain not only controls life but also governs emotions such as joy, anger, sorrow, and happiness.
All behaviors and actions are managed by countless cells in the brain, which use neurotransmitters to convey various messages that are then expressed externally (crossed control: the left brain controls the right side of the body, while the right brain controls the left side).
Brain injuries can indeed affect a person's emotional regulation and may even lead to mental disorders, as significant changes occur within the brain.
This includes alterations in the quantity of neurotransmitters, the pathways of transmission, the cells that receive messages, and the cells that interpret messages, among others.
Consequently, the behaviors exhibited externally will naturally differ.
As you mentioned, the so-called organic psychiatric symptoms are caused by brain injury.
However, conversely, when it comes to patients with schizophrenia or bipolar disorder, one cannot conclude whether their left or right brain is damaged, as their brain wave examinations are often normal.
The number of brain cells in adults is fixed and cannot regenerate, which is why the skull is very hard—to protect this vital organ.
While rehabilitation can help restore some function, a full recovery is not possible.

Reply Date: 2002/12/09

More Info


The relationship between the left and right hemispheres of the brain and their respective functions is a complex and nuanced topic, particularly in the context of mental health. Your inquiry touches on the idea that specific areas of the left hemisphere are associated with positive thinking, while areas of the right hemisphere are linked to negative thinking. This concept is rooted in the broader understanding of lateralization of brain function, where certain cognitive processes are more dominant in one hemisphere than the other.

Research has shown that the left hemisphere is typically associated with language, analytical thinking, and positive emotions, while the right hemisphere is often linked to spatial abilities, creativity, and negative emotions. However, it is essential to recognize that this is a simplification of a much more intricate system. The brain operates as a network, and many functions involve both hemispheres working together.

When it comes to mental health conditions such as depression and mania, the interplay between these hemispheres can be significant. For instance, if the left hemisphere, which is responsible for filtering and processing positive information, is damaged, it may lead to an inability to counteract negative thoughts and feelings, potentially resulting in depression. Conversely, damage to the right hemisphere could impair the ability to regulate emotions, possibly leading to manic episodes.

The mechanisms behind these processes involve neurotransmitters and neural pathways that facilitate communication between different parts of the brain. For example, serotonin and dopamine are crucial in regulating mood and emotional responses. If the areas responsible for producing or receiving these neurotransmitters are compromised, it can lead to mood disorders.

Regarding the question of whether damage to these areas can be fully healed, the answer is complex. The brain has a remarkable ability to adapt and reorganize itself, a phenomenon known as neuroplasticity. While some functions may recover over time, complete restoration of function is not always possible, especially if there has been significant structural damage. Rehabilitation strategies, including cognitive-behavioral therapy and other therapeutic interventions, can help individuals develop coping mechanisms and improve their emotional regulation.

In summary, while there is a basis for the idea that specific areas of the left and right hemispheres influence positive and negative thinking, the reality is that brain function is highly interconnected. Damage to these areas can lead to significant mental health challenges, but the brain's capacity for adaptation means that recovery is possible, albeit often requiring targeted therapeutic approaches. Understanding these dynamics is crucial for developing effective treatment strategies for individuals experiencing mental health issues.

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