A biological origin could be George's genetics. His uncle Ralph had a history of mental illness and bipolar disorder is closely associated with genetics (Wiley). On the other hand, a psychosocial origin could reward sensitivity. George's athletic teams are significantly recognized on the college campus, and George also won an award for his coaching abilities before the climax of the third manic episode. This sensitivity to awards could have led to the illusion that he would have been named head coach of the Olympic track and field team. The expected prognosis for George's condition is that he will improve provided he mentally and physically accepts the help he needs. If he refuses to cooperate and face reality at the hospital, his condition will not improve. The main problem is that George alternates between highs and lows in his disorder and that he contemplated suicide at one point in his life. According to Health Central, patients with bipolar I disorder typically have more health problems and are also at greater risk of committing suicide (Health Central