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Schizoaffective Disorder

Hallucinations, paranoia and delusions. Self-destructive behaviors. Social isolation. Deep depression or periods of arrogant irritability. These are just a few of the symptoms of a thought disorder, which includes schizoaffective disorder, schizophrenia, and psychosis. A thought disorder is a complicated condition that can cause an individual to lose touch with reality and experience bizarre thinking and mood swings.

Symptoms of schizophrenia characterize a schizoaffective disorder primarily. Thought to be triggered by a combination of genetic and environmental factors, the exact cause of schizoaffective disorder is not known. Individuals with schizoaffective disorder often require a combination of medications to treat the condition. It can be debilitating and more than one-third of individuals with schizoaffective disorder will attempt suicide during their lifetime.

Schizoaffective disorder affects about .3 percent of the population, with schizophrenia affecting one percent of Americans. Individuals with schizoaffective disorder or schizophrenia will experience hallucinations, delusions, extreme feelings of paranoia, and may feel  that people are plotting against them or that characters on the TV are controlling their thoughts. Left untreated, these symptoms will worsen over time and the individual may not be able to function in a job or at home. Substance abuse or dependencies are a  common complication of schizoaffective illness.

Below is a list of some of the common symptoms of schizoaffective disorder:

Signs and Symptoms of Schizoaffective Disorders

  • Visual hallucinations
  • Auditory hallucinations
  • Incoherence
  • Disorders of Movement
  • Diminished interaction with others
  • Monotonous voice
  • Low energy
  • Delusions of reference
  • Increased energy
  • Restlessness
  • Poor judgment/insight
  • Increased/decreased sex drive
  • Provocative behavior
  • Euphoria
  • Grandiose thinking
  • Inappropriate humor
  • Extreme irritability
  • Disjointed thinking
  • Paranoia
  • Reckless behavior
  • Hopelessness
  • Thought disorder
  • Delusions
  • Emotional flatness
  • Staring into space
  • Paranoia
  • Lack of facial expressiveness
  • Social isolation
  • Unusual motor behavior (rocking, pacing)
  • Racing thoughts
  • Rapid speech
  • Extravagant spending sprees
  • Poor concentration
  • Increased use of drugs and alcohol
  • Lessened need for sleep
  • Inappropriate sexual behavior
  • Over-intellectual thinking
  • Inappropriate guilt
  • Thoughts of death/suicide
  • Increased religious activities
  • Depression
  • Feeling worthless

(Because these symptoms in and of themselves do not always indicate the presence of schizoaffective disorder, please contact your physician or mental health treatment provider in order to obtain an accurate diagnosis.)

Schizoaffective disorder, schizophrenia, and other psychoses can be managed successfully. The treatment must be individualized based on the person’s history, motivation and response to suggestions. It is usually treated with a combination of the following approaches:

  • Supportive and reality based therapy to change perceptual distortions and delusional thoughts.
  • Cognitive Therapy to change unproductive thinking patterns by sorting out unrealistic thoughts.
  • Family Therapy to help families understand and deal with stressors associated with psychotic disorders.
  • Group therapy to gain new insight from others who have had similar experiences.
  • Relaxation Techniques to relieve stress and to diminish the physical symptoms of anxiety.
  • Medication to address prominent symptoms like mood instability, depression or psychotic distortions.

If you suspect that you or a loved one may have a schizoaffective disorder, please contact a professional mental health provider for diagnosis and treatment.