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Understanding Schizoaffective Disorder

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Schizoaffective disorder is fairly rare. But it is a serious and puzzling brain disorder. It combines symptoms of bipolar disorder and schizophrenia. The symptoms are often severe and last a long time. They can cause great emotional pain for the person with the condition. They are also hard on the person's family and friends. This disorder often disrupts lives. But there is reason for hope. Talk with your doctor or mental health professional.


What are the symptoms?

The symptoms can vary greatly. People may see or hear things that aren’t there (hallucinations). Or they may hold false, fixed beliefs (delusions). These can occur without any mood changes. At times, the person may seem withdrawn, listless, and remote. They may also have extreme mood swings. They may feel intensely happy for a time. Later, they may be very depressed. In some cases, they might have only lows without the highs. They might also have problems with sleep or a change in appetite. They may become more or less talkative. They may lose focus in their thinking. They may even think about suicide.


What causes it?

The causes aren’t fully understood. The disorder runs in families. Certain chemicals in the brain also play a role. In some people, abuse, neglect, or major trauma may be a cause.


Finding help

Right now there is no cure. But treatment with medicines and therapy may help. There are also many support services. They can help people who have the disorder. Support can also help their families.


Medicines

Medicines may relieve many symptoms of the disorder. They may include:

  • Antipsychotic medicines.

  • Antidepressants.

  • Mood stabilizers.

If your loved one is troubled by medicine side effects, tell their doctor. Changing the dose or type of medicine may help. Urge your loved one to keep taking their medicines and get follow-up care. Stopping the medicines may cause symptoms to come back. Failing to visit the doctor to change the doses can also make symptoms come back. Never increase or decrease the dose unless you talk with the doctor. Don't share your medicines or use another person's prescriptions.


Supportive therapy

A licensed therapist, such as a licensed clinical social worker, can provide therapy and support. Social workers and care managers may also help with work, money, or housing issues. Friends and family members may also need support. Learning more about schizoaffective disorder can help you cope. Learn how best to help with your loved one’s care. Ask your doctor for help finding resources. 

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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