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Schizoaffective disorder - Symptom

Symptoms:

The signs and symptoms of schizoaffective disorder are different in each person.

Often, people with schizoaffective disorder seek treatment for problems with mood, daily function, or abnormal thoughts. Psychosis and mood changes may occur at one time, or off and on by themselves.

Psychotic symptoms can last for at least 2 weeks without major mood symptoms. The course of the disorder involves cycles of severe symptoms followed by improvement.

The symptoms of schizoaffective disorder include:

  • Changes in appetite and energy
  • Believing that someone on TV or the radio is speaking directly to you or that secret messages are hidden in common objects (delusions of reference)
  • Disorganized speech that is not logical
  • False beliefs (delusions)
  • Feeling that everyone or one person or agency is out to get you (paranoia)
  • Irritability and poor temper control
  • Lack of concern with hygiene, grooming
  • Problems sleeping
  • Seeing or hearing things (hallucinations -- especially "hearing voices")
  • Trouble concentrating
  • Very good or bad mood

Signs and tests:

Your health care provider will do a psychiatric evaluation to find out about your behavior and symptoms.

To be diagnosed with schizoaffective disorder, you must have psychotic symptoms -- but normal mood -- for at least 2 weeks.

The combination of psychotic and mood symptoms in schizoaffective disorder can be seen in other illnesses such as bipolar disorder. The extreme disturbance in mood is an important part of schizoaffective disorder.

The health care provider must consider and rule out any medical, psychiatric, or drug-related condition that causes psychotic or mood symptoms before making a diagnosis of schizoaffective disorder. Schizophrenic or mood disorder symptoms can occur in people who:

  • Abuse cocaine, amphetamines, or phencyclidine (PCP)
  • Have seizure disorders
  • Take steroid medications
  • Reviewed last on: 2/6/2008
  • Christos Ballas, MD, Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Moore DP, Jefferson JW. Handbook of Medical Psychiatry. 2nd ed. St. Louis, Mo: Mosby; 2004:126-127.

Goetz CG. Textbook of Clinical Neurology. 2nd ed. St. Louis, Mo: WB Saunders; 2003:48.

Addington D, Bouchard RH, Goldberg J, Honer B, Malla A, Norman R, Tempier R. Clinical practice guidelines: treatment of schizophrenia. Can J Psychiatry. 2005;50:7s-57s.

International Early Psychosis Association Writing Group. International clinical practice guidelines for early psychosis. Br J Psychiatry. 2005;187:s120-s124.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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