Schizoaffective Disorder

An estimated 3 in 1000 people will develop Schizoaffective Disorder at one point in their lives.

For those wondering, “What is schizoaffective disorder”, it is a mental health condition characterized by a combination of the psychotic symptoms from schizophrenia and the mood changes from mood disorders.

  • Schizo relates to altered thinking, emotions, and reality perception
  •  Affective pertains to mood shifts.


While no cure exists for schizoaffective disorder, treatment aids symptom management and enhances quality of life. Read on to learn how you or someone you know can engage with treatment for personality disorders like schizoaffective disorder.

woman has hand on face representing Schizoaffective Disorder

Schizoaffective Disorder Symptoms

The symptoms of schizoaffective disorder depend upon the sub-type of the disorder. Schizoaffective disorder is categorized into two types: bipolar schizoaffective disorder and depressive schizoaffective disorder, differentiated by the accompanying mood disorder:

  • Bipolar disorder type: Schizoaffective disorder bipolar type involves distinct mood shifts, encompassing manic highs and depressive lows, often leading to intense emotional changes.
  • Depressive type: Depressive schizoaffective disorder entails persistent feelings of sadness, worthlessness, and hopelessness, potentially leading to suicidal thoughts. It can also involve concentration and memory difficulties.


Schizoaffective disorder criteria include psychotic symptoms, depressive symptoms, and manic symptoms.

Psychotic symptoms
  • Hallucinations (perceived sensations that are not real, such as hearing voices or seeing shadows)
  • Delusions (false beliefs with no basis in reality that the person will not relinquish, even when given evidence to the contrary)
  • Disorganized speech (difficulty producing clear and coherent sentences)
  • Inability to distinguish real from imaginary
  • Odd or unusual behavior
  • Paranoia
  • Unclear thinking
  • Lack of emotion in facial expression and speech
  • Poor motivation
  • Slow movements or inability to move
Depressive symptoms
  • Low or sad mood
  • Feelings of worthlessness or hopelessness
  • Guilt or self-blame
  • Lack of energy and low mood
  • Loss of interest in usual activities
  • Poor appetite
  • Trouble thinking or concentrating
  • Changes in sleeping patterns (sleeping a little or a lot)
  • Weight loss or gain
  • Thoughts of death or suicide
Manic symptoms


  • Agitation
  • Distractibility
  • Increased work, social and sexual activity
  • Inflated self-esteem
  • Rapid or racing thoughts
  • Not sleeping enough
  • Self-destructive or dangerous behaviors (spending sprees, reckless driving, unsafe sex)


Symptoms of schizoaffective disorder vary widely, ranging from mild to severe. Individuals experience a combination of psychotic symptoms along with intense mood changes like depression, mania, or both.

woman has hand on face representing Schizoaffective Disorder
a person in a therapy appointment representing Schizoaffective Disorder symptoms

Schizoaffective Disorder vs. Schizophrenia

Schizoaffective disorder and schizophrenia are both complex mental health conditions, but they have distinctive features and symptom profiles.

Schizoaffective disorder

Schizoaffective disorder is characterized by a fusion of symptoms from two major categories: 

schizophrenia and mood disorder. Individuals with schizoaffective disorder experience both psychotic symptoms — such as hallucinations, delusions, and disorganized thinking — and significant mood changes, which can manifest as episodes of depression or mania. The defining aspect of schizoaffective disorder is the co-occurrence of these two domains: psychotic and mood-related. Psychotic symptoms may manifest independently from mood changes, adding to the complexity of the disorder. Schizoaffective disorder is further divided into subtypes: bipolar type and depressive type, based on the predominant mood symptoms. The severity of symptoms can vary widely among individuals, leading to a variation in presentation from mild to severe. 


Schizophrenia, on the other hand, mainly revolves around psychotic symptoms, particularly hallucinations and delusions. Individuals with schizophrenia often struggle with disorganized speech and behavior, and they might have difficulty distinguishing between reality and imagination. Unlike schizoaffective disorder, mood disturbances are not the central focus of schizophrenia. There are no distinct episodes of mania (mood elevation) or depression (profound sadness) as manifested in schizoaffective disorder. Schizophrenia presents along a spectrum of severity, with symptoms that can significantly impair daily functioning and quality of life.

So, while schizoaffective disorder incorporates aspects of both psychotic and mood-related symptoms, schizophrenia centers around psychosis. Both conditions demand comprehensive treatment approaches, usually involving a combination of medications, psychotherapy, and support services. The goal of treatment is to manage symptoms effectively, enhance overall functioning, and improve overall well-being.


What is the difference between schizophrenia and schizoaffective disorder?

Schizophrenia mainly involves hallucinations, delusions, and disorganized thinking, while schizoaffective disorder combines these symptoms with prominent mood disturbances like depression or mania.

What causes schizoaffective disorder?

The exact cause of schizoaffective disorder is not fully understood, but it is believed to result from a combination of genetic, brain chemistry, and environmental factors.

What triggers schizoaffective disorder?

Schizoaffective disorder can be triggered by genetic predisposition, brain chemistry imbalances, life stressors, substance use, and other environmental factors.

Is schizoaffective disorder curable?

Schizoaffective disorder is treatable, but not generally considered curable. A combination of therapies, medications, and support can help manage symptoms and improve functioning.

an image of people learning about mental health disorders from a mental health blog

If you have been feeling any of these symptoms, and you are in need of help, please give our friendly team a call.

an image of someone who got OCD treatment in Orange County

Schizoaffective Disorder Treatment

For individuals with schizoaffective disorder, a comprehensive approach involving medications, psychotherapy, and life skills training is often most effective. Treatment strategies are tailored to symptom type, severity, and whether the disorder is depressive or bipolar. In some instances, hospitalization might be required, and long-term treatment aids symptom management.


Medications for schizoaffective disorder play a key role in treating the condition by addressing psychotic symptoms, mood stabilization, and depression. Schizoaffective disorder medication may include:


  • Mood-stabilizing medications: Bipolar type cases benefit from mood stabilizers, which help regulate mania and depression fluctuations.
  • Antidepressants: When depression is the primary mood disorder, antidepressants address sadness, hopelessness, and sleep or concentration challenges.



Psychotherapy (talk therapy) complements medication and may consist of:


  • Individual therapy: Normalizing thought patterns and symptom reduction are targeted, with an emphasis on real-life situations, relationships, coping mechanisms, and understanding the disorder.
  • Family or group therapy: Sharing experiences with peers can enhance treatment effectiveness, reduce isolation, offer reality checks during psychosis, and promote better social skills.


Life skills training

Training in social and vocational skills enhances quality of life and diminishes isolation. This may include:


  • Social skills training: Enhancing communication, social interactions, and daily activity participation is a focus, adapting to different settings like home or work.
  • Vocational rehabilitation and supported employment: Assisting individuals with schizoaffective disorder in job preparation, search, and retention.



During crisis periods or severe symptoms, hospitalization ensures safety, proper care, and basic necessities like nutrition and sleep.

ECT (electroconvulsive therapy)

In adults resistant to psychotherapy and medication, treatment for schizoaffective disorder

may involve ECT (electroconvulsive therapy).

an image of someone who got OCD treatment in Orange County
group therapy at connections for orange county depression treatment

Get Treatment for Schizoaffective Disorder at Connections

The best mental health treatment is personalized, and you can access customized care for schizoaffective disorder at Connections Mental Health in Southern California.

 We have created an inclusive and nurturing environment where you can work with a committed team of experts and draw support from peers with lived experience of mental health issues.

 Our compassionate-first treatment approach blends holistic and evidence-based interventions to promote whole-body healing.

Personality disorders like schizoaffective disorder do not need to define you. That said, if things feel overwhelming and you require stability and guidance, reach out to our friendly team any time to discuss your various options for schizoaffective disorder treatment by calling 844-413-0009.

an image of people getting help for Schizoaffective Disorder criteria.

Learn more about the individual mental health disorders we treat by clicking a button below.