Schizoaffective Disorder

 
 

What is schizoaffective disorder?

Schizoaffective disorder is a mental health condition that includes symptoms of both schizophrenia/psychosis and a mood disorder—either depression, bipolar disorder, or mixed mood states. It affects thoughts, emotions, and perception, often leading to periods of significant distress or confusion.

“One week I was invincible, the next I was terrified and numb. My thoughts didn’t make sense—even to me. I just wanted to feel stable again.”

Different experiences of schizoaffective disorder in adults

Schizoaffective disorder can present in different ways depending on the balance of psychotic and mood symptoms. Some people experience delusions, hallucinations, or disorganised thinking alongside manic highs or severe depression. Others have long periods of clarity between episodes but still struggle with emotional regulation and functioning.

Sometimes people are initially diagnosed with schizophrenia or bipolar disorder alone. The overlap of symptoms can make assessment complex. Many people feel misunderstood, misdiagnosed, or unsupported—especially if their experiences fluctuate over time. Social withdrawal, difficulty trusting others, or fear of stigma are common. With the right diagnosis and treatment, however, stability and recovery are absolutely possible.

“Supporting people with schizoaffective disorder is about understanding complexity—and offering hope, structure, and genuine human connection.”

Symptoms of schizoaffective disorder

  • Delusions (fixed false beliefs, often paranoid or grandiose)
  • Hallucinations (typically hearing voices)
  • Disorganised thinking or speech
  • Mania (elevated mood, reduced need for sleep, impulsivity)
  • Depression (low mood, guilt, fatigue, suicidal thoughts)
  • Mood swings or mixed mood states
  • Anxiety, restlessness, or irritability
  • Difficulty maintaining relationships or employment
  • Confusion about identity or reality
  • Social withdrawal or functional decline
Our approach
 

Our approach to treating schizoaffective disorder

At Bloomfield Health, we offer integrated, compassionate care for adults with schizoaffective disorder. Our psychiatrists and psychologists work together to provide accurate diagnosis, evidence-based medication, and psychological therapies such as CBT for psychosis and emotion regulation strategies. We also offer psychoeducation and support for family members. Our goal is to help you stabilise mood, reduce distressing symptoms, and regain confidence in your life and identity—with dignity and support every step of the way.

 

Frequently asked questions

No. It includes features of both but is a distinct diagnosis. Accurate assessment is key to effective treatment.

It likely involves a combination of genetic vulnerability, neurochemical factors, and life stressors or trauma.

Yes. Many people manage symptoms well with the right combination of therapy, medication, and support.

Mood stabilisers, antipsychotics, and antidepressants may be used depending on symptom pattern. We review this carefully with you.

Absolutely. CBT, social recovery work and family support can all reduce distress and promote stability.

Some people do well with long-term support; others recover and reduce or stop treatment over time. We tailor this to your needs.

Yes—with the right treatment and adjustments, many people return to work, study, or independent living.

No. With structured, compassionate care, symptoms can become manageable—and life can feel steady again.

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