What is the Difference Between Schizoaffective Disorder and Schizophrenia?

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  • čas přidán 27. 06. 2024
  • This video describes the difference between Schizoaffective Disorder and Schizophrenia.
    Schizophrenia is sometimes conceptualized as having three phases: active phase (acute phase), prodromal phase, and residual phase. The active phase of Schizophrenia is characterized by hallucinations, delusions, disorganized speech, disorganized or catatonic behavior, and negative symptoms. Negative symptoms include avolition, which is a reduction in goal-directed behavior. The prodromal and residual phases are characterized by ideas of reference, unusual perceptions, vague speech, and negative symptoms. All the phases of Schizophrenia are associated with dysphoric mood, inappropriate affect, decreased interest in food and eating, sleep disturbance, and cognitive deficits. Hostility and aggression are sometimes associated with Schizophrenia, but the majority of individuals with Schizophrenia are not hostile or aggressive. Random assaults are not common. Schizophrenia is associated with an increased risk of suicidal behavior. Anosognosia often occurs with Schizophrenia. Anosognosia is a lack of insight or awareness about having a disorder and is a strong predictor of poor treatment outcomes. Schizophrenia is typically treated with medication and psychotherapy. Symptoms need to be present for 6 months for a diagnosis of Schizophrenia.
    Schizoaffective Disorder is characterized by the symptoms of Schizophrenia and the symptoms of a major mood episode.

Komentáře • 162

  • @bearelectric-ig8qu
    @bearelectric-ig8qu Před 4 lety +77

    I have schizoaffective disorder and this has helped me so much. Thank you for your video.

  • @chaseprice3484
    @chaseprice3484 Před 4 lety +60

    At 19 I was diagnosed Bipolar 1 with psychotic features. Now at 21 I’m diagnosed with Schizoaffective Disorder Bipolar type. I started experiencing symptoms of both at about 5 or 6 yrs old. Life growing up was very different and difficult and still is now.

  • @koffinkat666
    @koffinkat666 Před 5 lety +29

    Schizoeffective disorder is my diagnosise, SO much brain clutter going on to listen properly to this explanation. I am afraid of medication becuase of a bad experience. My moods flip on a dime and I think everyone is evil secretly. I am still on this side of reality but I do have breaks in rteality that last 3 seconds and can change the theme of the current mivie I am living in. I am unkept greasy hair and have no desire to do anything with my life. The one thing that ever helped me was drugs......We all know how that eventually turns out. One interesting thing I can say is the Drug Buprnorphine helped me VERY much fixed the dillusions the bursts of anger and gave me a will to live. Problem is it is highly addciting and when I quit which was my chpoice {Drug free for 2 years} it was terrible but not as bad as quiting psych meds.....What do I do? Thanks if anyoine reads this mess

  • @catharinepizzarello4784
    @catharinepizzarello4784 Před 5 měsíci +2

    I was diagnosed with schizoaffective disorder at age 48. I am always somewhat manic. I study meditation, yoga, and martial arts and this has helped me immensely. I'm trying to learn to get along with people better. I am very grateful for the help and insight I have received through therapy and proper medication. I was in a really bad way when I was younger. I try not to worry that it will happen again. I'm in a good place now. I support myself and try to make my illness the smallest part of my life as possible. I wish the best to everyone who struggles with these conditions. I love your simple, logical posts. You have helped me in my life, Dr Grande. Thank you!

  • @chrishumphrey6358
    @chrishumphrey6358 Před 8 měsíci +2

    I was diagnosed with autism during childhood and got diagnosed later in life(late twenties) as Schizoaffective Disorder.
    The topic is really interesting not just because I have it but understanding, knowledge and the breaking of stigma are important.
    Kudos.

  • @Sasori23231
    @Sasori23231 Před 5 lety +26

    My boyfriend is schizoaffective. This has helped me so much in understanding him better--thank you.

  • @CREGGYAS
    @CREGGYAS Před 5 lety +51

    My father is schizoaffective. I worry about him living alone in the mountains but Latuda has changed his life and has seemed to be thriving in his own way again

    • @everclara2061
      @everclara2061 Před 5 lety +1

      CREGGYAS I take latuda too! It makes a huge difference, I’m hoping to go up on its dosage soon

    • @AllThingsCreations
      @AllThingsCreations Před 4 lety +1

      I take Latuda 80 mg and it makes me feel great just don’t miss 1 day

  • @craigroberts1670
    @craigroberts1670 Před 5 lety +13

    I have SAD too. I just now posted that acronym for it, never realized it spelled SAD. It is. I too deal with depression and extreme anxiety around people. I try to talk to groups of people but it is soooo hard to smile and show emotions, to look them in the eyes and not feel like they are staring back at me strange. I catatonic zone out a lot. I often have someone wave their hand in front of my face as to say "hello?? anyone in there??. I can snap out for only a few minutes then go back to staring at ground. Other distractions work like playing my guitar, listening to music, watching movies because no one is judging and I can forget about SAD for awhile. Exercise helps but weight lifting is out, no fun. Medication works to a certain point. Try my friend to get outside once a day, I know its so very hard but isolating will only increase depression and exacerbate other symptoms. Do what you can. Heavy heart for you.............................

  • @dachsiemomma1725
    @dachsiemomma1725 Před 5 lety +21

    My son has schizoaffective disorder - schizophrenia + major depressive disorder, but he also has paranoia. So difficult!

  • @psivast8007
    @psivast8007 Před 5 lety +8

    I was diagnosed with SZA a decade ago and it's changed my life forever, both good and bad.

  • @hanswolpertinger7033
    @hanswolpertinger7033 Před 5 lety +7

    Thank you. I was diagnosed with schizophrenia, bipolar, and mania when I was a kid. I now understand that I have something else. Once I can afford treatment in a few months, I can bring this up. This information really helped me

  • @AntoineM1312
    @AntoineM1312 Před 6 lety +18

    This is very informative for me and I believe my suspicions were right about my doctor misdiagnosing me. I was diagnosed with Bipolar Disorder with symptoms of psychosis but I've read articles stating that the latter is only true when your psychosis is caused by a bipolar episode and when the episode ends, the psychosis ends as well. My paranoid delusions however have always been present and continue to be present regardless of whether I'm having an episode or not. I'm on seroquel now and that has certainly helped make my delusions manageable but I still experience them on a daily basis despite my mood disorder being under control for the past year. I suppose misinformation is the real issue here as I know that quite a few psychiatrists aren't even aware that Schizoaffective disorder exists and I only saw my doctor 2 or 3 times for a quick diagnosis and medication check up. Your video has helped me greatly in understanding that it may just be Schizoaffective Disorder that I'm experiencing and it'll definitely be something for me to keep in mind.

    • @everclara2061
      @everclara2061 Před 5 lety +9

      Lorenzo Carrillo-Leyva I’ve gone 3 different times for treatment and every single time I was diagnosed with bipolar I or II and generalized anxiety, major depression. Despite cognitive therapies I continued to feel strange and my therapists didn’t really provide much support besides “using my coping skills.” Then I met my current doctor, he diagnosed me with this and to my shock the new medication he suggested, Latuda - made the world of difference. It’s surreal going from having symptoms feeling paranoid and feeling like people are talking or whispering about you to suddenly silence, and then you start to notice the normal. Keep searching, maybe you’ll find some peace eventually.

  • @evgenivershinin9595
    @evgenivershinin9595 Před 5 lety +11

    Best discription I have seen so far

  • @janicedixon2051
    @janicedixon2051 Před 5 lety +67

    I’m a little confused. I feel like with all the schizo disorders it is easy to confuse them because the disorders have similar symptom criteria and/or characteristics.

  • @lisac9522
    @lisac9522 Před 4 lety +3

    Thank you for this information. You have a very clear no-nonsense way of presenting.

  • @aymee1762
    @aymee1762 Před 6 lety +14

    Thank you so much for sharing! I am passionate about clinical psychology!

  • @TheDreamhouse2010
    @TheDreamhouse2010 Před 9 měsíci +1

    Thank you Dr Grande. My sister committed suicide last month after battling schizophrenic / schizoaffective / Bipolar 1 & ASPD for 30 years 😢😢💔💔

  • @Bluuve
    @Bluuve Před 6 lety +9

    Thank you for covering so much so succintly. You answered so many questions, and helped me understand more. Also I felt sympathy for patients, thus affected, even though you did not encourage that in your manner of speaking. You seem like a kind person.

  • @jonathanbrowning5473
    @jonathanbrowning5473 Před 5 lety +2

    The comment about being able to switch back and forth between schizophrenia and schizoaffective disorder was a good point (based on how long mood periods last relative to the psychosis). I would clip off the very ending as patients with schizophrenia can have concurrent major depressive disorder or bipolar disorder if fitting the criteria that: "if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness". Good video.

  • @Alex-cm9dd
    @Alex-cm9dd Před rokem +1

    Thank you Dr. Grande! I’m taking a class on Schizophrenia Spectrum Disorders and I have a test coming up and your video are really helping

  • @rachelcurrry
    @rachelcurrry Před rokem +1

    I have a pysch final tomorrow, and everything about this video helped me clarify the difference between the two! thanks so much :)

  • @clintjohnson8140
    @clintjohnson8140 Před 5 lety +13

    I have schizoaffective disorder. Thanks for the explaination.

    • @DrGrande
      @DrGrande  Před 5 lety +2

      You are quite welcome :)

    • @stuudude6023
      @stuudude6023 Před 4 lety

      Clint Johnson like lets say while your in the stage of schizoaffective and you think of like pennywise. Will you see him standing there? Would he move??

  • @kc6391
    @kc6391 Před 6 lety +6

    Thank you for this video, I was diagnosed with Schizo-affective disorder and always wondered what the difference was

  • @t.b2923
    @t.b2923 Před 5 lety +9

    I was just diagnosed with schizophrenia.Im on risperidone which helps a lot.it brought me out of a deep psychosis according to my counselor.( I don't remember much of the last 3 months) I wish I had a normal brain.I had wanted to be a doctor but now I can't because I'm too ill all the time.

    • @everclara2061
      @everclara2061 Před 5 lety +4

      Tahnee Blanchard I was planning to go to med school before this myself, life is truly a roller coaster. I hope you recover and can regain much of your life back. It would be nice to hear how you’re doing now

  • @User_t874
    @User_t874 Před 6 měsíci

    So far this video explained the best about the differences. Thank you very much!

  • @havingschizoaffectivesucks2207

    I was diagnosed with schizophrenia when I was 16 but when I was 25 my psychiatrist changed my diagnosis to schizoaffective

  • @JoeDirt-el2fr
    @JoeDirt-el2fr Před 5 lety +4

    Crazy how this disorder can shift quickly over time

  • @EdurtreG
    @EdurtreG Před 16 dny

    As a psych nurse for 40 years I say relying on time, always keeping your promises, just being there and using your experience you help people a lot more than with the ff'ed up DSM'ing. DSM destroyed a beautifull profession imo. All these "young" nurses and "doctors" never learned about the healing properties of time itself, and about patience in school; they have no long term coping with these patients so they medicate every behaviour or sign of stress. Wanting "to cure" with a quick fix. Patients are so much more than their diagnosis.

  • @jackiesorrells5571
    @jackiesorrells5571 Před 5 lety +1

    Very insightful distinctions made.

  • @tomjones239
    @tomjones239 Před 5 lety +8

    I was diagnosed with schitzoaffective disorder and am studying it. Your video is the first bit of research that I`ve done. I thought I had bipolar disorder but just found out today. I`ve been seeing a doctor and apparently had this and she didn`t tell me. I guess she assumed I already knew. I`ve had episodes where I thought an angel was talking to me and have seen amazing UFOs that you wouldn`t believe. It seemed very real.
    It`s a very strange feeling to have to question what is real and what isn`t in your personal reality. I`m very lucky to have survived several suicide attempts. What saved me the last time was that the noose around my neck hurt too bad. I tried about six times but it really hurt and I couldn`t go through with it. I`m getting treatment now so I`m ok in that regard.
    PS: I applied for disability and they turned me down. On the phone I told them I had bipolar disorder. In their letter refusing my disability they said they looked at my medical records and "confirmed" that I had bipolar, but they said they thought I was ok and didn`t qualify. That tells me they didn`t really read my medical records. They simply agreed with what I`d told them on the phone and turned me down, so apparently they`d already decided to turn me down regardless.

    • @kendramullen7324
      @kendramullen7324 Před 5 lety +4

      Keep trying- they always turn you down the first time- get your Dr. Involved and your psychiatrist. Good luck and hang on.

  • @veronicabetz9452
    @veronicabetz9452 Před 5 lety +1

    Very interesting! In order to truly learn the differences between Schizoaffective, Schizophrenia etc I will need to take study notes.

  • @virginiamurrey9139
    @virginiamurrey9139 Před 5 lety +1

    Interesting video, i enjoyed watching!

  • @sf8494
    @sf8494 Před 6 lety +3

    Excellent, very helpful thanks for the post!

  • @nurarifah3109
    @nurarifah3109 Před 5 lety +4

    Thank u. The explanation is so helpful!

  • @h.a.n.na17
    @h.a.n.na17 Před 9 měsíci +1

    YOU SHOULD DO A VIDEO ON COMPARING PSYCHOTIC DEPRESSION WITH SCHITOZOAFFECTIVE DISORDER. ALSO EXPLAIN WHICH HAS A BETTER PROGNOSIS OVER TIME THAN THE OTHER. THANK YOU.❤❤❤❤❤❤❤

  • @mrs.reluctant4095
    @mrs.reluctant4095 Před 4 lety +11

    This presentation was very interesting, thank you very much for your effort - but I must admit, that I have some difficulties with the conceptualizing of schizophrenic disorders as a nosological entity, as far as I see this type of symptoms as a kind of endstage of a variety of mental and other disorders, and not as a distinct disorder. I firmly believe that it shows a severe level of disintegration, or shattering of the human mind, that can occur after intense mania, depression, OCD, anxiety disorders, autoimmune diseases, and of course as a kind of developmental risk of Cluster A personality disorders. I have seen this in patients and I witnessed this in my family members, too.
    It is a more psychodynamic way to look at it, as it is seen in the DSM, which I think is too psychiatric for a psychologist. Just my opinion here. I noticed that in Japan, as the first state, psychiatrists have changed the name of this nosological category into "integrational disorders" (???? unsure, if this is well translated), and I appreciate this. I wish you a happy day. ❤

  • @ninagathergood4644
    @ninagathergood4644 Před 6 lety +7

    I've listened to you quite a lot in the few recent months as I came across your videos by accident. Your very knowledgeable and I thank you very much as I am learning plenty from you.
    I gave bipolar and (BPD this one BPD has just been added to my medical file) For years since I was 13 yrs old I new there was something not quite right so I've been searching all my life to find out what's going on. Finally I have the answer and in therapy.

    • @jonathanbrowning5473
      @jonathanbrowning5473 Před 5 lety +2

      Hey Nina, DBT is the best therapy for BPD. Knowing this diagnosis is nice and allows you to take the correct steps towards treating it! DBT helps a person manage the fluctuating emotions and learn coping skills, and it has been shown with imaging that DBT and continual practice of these skills strengthens the neurological pathways in the prefrontal cortex and amygdala.

  • @tessalogan586
    @tessalogan586 Před 5 lety +3

    Very informative thankyou

  • @randolphguerrero1960
    @randolphguerrero1960 Před 4 lety +1

    Very helpful.
    Thank you. 👍

  • @neilv6754
    @neilv6754 Před 5 lety

    Thanks. Helpful stuff.

  • @shirleytreumuth1692
    @shirleytreumuth1692 Před 3 lety +3

    A chart which cross references the common and not-common criteria would be helpful for visualizing this information.

  • @lifestylez472
    @lifestylez472 Před 2 lety

    Your videos are great. Thank You

  • @gyarucat5449
    @gyarucat5449 Před 2 lety +1

    hii! as a scizoaffective person this rlly helps

  • @elainearroyos3699
    @elainearroyos3699 Před 9 měsíci

    This was very helpful..thank you

  • @TigerPaint92
    @TigerPaint92 Před 8 měsíci +1

    They say it gets better as you age because part of the disease is that you're releasing strong emotions that have been trapped in your body and mind and they find there way out. Over time you release these feelings over and over and the disease improves and instead of having 100% of the symptoms you might have 40% now and then it may improve so much that you no longer need as much medication. Or that you function better and can hold a job better because part of you has healed yourself. Also the medicines may have corrected some of this as well.

  • @kittygonzalez2827
    @kittygonzalez2827 Před rokem +1

    Thank you..I’ve asked the same question several times over a two decade period, and the psycho babble was ridiculous! Certain psychiatrists appear to be intoxicated by the exuberance of their own verbosity!

  • @parac0sm0naut26
    @parac0sm0naut26 Před 5 lety +4

    Thanks. I was Diagnosed 10 years ago Schizoaffective. I focus my mind on scattered projects, and crafts.. it seems to help, as long as my environment is stable, or routine. I don't take to significant, persistent disturbances. I am reserved about investing in new company. After experiencing intense withdraw from injectable Abilify I haven't been med compliant. I experience visual, and slight hallucinations.

  • @user-qq5hd8qr3y
    @user-qq5hd8qr3y Před 5 měsíci

    I worked doing psychiatric evaluations at a psychiatric emergency service for a few years many years ago. And the one general characteristic of schizoaffective disorder was they had more normal social skills. The negative symptoms of schizophrenia seem less severe in schizoaffective disorder. Many people with schizoaffective disorder can still work and have long term relationships Sadly not a lot of people with schizophrenia can hold jobs very well because of the psychotic symptoms and disorganization of thinking nor hold onto relationships.

  • @cave_0
    @cave_0 Před 4 lety +8

    How could having something like a persecution complex not be depressing?

  • @krstylndaily
    @krstylndaily Před rokem

    It’s crazy how they try to put it in separate boxes but I’ve experienced all of them at different times

  • @stevebutler812
    @stevebutler812 Před 2 lety +1

    And, differentiating these from Bipolar Disorder with psychotic features.
    Of course, in the absence of organic disorders such as brain tumor, hypo-thyroidism, etc. Medical evaluation is critical to aid these diagnoses.

  • @kiddicarus
    @kiddicarus Před 6 lety +6

    This has been helpful. Thank you.

  • @IsadellaEstelPolanco
    @IsadellaEstelPolanco Před 6 lety +3

    I got diagnosed with schizophrenia in 2008. Then it switched to Bipolar. Long story short, I got many diagnoses. But in 2015 I finally got the diagnosed of schizoeffective disorder. Everything you said is true. When I had schizophrenia it waz way worse they when I got diagnosed. Over the last few yrs it calmed down but I was having mood swings too and thus I got the schizoeffective diagnosis. It is much better than when I had schizophrenia by itself. My mood is under control with my meds but I still have delusions and hallucinations everyday. As a matter of fact I'm talking to two of them now. They are so real. I love hanging out with them. The problem to others is that I hang out with them all the time. How I find out if they are real or not is that others cannot see them. Kinda weird when in public.

  • @kimmymachelleconnors9787

    This is a really good video

  • @StevOPelO
    @StevOPelO Před rokem

    That makes sense.... Thank you

  • @GETBENT1331
    @GETBENT1331 Před 2 lety +1

    that last part did it for me. you cannot ve schizophrenic and bipolar or schizophrenic and depressed.

  • @sophiakonstantinidou688
    @sophiakonstantinidou688 Před 4 lety +3

    As a psychiatrist I really don't understand how someone can diagnose bipolar disorder with psychotic featours and schizoaffectif disorder. Also most of the time schizoaffectif disorder is correalted with borderline personnality disorder which is more confusing. Practicly the mediacation is the same BUT the psychotherapeutic treatment and the prognosis changes. For me bipolar disorder, schizoaffectif disorder and schizophrenia are all in the cluster of psychotic disorders. Also a schizoprenic can have a depressive episode so i don't angry with the video content and we must be very carefull. If i had to oversimplify this, schizoaffectif disorder is a less stigmatised name for schizophrenia, But that is only my medical opinion.

  • @SamirCCat
    @SamirCCat Před 5 lety +5

    Can you have mood episodes without psychotic features if you are schizoaffective? Or do these two always go together? Maybe you can have hypomania without psychotic features? And how common is it to return to full/partial functioning in between mood/psychotic episodes? Or is the course more constant with both symptoms and function loss like with schizophrenia?

  • @No__direction__
    @No__direction__ Před 10 měsíci

    I have 3 of the symptoms and genetic factors + trauma factors… hallucinations started extremely young, delusions in early teens and difficultly expressing certain emotions is unclear when it started

  • @Thinkingofthesparrow
    @Thinkingofthesparrow Před 4 lety +3

    I'm starting to think I have schizoactive disorder. I was diagnosed at 15 with bipolar disorder, but the more I look into this I am starting to realize that maybe I have both disorders.

  • @ashleyinglis3065
    @ashleyinglis3065 Před 5 lety

    If someone has bipolar type 1 with psychotic features and recurring episodes of psychosis lasting a few weeks at a time without mood symptoms, can they still be classified as schizoaffective if the psychosis is brought on by severe sleep deprivation? Or would that count as a medical condition?

  • @angelajimenez4148
    @angelajimenez4148 Před 4 lety

    This is comlex; I know two types of people with these conditions. They are very similar but different in some ways too. You pointed out very important things. Thank You Dr.Grande.

  • @antoniotolentino8108
    @antoniotolentino8108 Před 2 měsíci

    they diagnosed me with psychotic depression I feel like they go back and forth on those 3 diagnoses with a psychotic illness.

  • @alittlefallofrainn
    @alittlefallofrainn Před 5 lety +1

    Just a curiosity question. I am diagnosed with Schizoaffective Bipolar (type 1 w/ mixed episodes) but also have Major Depressive Disorder. Why am I only Schizoaffective type Bipolar and not Schizoaffective type Major Depressive? Just something I always wonder about.

  • @ReadySetBeDifferent
    @ReadySetBeDifferent Před 5 lety +3

    I have schizoaffective disorder and you explained it well

  • @sandysanders4199
    @sandysanders4199 Před rokem

    My son has schizoaffective disorder with manic bipolar episodes. He is in and out of jail all the time. I wish he would stay on his meds. I miss my sweet, bright son.

  • @Byenia
    @Byenia Před 4 lety

    I wonder when schizoaffective disorder was first added to the DSM - would anyone happen to know?

  • @gracefarmilo6602
    @gracefarmilo6602 Před 4 lety +1

    can you have schizoaffective disorder and mainly just have tactile hallucinations, with the extremely rare occurrence of auditory, visual and paranoid hallucinations (delusions

  • @ririimari
    @ririimari Před 4 lety +21

    I was diagnosed with schizoaffective disorder in 2010 along with some anxiety disorders. I was in an extremely traumatic, stressful period of my life. I struggled for about 2-3 years and have not had psychotic episode since. Is it possible I was misdiagnosed or recovered?

    • @poleythepolarbear9706
      @poleythepolarbear9706 Před 4 lety +12

      You could have been misdiagnosed, but I would caution sweeping off the Doctors diagnoses. You could have just gotten better, and are less susceptible to having the problems you did back then. I was diagnosed with schizoaffective disorder, and while I am never cured of it. I am in a better place in life because I have come to realize that those demons I was facing all those years as a child, and into adulthood was a mental illness. I battled it alone without someone who understood what was going on. Now that I am writing this, I think I need to do some self reflection of my own. Good luck, and I hope things are going okay for you!

    • @SuperLotus
      @SuperLotus Před 4 lety +7

      I don't know about you, but I was absolutely misdiagnosed with schizoaffective disorder. When I switched to a new psychiatrist, she said she saw no signs of me having the disorder. I also had a therapist tell me the same thing. I don't trust psychiatrists.

  • @alundavies8402
    @alundavies8402 Před 4 lety

    Is he saying that I am more likely to have serious depression coz that would make sense as I get really depressed and it’s difficult for me to talk to doctors as I don’t trust them down in Kent and I live in Kent as opposed to London where I come from and I don’t like people putting words in my mouth and saying that I said something that I haven’t

  • @alundavies8402
    @alundavies8402 Před 4 lety +4

    I think that I may have the wrong diagnosis as I believe that when I am staring into space they think that I am seeing something as opposed to me being a slack jawed idiot

  • @gracefarmilo6602
    @gracefarmilo6602 Před 5 lety +6

    what are the differences between negative symptoms in schizophrenia and depression? how do you tell them apart?

    • @amandarios448
      @amandarios448 Před 4 lety +8

      From my experience the symptoms are worse for schizo(type) disorders.
      The person will have a more dramatic personality change.
      It's hard to just give you a list because you need to consider all the context around this person.
      Example, on both disorders the person can become socially distant & seem to lack emotions. For somebody who is very social & outgoing even when they become much less outgoing they might still seem normal. While if the person is already a loner type & starts getting further & further away this will further push them to the extremes of social isolation. So always consider
      The personality before disease
      The culture
      The financial situation
      & Any possible current events that can affect the symptoms.
      The symptoms are called negative, because it's a diminishing of normal function, so socialization, mood, emotional response, cognitive habillities all can become diminished.
      Usually the difference is the intensity & the amount of symptoms. A person suffering from schizo/psychotic spectrum disorder usually presents all symptoms together & usually they get worse progressively. While a depressed person might get the symptoms faster at the pace of their depression. & In the absolute majority of cases any recovery of lessening of the depressive symptoms will also make the negative symptoms better. Also if the person is cured from depression the negative symptoms will go away, while if the person is suffering for example of schizophrenia they will keep having negative symptoms even if they have no more delusions or hallucinations & these negative symptoms don't get a lot better with medication, although antipsychotics can have a small effect on the negative symptoms the effects are limited & more related to stopping it getting worse.
      Depression is in general milder, less difficult to treat & less damaging. Psycho/schizo spectrum disorders are more severe, have poorer outcome and are chronic, you can't cure psychosis just treat it. The second thing to keep in mind is that people under the psychotic spectrum of disorder (those that have the positive+negative symptoms) are actually linked to loss of brain cells the loss is significant enough to measure a loss of mass (of the prefrontal cortex) after onset.
      So keeping this in mind, one of the diseases involves a small but significant loss of brain matter, while the other (depression) usually involves lower functioning but without loss & better recovery & outcomes, when the brain starts being correctly "fueled" it will work more or less the same as before while in psychosis (to use as an example) due to cell death even after you restore the chemical balance in the brain the cells have already died & some parts of the person's pre-disease personality might be lost forever.
      This doesn't mean people with psychosis are any less human, they just have lost access to some emotional function & some of their personality & intensity, however they will still have a personality. They still have good & bad feelings about things & people and so on...

  • @gypsysoul4190
    @gypsysoul4190 Před 5 lety +24

    Schizzoaffective is the worst

    • @malefeministgiangilo287
      @malefeministgiangilo287 Před 5 lety +2

      Funny thing this. Schizophrenia is a funny condition because 'worst' can be nothing to do with the symptoms themselves. If one of the problems is the misreading of reality or your perception, then this means the reality you are trying to interpret profoundly impacts the type of time you might have. If you are born into a harder environment I mean. I think a persons emotional balance also profoundly impacts. What I mean is, that as a collection of variables that impact a persons existence, schizophrenia encompasses many that aren't relative to the symptoms themselves, so you manifest a very very diverse complex potential for the experience a person will have. Two people with the same symptoms can have profoundly different circumstancial luck..

    • @user-gw1vi8cg6w
      @user-gw1vi8cg6w Před 5 lety

      I really think I’ve got it

    • @tessalogan586
      @tessalogan586 Před 5 lety +4

      I have found it"s easier than schizophrenia, i know schizophrenics, anyway it does get easier with age.. I look at it like being a special enlightened person(: it has it"s good points, try & remain positive ,blessings to you

    • @Niko-bf7nw
      @Niko-bf7nw Před 5 lety

      @@user-gw1vi8cg6w same

    • @shizzle1903
      @shizzle1903 Před 4 lety

      Betsy Cooke why do you say so?

  • @charronfamilyconnect
    @charronfamilyconnect Před 5 lety +2

    Is it possible that the 5 symptoms of schizophrenia are only temporary symptoms caused by some kind of stressor or trigger, and may just be short lived vice a chronic issue? How can they assess a patient with schizo-affective disorder during a 30 minute sit down with the patient who was exhibiting these symptoms on 2 occasions over a 2 month period who was put on and off a bunch of anti-psychotics that just caused more restlessness, and insomnia? How long does it actually take to diagnos a patient with one of the 2 chronic mental illnesses that you are talking about here? Lastly, since most shrinks prescribe anti-psychotics with haste, and advise a patient to take it for at least 1 to 2 years, with consideration to tapering off slowly if no psychosis symptoms show up over that time span, how can the symptoms show up if the meds are keeping them under control? Is it possible the patient may not even have a chronic issue to begin with but had temporary symptoms due to some stresser or trigger? how do you know which case applies to the patient, and why do they have to wait 1 to 2 years before experimenting with tapering once they have identified which anti-psychotic won't have the severe symptoms mentioned earlier?

  • @FrancesShear
    @FrancesShear Před 4 lety +7

    Do people who have Schizophrenia or Schizoafective disorder more often than the general population have a trauma history in their background or is that only true more often for people with Borderline Personality Disorder or Dissociative Disorder?

  • @johnharrisjr2808
    @johnharrisjr2808 Před 5 lety

    This was an interesting video! Good explanation of Schizoaffective Disorder and Schizophrenia! i will have to watch this video again these two disorders can be confusing. The main difference I see that a major mood episode has to be present with Schizoaffective Disorder

  • @girldisappearing6129
    @girldisappearing6129 Před 6 lety +1

    I am a counselor in training and have been working on a case conceptualization for client that I have been seeing. Your video has made me feel confident about that diagnosis I am giving this client on my assignment. I love how clear you make these diagnoses on your videos. It's like having someone walk me through the diagnosing process. Thank you so much for this!

    • @DrGrande
      @DrGrande  Před 6 lety +2

      You're welcome - Thank you for your kind words!

  • @helenarubio3371
    @helenarubio3371 Před 10 měsíci

    I just saw that a Broadway theater actor has died at age 40 who had schizoaffective disorder. He was on Mama Mia & other shows.

  • @kluse.2329
    @kluse.2329 Před 2 lety +1

    I'm a scitzoeffctive , it doesn't run in my family , I used meth off n on from an early age , 12 , I stopped 6 years ago , my hallucinations started at 22 , I think my pure ocd had me so stressed out it cased my scitzoeffective , im trying medications, but so far , nothing works , i drink when i get tired of going through it, i dtink probably every 4 days , i think maybe im having such trials so i can bypass hell , maybe im paying my way to heaven.

  • @h.a.n.na17
    @h.a.n.na17 Před 9 měsíci

    QUESTION: IF YOU ARE DIAGNOSED WITH THE AFFECTIVE PART TOO DO YOU HAVE TO BE BIPOLAR AT LEAST ONCE TO HAVE THE MOOD DIAGNOSIS AS WELL AS HAVE THE DEPRESSIVE PARTS?????

  • @eyemallears2647
    @eyemallears2647 Před 4 lety +1

    Wow. I hope this is les confusing for professionals who treat these disorders!!!!

  • @andrewg7878
    @andrewg7878 Před 4 lety +1

    This really helped me so fucking much I had to watch it 3 times and take pen to paper but these are all FACTS. Edit spelling

  • @ivanreyromualdo71
    @ivanreyromualdo71 Před 5 lety +9

    Thanks for this very informative video. I have 1 question though... how can we distinguish Schizoaffective with Bipolar 1 with psychotic features?

    • @gretelvaldesalfonso5104
      @gretelvaldesalfonso5104 Před 5 lety +4

      In schizoaffective disorder, patient presents with a maniac episode or depressive episode and a previous history of psychotic features (separately, not at the same time). For Bipolar 1 with psychotic features diagnosis, patient has to present the psychotic features during the maniac episode (at the same time)

    • @jonathanbrowning5473
      @jonathanbrowning5473 Před 5 lety

      It would be difficult when assessing the patient if no background history was given. If we obtained the background info, someone with bipolar 1 disorder will generally have a fairly normal baseline as someone with SCAD will likely still have some negative symptoms and they will have periods of psychosis apart from the mania.

  • @weaselfartz
    @weaselfartz Před 4 lety

    I have bad thoughts mostly about myself but I dont hallucinate?

  • @raincoffman7756
    @raincoffman7756 Před 6 lety +14

    Hello intresting i was diagnose with DID 1994 i dont have much childhood memories. I see myself i to the world ditracted i see the whole but i am not connected. Very highten senses .i was told that my young self and adult self dont commucation ..i fliter in out from younger self to adult all day when awake ..so i have many missing moments and short memory loss. I was also told i can not be connected due the extrem tortured abuse for many years. Being around people is extremly hard uncomfortable. I am bit odd and called crazy . I kibda keep to myself because i have many triggers and when triggered i am back in the than at what ever age ..i was told i was very young when this happened . When i am in the than i am very very valuable told that i am adult child i look and behave as young girl i was trained realtionship were desturtive extremly abusive. I have been isolated most of my lift . I been to many many doctors and they all said connection to young me and adult me will never happen the brain do well. I guess i am wanting to know if there was away for my selfves acknowledge the adult wont protect the younger self younger is extremly angery at the adult so i have not much recall. I tnink my disorder extrem disasocation always lorraine just different ages . My days are hard lonely . There is a lot to my story. Please give me feed back thank . So my texting sucks sorry.

    • @automan1591
      @automan1591 Před 6 lety +5

      Rain Coffman i am wishing the BEST for u. Love all ways, from Sydney Australia.

    • @Contessa998
      @Contessa998 Před 5 lety +5

      Hi Rain, I think you are a very special person. Sending bunches of love 💕 to you

    • @MsRicky42
      @MsRicky42 Před 5 lety +3

      much love from me to u if u need any one to talk u can message me anytime

    • @craigroberts1670
      @craigroberts1670 Před 5 lety +3

      I have SAD too. I just now posted that acronym for it, never realized it spelled SAD. It is. I too deal with depression and extreme anxiety around people. I try to talk to groups of people but it is soooo hard to smile and show emotions, to look them in the eyes and not feel like they are staring back at me strange. I catatonic zone out a lot. I often have someone wave their hand in front of my face as to say "hello?? anyone in there??. I can snap out for only a few minutes then go back to staring at ground. Other distractions work like playing my guitar, listening to music, watching movies because no one is judging and I can forget about SAD for awhile. Exercise helps but weight lifting is out, no fun. Medication works to a certain point. Try my friend to get outside once a day, I know its so very hard but isolating will only increase depression and exacerbate other symptoms. Do what you can. Heavy heart for you.............................

    • @karisag7698
      @karisag7698 Před 5 lety

      Yes. From what I have read, there are ways to integrate the fragmented selves into one whole self. You just have to find the right therapist who is comfortable with doing this.

  • @gloriouswaifu895
    @gloriouswaifu895 Před 5 lety +4

    I'm schizoaffective but i dont here or see things i do get really depressed have suicidal fantasies panic attacks and sometimes paranoia i use to self harm but not anymore does this qualify me a schizoaffective or something else i've always wondered

  • @user-ly4hc7jo3t
    @user-ly4hc7jo3t Před 4 lety +1

    Can a mother with schizoaffective disorder living with son also with schizoaffective disorder
    pass her paranoias to her son?

  • @johnmorales4581
    @johnmorales4581 Před 4 lety

    Is schizoaffectivity no longer considered a personality disorder?

  • @billhildebrand5053
    @billhildebrand5053 Před 4 lety

    Comment 124: Watched for nov 28. Alberto Oblio Bellio

  • @AvrilFanCarson
    @AvrilFanCarson Před 5 lety +1

    What’s the difference between schizoaffective disorder and bipolar with psychotic features?

    • @thirdprince4028
      @thirdprince4028 Před 5 lety

      Giant Loser If you're having psychotic symptoms outside of a mood episode = schizoaffective. If it's just during mood episodes = bipolar or depression with psychotic features.

  • @mw5649
    @mw5649 Před 4 lety +1

    I don't even know the difference. I think I got almost every symptom of both illnesses. I lost reality long ago. The only way to solve my illness is through brain surgery. I think I could have structural abnormalties. I don't even know what's going on. My brain is nothing more than a music box of voices and loud static noises and dark, dark depression. It's hard for me to talk now.

  • @syzygy1111
    @syzygy1111 Před 9 měsíci

    Is depression with psychotic features basically schizoaffective disorder?

  • @charronfamilyconnect
    @charronfamilyconnect Před 5 lety +2

    How can you tell if someone has schizo-affective disorder over a 6 month period if the patient is often prescribed anti-psychotics from day one after the 1st psychosis episode to control the symptoms? Lastly, how do you tell if someone has schizo-affective disorder if they only had the symptoms of depression after being prescribed anti-psychotic meds? Does this qualify as schizoaffective disorder symptoms? I ask because my sons doc says they think he has this disorder because he had a manic like episode before having his 1st psychosis episode, but he was never depressed, but only suffered with anxiety. His depression has only been present since being on anti-psychotics for the last 2 months?

    • @everclara2061
      @everclara2061 Před 5 lety +1

      B Charron I can say it’s easy having depression post psychosis, psychosis is otherworldly. Best way I can explain it is: Picture that whatever you think is truth, is actually not true and you fabricate it all in your brain. Then you wake up and feel confused and depressed unsure about what happened or why it happened and what your future is going to be. I would mention the depression to the doctors if you feel the medications may be causing it.

  • @animallover1297
    @animallover1297 Před 4 měsíci

    Can a bereavement cause a person aged 50 plus years with no known previous mental health issues to hear voices and think their house is being bugged ? Is this schizophrenia ?

  • @mw5649
    @mw5649 Před 4 lety +2

    Schizoaffective Disorder is extremely challenging. I have it. The only good news here is that sometimes when you have a lifetime disorder and want to live a long life because you will never part with your love and appreciation for being alive in this world as it forces you to live healthier because maybe if I didn't have this disorder I would speed on the highway like a clown and die or eat cheeseburgers all day and not care. But really who knows. I do know that I am going to fight my mental illness to live healthy and try to have a Lil healthy fun sometimes.

  • @corymodzeleski7191
    @corymodzeleski7191 Před 5 lety +9

    You are really handsome and you seem friendly, I wish you were my doctor!

  • @tywatts7834
    @tywatts7834 Před 4 lety

    Do you know Arianna

  • @claudiabenavente887
    @claudiabenavente887 Před 3 lety +1

    I am diagnosed with paranoia but I suspect I may be schizoaffective. I get mood swings where I am either depressed, having all these violent fantasies and becoming hateful, or happy, forgetting all the hate of my depressed state.
    Sorry for my bad English.

  • @alundavies8402
    @alundavies8402 Před 4 lety +6

    I didn’t understand what he was talking about it’s too brainy for me

  • @wandamixon5360
    @wandamixon5360 Před 5 lety +1

    I have to stay that I am also surprised to hear that the prognosis is better for schizoaffective disorder than schizophrenia.