IN-PERSON APPOINTMENTS IN ST. PETERSBURG & VIRTUAL APPOINTMENTS THROUGHOUT FLORIDA
Schizoaffective Disorder
What is Schizoaffective Disorder?
Schizoaffective Disorder is a chronic mental health condition that is defined by a combination of psychotic symptoms (like those seen in schizophrenia) and mood disorder symptoms (like those seen in major depressive disorder or bipolar disorder). To meet the diagnostic criteria, an individual must experience a major mood episode (depressive or manic) at the same time as psychotic symptoms. Critically, the diagnosis also requires a period of at least two weeks where psychotic symptoms (delusions or hallucinations) are present without a major mood episode. This establishes that the psychosis is not just a feature of a severe mood episode.
Common symptoms include: The disorder presents with a mix of symptom categories that can occur at the same time or in cycles.
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Psychotic Symptoms:
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Delusions (fixed, false beliefs not based in reality).
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Hallucinations (seeing or hearing things that are not there, such as hearing voices).
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Disorganized thinking and speech.
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Mood Symptoms (Depressive Type):
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Persistent sadness, emptiness, or hopelessness.
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Loss of interest in activities (anhedonia).
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Changes in sleep and appetite.
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Fatigue and loss of energy.
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Mood Symptoms (Bipolar Type):
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Manic Episodes: Periods of elevated, expansive, or irritable mood; decreased need for sleep; racing thoughts; grandiosity; and impulsive or high-risk behavior.
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General/Negative Symptoms:
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Difficulty with social and occupational functioning.
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Problems with self-care and hygiene.
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Diminished emotional expression ("flat affect").
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Medication Management
Medication is the cornerstone of treatment.
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Antipsychotic Medications: These are used to manage the psychotic symptoms (hallucinations and delusions). Paliperidone (Invega) is the only medication specifically FDA-approved to treat schizoaffective disorder, though other atypical antipsychotics are commonly and effectively used.
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Long-Acting Injectables (LAIs): LAIs are a highly effective method for administering antipsychotic medication. These injections are administered by a healthcare professional every few weeks or, in some cases, every few months. This delivery method helps ensure consistent medication levels in the body, which can significantly reduce the risk of relapse (both psychotic and mood) and hospitalization.
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Mood Stabilizers / Antidepressants: Depending on the type of schizoaffective disorder, other medications are added.
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For Bipolar Type, a mood stabilizer (like Lithium or Valproic Acid) is added to the antipsychotic to control mania.
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For Depressive Type, an antidepressant may be added to the antipsychotic to manage depression.
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Non-Pharmacological Strategies
Psychosocial interventions are essential for long-term stability and functional recovery.
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Cognitive Behavioral Therapy (CBTp): This specialized therapy helps individuals learn to identify and challenge the distorted thinking associated with both psychosis and depression. It provides effective coping strategies for managing persistent symptoms and reducing distress.
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Psychoeducation: This is critical for helping the individual and their family understand the complex, dual nature of the illness and the vital importance of consistent medication adherence.
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Skills Training: This can include social skills training and vocational or employment support to help improve daily functioning and community integration.
Our Approach: Your Partner in Your Mental Wellness Journey
As a PMHNP-BC, my practice is built on a foundation of respect and collaboration.
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Shared Decision-Making: You are the expert on your own life and experiences. My role is to provide the expert knowledge on diagnoses and treatments. Together, we will review all the options—medication, therapy, lifestyle changes—and decide on a path forward that feels right for you.
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Medication as a Tool, Not a Crutch: Medication can be an incredibly effective tool to "turn down the volume" on your symptoms, allowing you to engage more fully in therapy and daily life. My goal is always to find the lowest effective dose for the shortest necessary time.
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A Holistic View: My focus is not only on pills. We may also discuss sleep, nutrition, exercise, and other stress-reduction techniques. These non-pharmacological strategies can be essential for long-term, sustainable wellness.
Take the First Step Toward Relief
You don't have to manage your symptoms alone. If you're ready to explore a comprehensive, collaborative approach to mental wellness, I invite you to schedule online below.
