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I have been living under the diagnosis "bipolar with severe psychotic features" now for 5 years. My manic highs included hallucinations, delusions, and paranoia. But what is the difference between psychotic manic highs and schizoaffective disorder? Could someone please explain what the difference is in these two diagnoses?

Thanks in advance. :)

*megan*
Not an easy question to answer.
I may be wrong but I believe schizoaffective means that, for at least two weeks, the psychocis is without prominent mood symptoms. Diagnosing schizoaffective seems more art than science, though. I assume schizoaffective psychosis can include so-called negative symptoms of schizophrenia and bi-polar psychocis does not.
I thought that schizoaffective disorder was symptoms of both? I have been told for a long time that i am both, showing signs and symptoms of both. I recive medications for both disorders.
my wife has both mania (BP) and schizoaffective disorder.
Eduction is key.
Very good question. :cool:
Just stay away from Halodol( read my other posts) my friend has teh exact same diagnosis and horrible attack with Halodol . You need to be stable , not on something that bring pain and horrible highs and lows.All these meds effect people differently. But consensus says , avoid Halodol? Please read past posts from others I replied to. I am figuring it is a cheap old drug that doctors like to give you will accept it.
I was diagnosed with both.I am trying to understand the meaning myself.A nurse told me that schizoaffective was having symptoms of schizophrenia.I am new to my diagnosis so any new info is good help.I know that being on the meds I have<15mg abilify,1500mg trileptal,25mg zoloft,xanax>have helped me extremely.I still have feelings but for the most part I don't worry about things.I hear voices sometimes but they went away for the most part.As far as the bp and schizoaffective I am slightly confused also.
There are two types of Schizoaffective, Bipolar type and depressive type. One is dxed Schizoaffective when they have auditory or visual hallucinations and are not in a state of mania or depression. Yes you can have the mood disorder, but it's not the cause of the halucinations. Where Bipolars will only halicinate when manic and depressives will only halucinate when depressed. Schizoaffectives have the mood disorder but can halucinate at any time, even when stable, and it's not dependent on being only manic or only depressive.
Hey Megan-

I will attempt to explain the differences, but first I will define both as defined in the DSM-IV-TR.

The DSM recognizes two different types of Bipolar disorder - Bipolar I and Bipolar II. Bipolar I is generally characterized by one or more manic episodes. Also, many people diagnosed with type I experience one or more major depressive episodes. A manic episode is defined as a distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week.

Bipolar II is basically the same as the above, but with hypomania instead of just mania. Hypomania is not as severe as mania.

Bipolar I and II are similar to Schizoaffective disorder in that they both contain atleast one major depressive episode, a manic episode, or a mixed episode. The feature that sets SA disorder apart from BP I & II is that SA contains symptoms that meet a specific criterion for a schizophrenia diagnosis. Those are delusions, hallucinations (visual or auditory), disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms (flattened affect, alogia, avolition). SA also have 2 subtypes as mentioned above - bipolar type and depressive type.

Where bipolars can hallucinate when they are manic/depressive, schizoaffectives can hallucinate when stable, manic, or depressive.

Ah, just saw there was a 2nd page. Sorry if this post is redundant.
I did not post this question, but it sure wan informational, about the best explaintion I've seen. Thanks I think I understand my own conditions better now, K
Hey, if my post helped you, i'm glad! :)





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