Schizoaffective disorder
An uninterrupted period of illness with a major mood episode concurrent with active psychosis; hallucinations/delusions present ≥2 weeks without mood symptoms.
How it presents
delusions, hallucinations, disorganized speech, catatonia/negative symptoms PLUS major mood episode; psychotic symptoms persist outside mood episodes
Tell it apart from
- Schizophrenia
- Bipolar I disorder with psychotic features
- Major depressive disorder with psychotic features
Treatment reasoning
Antipsychotics for psychosis; mood stabilizer or antidepressant based on mood polarity; psychosocial rehabilitation.