Schizoaffective psychosis

In schizo-affective psychosis, manic or depressive (affective) symptoms coexist with schizophrenic ones, and the illness follows a course of relapses and remissions. The term often gives rise to confusion, however. Sometimes it refers to an episode in which the patient has a mixture of mood and psychotic symptoms; at other times, it denotes a patient who has an episode of mood symptoms and then an episode of psychotic symptoms, or vice versa. Both patterns occur.

Such patients would be assessed and treated according to the symptoms prominent at the time, but bearing in mind the overall temporal pattern of the disorder. If there were regular relapses with good recovery, it would resemble bipolar affective disorder; preventive treatment, for example, with a mood stabilizer, would be indicated even if the current symptoms were mainly psychotic.

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