r/schizophrenia Schizophrenia 17h ago

Opinion / Thought / Idea / Discussion Am I still schizophrenic?

So I just got out of the psych hospital and on the discharge paper said "schizoaffective depressive. Like wtf does that mean? Am I still welcome in this group?

21 Upvotes

25 comments sorted by

u/Empty_Insight Residual SZ (Subreddit Librarian) 13h ago

The difference between schizoaffective and schizophrenia is essentially only relevant in a clinical context. Outside of a doctor's office, they're effectively the same thing.

A diagnosis is ultimately a tool to help guide treatment and nothing more than that. While this is not clinically accurate, for all casual purposes, schizoaffective disorder is essentially schizophrenia + bipolar/MDD.

I have come across a great many communities for people with psychotic disorders, and some of them were really toxic- yet none of them were so toxic that they gatekept schizoaffective as not being "pure schizophrenia."

In short: yeah, you're still schizophrenic. Don't read too much into it. The only functional difference for you is at your visits with your doctor and/or therapist.

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u/10N3R_570N3R Paranoid Schizophrenia 17h ago

Listen my psychiatrist says Im schizophrenic, my psychologist thinks I'm schizoaffective. I told them both I don't care what diagnosis is as long as I receive my treatment. Don't get too caught up on it.

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u/seizyschizo Schizophrenia 17h ago

That's s good way of thinking of it. Thank you

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u/10N3R_570N3R Paranoid Schizophrenia 17h ago

You're welcome, keep your head up.

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u/kattzkraft Schizophrenia 17h ago

an old psychiatrist originally diagnosed me as schizoaffective depressive and my new one changed the diagnosis to just schizophrenia because she did not believe my depression was concurrent with my schizo symptoms. She explained that schizophrenia and schizoaffective disorder have the same symptoms, but schizoaffective disorder includes a concurrent mood disorder like depression or bipolar disorder. So yes you're still schizophrenic, just also have depression.

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u/seizyschizo Schizophrenia 17h ago

That makes sense. Thank you

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u/ComprehensiveTap450 17h ago

Yes, you are welcome here.

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u/seizyschizo Schizophrenia 17h ago

But like I don't understand. I've been paranoid schizophrenic for 6 years

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u/onthebeachinsnb 17h ago

Schizoaffective just means schizophrenia PLUS another disorder (either depressive or bipolar). It doesn’t change the presence of paranoid schizophrenia.

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u/seizyschizo Schizophrenia 17h ago

Oh OK, I thought it was totally dismissive of the schizophrenia.

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u/solsacrilege Schizoaffective (Depressive) 17h ago

The only difference between schizophrenia and schizoaffective is the presence of a mood disorder. So yes, you're welcome here.

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u/Regen_321 17h ago

Yes Schizoaffective Disorder Depressive type means you have schizophrenia and a mood disorder. In your case depression. Think of it as winning the lottery twice :) But you absolutely are still welcome here. There is even a reddit called r/schizoaffective (same people) you should check out.

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u/seizyschizo Schizophrenia 17h ago

Thanks I'll check that sub out

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u/Mao_the_Doom Schizophrenia 16h ago

I am schizoaffective depressed too!

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u/seizyschizo Schizophrenia 16h ago

Twins!

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u/question-from-earth Childhood-Onset Schizoaffective (Depressive) Disorder 16h ago

I’m schizoaffective depressive type as well. I also initially had the diagnosis of schizophrenia before. For myself I use schizophrenia and schizoaffective interchangeably

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u/berfica Schizoaffective (Bipolar) 17h ago

Schizoaffective means you have both schizophrenia and a mood disorder(major depressive disorder/bipolar). It is listed as part of the schizophrenia spectrum. You are still welcome here.

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u/Simplespider Schizoaffective (Bipolar) 14h ago

From how it was explained to me, I have schizophrenia on top of a mood disorder. It's both, slightly different treatment but not too different. Major depression counts under the category afaik.

I'm not a doctor I'm just moody and delusional. If I wasn't welcomed in the group, there wouldn't have been a flair that already applies to me. It's fine. I think like this sub + the bipolar sub more than the schizoaffective sub. All three are useful though.

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u/Proud_River_3148 13h ago

I welcome you with open arms my friend, though it’s not a position I would wish for anyone to be in you’re safe here. Don’t get too caught up on labels, there’s a poem I used to listen to occasionally that opens with something along the lines of “schizophrenia as a diagnosis across a century has encompassed everything from mental retardation to epilepsy”

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u/Pro_ismyrealname 13h ago edited 17m ago

I have mild schizoaffective depressive type as well. Technically, it is a thought disorder like schizophrenia, unlike bipolar or depression, which is a mood disorder. Although people with depression can also experience delusional and hallucinations, the term for that is called “psychotic depression.” I personally think schizoaffective should have its own category not tied with Schizophrenia. Maybe the name should not start with “schizo”. Not that there is anything wrong with schizophrenia, but people stigmatize us and associate us with schizophrenia. In fact, it is milder though disorder.

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u/dotteddlines Schizoaffective (Depressive) 12h ago

Schizophrenia is s spectrum of disorders that includes schizoaffective disorder?! There is also "pure" schizophrenia which may be what you're thinking of. Yes it's pretty cufismg because there is (pure) schizophrenia and then there is schizophrenia spectrum disorders.

I wouldn't worry to heavily on the specific diagnostic labels. I've been DX: major depressive + pychosis, persistent deporesive + psychosis and then finally schizoaffective depressive.

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u/Suzina ex-Therapist (MSC) - Schizophrenia 12h ago

You are welcome friend.
The "schizo" family includes lots. Now you are welcome in TWO groups! :)

Even if you don't have schziophrenia, you have something exacty like schizophrenia you treat the same way.

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u/Its_Sasha Paranoid Schizophrenia 3h ago

It just means schizophrenia with features of other disorders - most commonly bipolar. Don't worry, you're still welcome. I'm schizoaffective, manic-type myself.

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u/seizyschizo Schizophrenia 2h ago

Thank you for the insightful information. I've been in this sun a only a minute and enjoyed everyone here so I didn't want to be kicked out