Yes, they need to choose a correct diagnosis.
My understanding is the mood component - mania, depression, etc - is what makes it schizoaffective vs. schizophrenia.
But, even though my son has manic spells where he doesn’t sleep for days on end, they stick with paranoid schizophrenia.
They seem to use the same meds a lot of the time, so I don’t worry about it too much. I usually just refer to the symptoms anyway - he has psychosis, bad anxiety and periods of mania. Those things are true no matter what they want to call it - and they’ve called it psychotic depression, psychotic nos, major mood disorder, and now paranoid schizophrenia.
I know there’s a family history of bipolar, but I don’t know anyone else’s details, so maybe that’s just a more comfortable diagnosis for them - or maybe their symptoms aren’t as bad as my son’s. It’s hard to say - bipolar is certainly more socially acceptable than psz.
Correct, it is very possible and a fact that you can have both schizophrenia and schizoaffective disorder and bounce between them over the years… I know this for a fact however it really don’t matter as many of the meds are the same…
I always thought since Schizo affective disorder includes schizophrenia- there would be no need to use separate diagnosis if the mood components were present with the schizophrenic symptoms…I would hope that the more precise the diagnosis the more precise the treatment…theoretically.
Anything in the world is more acceptable than paranoid schizophrenia!! Those words strike fear into people who don’t know, who are ignorant. Sad but true.