This rare and complex mental health condition is an important one to understand.
criteria represent the psychiatry field’s best efforts to standardize our conception of schizoaffective disorder, its real-life application isn’t perfect. Criteria for having schizoaffective disorder versus schizophrenia, bipolar disorder, or depression have shifted over time and can be judged differently by different doctors, Dr. Margolis says.
Because schizoaffective disorder is often misdiagnosed, it’s difficult to pinpoint how prevalent it is, according to the U.S. National Library of Medicine. But commonly cited numbers suggest that around 0.3 to 0.5 percent of the population has schizoaffective disorder. However, thanks to the pretty arbitrary nature and low reliability of diagnosis, not all mental health professionals agree that schizoaffective disorder should even be categorized as its own condition, according to theSome people believe that the diagnosis is overused and not strongly evidence-based, and that what we call schizoaffective disorder should really be classified as a subtype or feature of schizophrenia or a. Dr. Margolis, for instance, doubts it is a separate condition.
While this diagnosis may continue to evolve, experts including Dr. Malaspina and Dr. Margolis point out that labeling a condition is less critical than getting people the help they need. “People get too fixated on the distinction,” Dr. Margolis says. “As clinicians, we know that ultimately what’s important is that this person does have a form of serious mental illness that requires treatment and support.
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