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Schizophrenia spectrum and psychosis

Schizoaffective disorder

It combines symptoms of schizophrenia with episodes of mood (depression or mania). It requires coordinated psychiatric and psychological treatment.

Common signs

Psychotic symptomsDepressive or euphoric episodesChanges in day-to-day functioning

Tips

For you

  1. Follow-up with psychiatry and psychology
  2. Learn to spot signs of relapse
  3. Regular sleep and activity routines

For family and friends

  1. Help keep regular sleep and meal routines
  2. Support them in sticking to treatment and check-ups

When to ask for help

  1. If they talk about death or harming themselves: 024 or 112
  2. If they stop medication and symptoms return

Are you having a really hard time? If you're thinking of harming yourself, call 024 (free, 24 hours) or 112.

Warning signs

List of warning signs. Tick "Yes" for the ones you have noticed. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. Hears voices or has strange or persecutory ideas
2. Has periods of deep sadness
3. Has periods of euphoria, little sleep or excessive spending
4. Psychotic symptoms continue when mood improves
5. Finds it hard to keep a job or stay in education
6. Has stopped treatment at some point and got worse
7. Withdraws from family and friends
8. Sleeps very little or irregularly

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveConfederación SALUD MENTAL ESPAÑA (Spanish mental health confederation)Free external resourceFundación Mundo Bipolar (Spanish bipolar disorder foundation)Free external resourceAll our free guidesFree resource from Clínica Vivaldi

Related disorders

SchizophreniaSchizophrenia spectrum and psychosisSchizophreniform disorderSchizophrenia spectrum and psychosisBrief psychotic disorderSchizophrenia spectrum and psychosisDelusional disorderSchizophrenia spectrum and psychosis

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.