Welcome to Just Answer !
Well, i can sense a feeling of frustration and bewilderment in you , regarding your preoccupation and uncertainity about being a Schizo affective patient or not. I will try to be as honest and comprehensive about the whole issue as possible , but i will request you to listen to me with an open mind and without jumping to hasty conclusions.
Now, let me first throw some light on Schizoaffective disorder , so that you can have a brief background knowledge about the diagnosis. Well, although one cannot predict a new born to have schizo affective diagnosis at the time of birth itself , but yes ,Schizo affective disorder has a strong Genetic predisposition , meaning that if there is a close relative of the child whose suffering from Schizo affective disorder or schizophrenia , then the child , due to genetic loading from that particular close relative , stands at high risk of becoming Schizo affective herself / himself, but the revealation of schizoaffective symptoms occur usually at adolescence , as uptill adolescence , no meaningful cognitive (thinking process), and affective ( mood) functions had taken place and these are brought into light as the child's social ( friends, family) , and occupational ( school) life becomes increasingly demanding, and when he/ she is not able to keep up with others and stands out due to the condition. So, i hope you can relate to what i have explained here.
Also, what does Schizoaffective disorder entail or mean, well it is a combination of Schizophrenic symptoms ( such as lack of insight , delusions , hallucinations, paranoid ideation, loose associations, etc) and affective symptoms ( Such as manic symptoms like excessive self confidence , excessive degree of happiness, or elation, disinhibition, easy distractibility , hyperactivity but low productivity , increased libido (sexual drive) and appetite , loss of judgemental and decision sense, etc AND/ OR depressive symptoms like low mood , low self esteem, inability to feel pleasure , lack of interest , inititaive , hope and confidence, negative and suicidal thoughts , feeling of worthlessness, and helplessness, decreased appetite, sleep and libido.
Now , coming to your question about , whether a psychiatrist should take into account one's IQ, SOCIAL SKILLS, AND INTERPERSONAL SKILLS, before diagnosising a Schizo affective disorder , to this i would say , yes, the psychiatrist needs to assess all this, infact it is a part of the clinical interview which he/ she takes with the patient , and is included along with other things such as cognitive testing , test of insight,reality and reasoning , orientation testing and assessment of personality etc, in the psychiatrist's scheme of things.
Now, addressing your question , about , if a person is diagnosed with Schizo affective diagnosis , will he/ she have it all throught his/ her life and whether he/ she will have to take anti psychotics all throughout their lives. Now, to this , i would say that , unfortunately , once a person is diagnosed with a Schizo affective diagnosis , he will have it throughout his life , it is like having been diagnoses with Diabetes or hypertension , once a person is diagnosed with such conditions , he / she has to live with it throughout life , but one can control the undesired / untoward symptoms of these conditions, Likewise, Anti psychotics and Mood stabilizers are the mainstay of treatment for Scizo affective disorder and are to be taken for a long duration of period , in order to keep off from the symptoms of the condition, although , once a person has been stabilized , showing no symptoms for a long time , then , the doctor can think of reducing the drug doses or stopping them altogether .
Now, lastly addressing your doubt whether you really are a case of Schizo effective disorder or not , and the fact that your main concern is your inability to keep up with your peers at work place and the episodes of ' being spaced out', which reinforces your belief in having this disorder , plus you have mentioned previously you have been diagnosed with it .
Well, although i am not refuting your previous diagnosis of Schizo affective disorder , but to me you are unlikely candidate for schizo affective disorder and to me you seem to be more like a case of Affective disorder such as bipolar and / or ADD ( ATENTION DEFICIT DISORDER) and the reason i cite for my probable diagnosis is due to the fact that in you there is no loss of insight or impaired reality testing , and the way you have narrated your detailed history to me with full of understanding about your condition and objectivity , would have been next to impossible for a schizo effective patient to carry out, except if you had been stabilized on the drugs for a long time and currently have been symptom free. So, if this is not the case ,i would ask you to get yourself Re - evaluated by a psychiatrist , as the episodes of spacing out or inability to keep up with scholastic performances or with peers is also seen in ADD or bipolar , so in order to confirm , you need to have a Reassessment of your condition by a psychiatrist ,.
So, i again suggest you to go for a Re- evaluation of your condition by a psychiatrist and things will become much clearer for you then.
I wish you best of health.
I hope my answer serves your query according to your satisfaction.
Welcome back !
Well, thanks for the detailed explanation about your life history . As i have mentioned earlier , i still believe that you are not a case of Schizo affective disorder as you do have insight , which by definition means awareness of oneself and her surroundings , and i believe the way you have self evaluated yourself, automatically discards the possibility of lack of insight , as if you actually were having lack of insight , you would not have a) evaluated yourself in such an objective and clear way, and b) would not have been able to present your case yourself, as people of schizo affective disorder are presented by their relatives, parents , as these people lack insight and have inability to recognize reality , which is not the case with you. So, now, i have more reasons to believe that you have been mis- diagnosed and you need a re assessment by a another Psychiatrist or a Clinical Psychologist.
As far as you not being able to keep up with your peers, having been socially neglected and considered as an outcast , not been able to have close trusting friends , confidants, spacing out , and kind of not being on the same page with others, and plus , as previoulsy mentioned , not able to have concentration on work at hand and lagging behind others and trying twice as hard as others to reach goal in school, college, workplace , all these features indicate towards a Personality disorder diagnosis along with ADHD .
No, in your case it is not anti social personality disorder , you are no way near that kind of clinical picture , but i feel that you suffer from Schizotypal personality disorder coupled with borderline personality disorder ( also known as emotionally unstable ).
The fact that you have not been able to maintain steady relationships with friends , peers alike , due to probable confusion in your mind as to how to act appropriately in a social gathering or public , you may have been using phrases , words, obviously unintentionally ,in your conversations , which might have repelled the others , and that made them to avoid you. You probably are socially anxious person who does not know how to act according to the demand of the circumstances or situations and this is also a common feature Schizotypal personality disorder , along with the other features explained above. And it might be a good possibility that you are having AN ADDITIVE BORDERLINE PERSONALITY AND ADHD .
So, i suggest that you consult a new Psychiatrist or clinical psychologist , and get your personality assessment done and also, get evaluated for ADHD , from the same therapist.
For ADHD , drugs such as Adderall XR or Ritalin are considered to be the mainstay , while for Schizotypal personality disorder & boderline personality , you need to undergo psychotherapy ( counseling ) , such as Cognititve behavioural therapy ( CBT), Interpersonal psychotherpy , Dynamic psychotherapy , dialectical psychotherapy and these psychotherapies are offered by psychiatrists and psychologists alike.
So, you have got treatment options for the mentioned above 3 diagnostic co morbid conditions , but first you need to confirm the diagnosis by undergoing personality assessment , as i am quite convinced that you are not schizo affective , as you had been diagnosed.