NURS 6670 The PMHNP is formulating a diagnosis for Peter a 24-year-old man who was admitted for management of acute psychoses

The PMHNP is formulating a diagnosis for Peter a 24-year-old man who was admitted for management of acute psychoses


Schizoaffective disorder is characterized by both schizophrenic and affective symptoms. Individuals with this disorder experience the same psychotic symptoms as people with schizophrenia; however, the individual also experiences episodic depression or manic episodes that are sufficiently intense to impair social or occupational functioning. Note that schizoaffective disorder is not the same as bipolar disorder, which is characterized by manic episodes and episodes of depression (in some people, a depressive episode may be followed by a period of subnormal mood instead of a manic phase).

It is important to consider distinguishing between bipolar disorder and schizophrenia when treating patients. It is important to understand that while they are similar conditions, they have different treatment plans.

What are the symptoms of schizoaffective disorder?

People diagnosed with schizoaffective disorder experience episodes of psychosis and major depression at the same time, or at different points in time. To qualify for a diagnosis of schizoaffective disorder, patients must have symptoms of either psychosis (hallucinations and/or delusions) or major depressive episodes, which include at least five out of nine criteria listed below.

There is a difference between schizophrenia, bipolar disorder and schizoaffective disorder. Schizoaffective disorder has characteristics of both schizophrenia and bipolar disease. Some symptoms overlap, however the progression of symptoms is different in each.

To be diagnosed with schizoaffective disorder, a person must have symptoms of a mood disorder (such as depression or mania) and symptoms that are also symptoms of schizophrenia.

Schizoaffective disorder is a mental condition where you have symptoms of both schizophrenia and a mood disorder. Symptoms include things like hearing voices, having paranoia, or feeling like you’re out of touch with reality. While schizoaffective disorder is often considered rare, symptoms may be similar to bipolar disorder in some people.[10] It’s hard to know how common schizoaffective disorder is because many people who have these characteristics don’t get treatment.

According to the DSM-5 the criteria for a diagnosis of schizoaffective disorder are:

Autism spectrum disorders (ASD) is a group of complex neurodevelopmental disorders and these disorders represent impairments in the development of social interaction skills, verbal communication, and the presence of repetitive or stereotyped behaviors or interests.


The PMHNP is formulating a diagnosis for Peter a 24-year-old man who was admitted for management of acute psychoses. He believed that he was the Holy Ghost of the Christian Trinity. According to his mother and father, he did not have any psychiatric symptoms or history throughout childhood and adolescence, but after college, he began to develop “issues” characterized by extremes of mood in which he would be too depressed to attend classes for weeks at a time followed by a rebound in which he would go partying, stay awake for days at a time, and go on ridiculous shopping sprees. When considering a diagnosis of schizoaffective disorder, the PMHNP attempts to establish that:

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