How to know if its schizophrenia or acute psychosis

well i had psychosis in 2014 ok now.i had delusions,social anxiety,low flat effect. mainly-delusions of grandeur(thinking that im famous n important),persecutory delusions(people are against me-plotting against me),im not sure i heard voices. took risperidone ,after 1 year now i swtched to abilify .but theres a great deal of amotivation ,apathy,avolition etc.not sure its from illness or medication.since my pdoc is not telling me clearly i want to know whther acute psychosis also have symtoms like these .in both cases im prepared to accept my fate

The negative symptoms of the illness sound a lot like that, amotivation, apathy, avolition… My pdoc wasn’t clear with me either, I just have to figure out by myself. They first gave me a diagnosis of paranoid sz, now it’s schizoaffective. I have definitely a mood disorder, so they’re probably right.

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hi minni…what do u think is the main differnce between para.scizo and schizoaffective disorder from ur experience…i think i may have something like that

It’s the mood disorder, I’ve actually been more stable but I get cyclotimia and general depression.

Regardless of the dx, I will suggest that you stand a good chance of feeling better from doing the following:

  1. Get a copy of this book and read it and have your family read it, as well. (Torrey can be a bit totalistic and unwilling to see exceptions to his “rules” at times, but most of the book is really worth the effort to plough through.)
  2. Get properly diagnosed by a board-certified psychopharmacologist who specializes in the psychotic disorders. One can find them at… and
  3. Work with that “psychiatrist” (or “p-doc”) to develop a medication formula that stabilizes their symptoms sufficiently so that they can tackle the psychotherapy that will disentangle their thinking.
  4. The best of the psychotherapies for that currently include…
    DBT –
    MBSR –
    MBCT -
    ACT –
    10 StEP –
  5. the even newer somatic psychotherapies like…
    MBBT –
    SEPT –
    SMPT –
  6. or standard CBTs, like…
    REBT –
    Schematherapy –
    Learned Optimism –
    Standard CBT –
  7. If you/she/he needs a professional intervention to get through treatment resistance, tell me where you live, and I will get back to you with leads to those services.
  8. Look into the RAISE Project at
  9. Look for “mental illness clubhouses” in your area (which can be hugely helpful… but may also pose risks). Dig through the many articles at to locate and investigate them.
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I don’t really understand about the not being sure you heard voices?