They say Sza has a better prognosis

What does that mean exactly? Does it mean less likelihood of suffering from frequent hallucinations, paranoia, delusions and negatives? I can tell you that all these plague me constantly.

Does it mean increased likelihood
of being able to work
in paid employment
on a continuous
basis? I have always
had a lot of trouble
staying employed.

Or maybe it means having successful romantic relationships and friends and getting married and having a family. I’ve been there, done that. It’s all gone now. All of it. The hubby, the child, the lovers, the friends: all gone. My Sza diagnosis didn’t save me from a bad prognosis.

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I’m just feeling sorry for myself because once again, I am now friend- less.

But I was told just today that I’m meeting a new, mature friend soon who will be perfect for me. And we will share interests.

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I’m sz but I used to know a guy who was sza, and I would say he was more functional than me, especially socially.

He was like you, he had married and had children, then unfortunately lost these things. But at least he did attain them, many people with sz, including myself, never do.

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@fingolfin, I see your point. And I agree with you. When I was younger, I was more social. I was paranoid, but less so than I am now. Now, I am so paranoid I can’t socialize .

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I have sza, too. I have hallucinations and occasional delusions, a few hospitalizations a year. I don’t have a job and rely on disability and a housing voucher. I’ve never been in an intimate relationship.

That all said, i have a life. I’ve earned my master’s degree. I do mental health advocacy volunteer work. I have friends. But all those things, as fulfilling as they are, are exhausting things because they require me to get out of my comfort zone and i work hard to maintain them.

Meds help the most…but i am working my ass off in therapy. I struggle every…freakin…day. So, i don’t know if this lifestyle would be a “better prognosis” or not…it’s just my prognosis. It wasn’t how i set out for my life to go but it’s better than it was when i was 18 and sitting in a state hospital. It’s better than it was 6 years ago when i was on court-ordered treatment.

I’m just saying, everyone’s prognosis is their own, individualized by circumstances, their ability to work on their issues, and the resources available to help them.

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But by the same token, I know a lot of happily married sz men and women on this very forum as well.

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I have a sza diagnosis but wouldn’t be surprised if that got changed to sz one day. The only thing I’ve accomplished in life is getting a bachelor’s degree, which is huge, but never been married or had kids or many friends

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I have sza and have worked part time successfully. I’m guessing the prognosis difference is because we don’t get the flat affect that affects some sz and makes them sound kind of robotic, like that nice super successful lady with the law degree, what’s her name, Ellen Saks.

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Are you saying that Ellen Saks sounds robotic? @agent101g Thats interesting news to me.

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Some people with SZA get the flat affect
I know that at times my affect gets flattened and my diagnosis is SZA bipolar type.
It happens.

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I learned how to speak normally again. It’s tiring.

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Skibidi rizz no cap.

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Seh eh like yu mean ih Bredda.

:jamaica:

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I think what makes sza seem more likely to have a better outlook is that sza is usually way more cyclical whereas sometimes sz can be very constant, never letting up.
For example a person with sza might only suffer from delusions or paranoia for a period of time, then be mostly alright for weeks or months straight. This can be kinda frustrating though. You go psychotic or manic, then recover, start to get your s**t together, things are looking up, then bam! Extremely psychotic again.
But its not unusual for someone with purely sz to just be always very mildly paranoid and delusional.
Thats what i heard anyway. Amd everyones different of course.

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I agree
SZA is similar to bipolar in the sense that the psychosis is more episodic as compared to schizophrenia where the psychosis is more chronic

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I go batshitt crazy when I become fully manic and my psychosis lingers even when the mania subsides
This places me in the schizoaffective camp

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Yeah for sure. But i don’t think that during the height of a psychotic episode, the severity of a sz person isn’t more intense than a sza person. I think that part varies greatly by individual. Thats what i assume anyway. Since my episodes were absolutely hecitc. And that makes it hard for me to believe that a sz person’s peak psychosis phase is somehow more troubling. Everyone’s different. That’s just something i wanted to add.:slightly_smiling_face:

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Yes I agree
My psychotic episodes are hell on earth!

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Yep, one tone of voice the entire time she talks. It’s not bad, it’s just the first thing I noticed about her.

I am not trying to critique her, in my opinion she’s succeeded more than me by far. Just trying to be honest about my observations.

The flat affect doesn’t seem super common but I’ve seen it a few times. “Robotic” may be a bit harsh, monotone would be a better word I guess.

@Ozzyskits , you use too many double-negative phrases in your explanations and descriptions to the point where I can’t understand what you’re saying at all. I’m just not smart enough I guess. Please explain in simpler terms.

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