Schizoaffective Disorder Differential Diagnoses

Updated: Jan 12, 2016
  • Author: Guy E Brannon, MD; Chief Editor: David Bienenfeld, MD  more...
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DDx

Diagnostic Considerations

The diagnosis is made when the patient has features of both schizophrenia and a mood disorder but does not strictly meet diagnostic criteria for either alone. Unfortunately, it is often difficult to determine whether a patient has 1 of the 2 illnesses (schizophrenia or a mood disorder), a combination of the 2 (schizophrenia with a mood disorder), or perhaps even another separate illness. [20, 21, 22, 23, 24, 25] Ongoing reevaluation over the course of the illness is important for confirming the diagnosis. [26]

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Steroid use
  • Temporal lobe epilepsy
  • Complex partial seizure disorder [27]
  • Neurosyphilis [28]
  • Thyroid problems
  • Alcohol abuse or dependence
  • Metabolic syndrome [29]
  • Delirium
  • Narcolepsy [30]
  • Tobacco use [31, 32]

Differential Diagnoses