Schizoaffective disorder

Schizoaffective Disorder: First Steps Toward Recovery

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Schizoaffective Disorder: First Steps Toward Recovery
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Extended edition: deeper, with a practical breakdown.

When someone arrives saying "I have so many problems," they are already in an altered, reactive state of consciousness. The first step is not to force yourself through motivation, but to understand what is happening to you. This alone eases the tension: "a person can fall ill, that's normal."

First — understand what state you are in

Before changing anything, do an honest audit of the situation: is it asthenia, burnout, organic or endogenous depression, schizoaffective disorder? Once it "settles," it becomes clear what to do next. Understanding itself brings relief — you stop being upset over not knowing what is going on.

"What must you do first — understand that you have a disorder. What does that give you? At least you won't be upset."

What schizoaffective disorder really is

I prefer to translate it as an affective-schizoid, emotional disorder — it makes the essence clearer. An external trigger (information, a situation) switches on the avoidance program in the reactive part of the brain — the "monkey brain," the limbic system. This part seizes control of the whole organism and commands: "run." So a person avoids through actions, through emotions, and through thoughts.

What operates here is not only thoughts but the basic affect itself — at the bodily, energetic level of the whole organism. This is the "stuck button" it is important to recognize.

Thoughts can be changed — and so can feelings

The key discovery: these thoughts, experiences and ideas can be changed. They can be changed through your way of life, by restoring homeostasis; if that is not enough — with medication; and they can be changed by realizing them through your own mental process. When you reach the level where you understand: the body is mine, but I am not the body; the thoughts are mine, but I am not the thoughts — you begin to choose those thoughts.

The next step is to do the same with feelings. Mood, malaise, fatigue, muscle tension, headache, forebodings — these are all states switched on by externally received triggers. They have no connection to reality: much of it came "by inheritance" from the sick people you were in contact with.

"The body is mine, and I am not the body; the thoughts are mine, I am not the thoughts — and here we take one more step forward."

Cut the link and stop spending energy on illness

When you recognize an experience as "not you," you can cut the link between an event and your mood — and your "balloon" rises up. The goal is to switch off, at the basic level, that button stuck at the bodily level (as in reactive depression: you seem to function, but deep down it hasn't let go; in a different environment you suddenly feel light — meaning it is switched on from outside).

You must not spend energy on illness: any fear or distress is the avoidance program switching on. Avoidance will not help the matter, it will only worsen it. On the contrary, in the best mood and the best expression of physical, mental and emotional health, you can better help both yourself and those close to you.

Practice: peel off the layers, like a matryoshka

  1. Do an audit. Calmly describe the situation "as it is": what is really going on — fatigue, burnout, a disorder. Drop the "so many problems" formula.
  2. Separate thoughts. Notice a thought and tell yourself: the body is mine — I am not the body, the thoughts are mine — I am not the thoughts. A thought can be sent "off to the field" — it is not you.
  3. Separate feelings. Recognize a mood, head tension, numbness, a surge of fear as states: "stop — this has nothing to do with me."
  4. Cut the link. Consciously break the chain "event → my mood." Once you spot the avoidance program, name it and don't follow it.
  5. Support homeostasis. Remember there are real bodily needs (eat, drink, get warm) — these are no cause for anxiety and do not affect your expression.

Peeling off layer after layer down to the deepest frozen experience and recognizing it, you arrive at a state where your mood no longer depends on external triggers — and then you are finally home.

Educational material. Not a diagnosis or a substitute for an in-person consultation; in an acute state, seek a doctor (emergency — 112).

Андрис Саулитис, M.D.

Schizoaffective Disorder: First Steps Toward Recovery — VitaModo