I was diagnosed with schizoaffective disorder about 5 years ago.
Fortunately, my psychiatrist is very careful about medications and
takes a full-hour each visit for therapy.
I've heard horror stories about doctors only seeing their patients for
5 minutes and writing them too many prescriptions that leaves the
patient feeling drugged up. My mother-in-law, at one point, was
seeing a doctor that gave her such a high dose of prescriptions meds
that she would drive to places running on errands and would forget how
she got there.
If your doctor only sees you for 5 minutes for med-check-ups, you
might have a problem. Then again, if your insurance plan won't cover
a decent doctor, then you might be out of luck.
My experience has been that proper treatment (medication and therapy)
have allowed me to live a fairly normal life and keep a proper grip on
reality. It was not always this way. During my last year of high
school, I was on a very destructive path. I remember some of the
beliefs I had at the time (though I never shared them with anyone),
and now I'm a little embarassed at how detached from reality I was.
I still have a fair amount of hallucinations when I'm in public. But
I've learned to accept them as just that: hallucinations. With this
view, I can ignore them and realize that they are just a trick of the
mind, and not something I should let control my life.
I read in a doctors manual _Affective & Schizoaffective Disorders:
Similarities and Differences_ about the prognosis of schizoaffective
individuals. The key was how they were treated. Medication and
therapy were the best tools for treatment. And there is a chance
that if you live long enough with the condition that it may revert
into just a manic-depressive disorder (keep in mind, this is just
what I read).
My doctor once told me that the difference between insanity and
sanity, sometimes, is just fact-checking. If you hold a belief which
is wholly unsubstantiated--based on phantom observations that no one
besides you can confirm--then you may want to disregard that
information altogether.
I have had a long road to recovery, and I can't assume that I will
never have any more pitfalls again. But I can tell you, the longer
you live with the disease, and the better you train yourself to cope
with what you know to be delusions, the better your chances are to
live a fulfilling life.
I hope that those of you out there who are having hard times at least
have strong support from your family and friends.