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Intro to Co-occurring Disorders

Thought-related disorders

Thought disorders affect one's behavior, thinking, feelings and functioning. Distortion of reality, misperceptions, delusions, hallucinations, mood changes and unusual behaviors may all be characteristics. Because the symptoms reflect a loss of contact with reality, the disorders are sometimes called psychotic disorders.

A fact sheet in PDF format detailing symptoms, causes, and treatment for each of these disorders is available. 

Schizophrenia

Schizophrenia is the most common thought disorder. It is not a "split personality" or a "multiple personality."

Symptoms of schizophrenia fall into four categories:

Psychotic symptoms
(also called positive symptoms)

  • Hallucinations
  • False perceptions
  • False beliefs
  • Bizarre behavior
  • Disordered speech
  • Delusions

Negative symptoms

  • Apathy
  • Loss of interest
  • Poor follow-through
  • Loss of pleasure
  • Illogical, limited amount of speech
  • Lack of facial and vocal expressions

Cognitive symptoms

  • Problems with attention, psychomotor speed
  • Slower processing of information, memory, planning and organizing

Mood

  • Problems with depression, anxiety, anger, mood shifts
Download a fact sheet about schizophrenia (PDF)

Schizoaffective disorder

Schizoaffective disorder is quite similar to schizophrenia, and is usually long-term.

People with either schizophrenia or schizoaffective disorder can have symptoms of depression, mania, or both types of symptoms. However, people with schizoaffective disorder tend to have more severe depressive or manic symptoms. This means that the symptoms occur more often and last for longer periods of time.

Depressive symptoms

  • Feeling hopeless, sad
  • Loss of interest
  • Significant weight change
  • Trouble sleeping or oversleeping
  • Feeling restless or sluggish
  • Feeling worthless or guilty
  • Difficulty concentrating
  • Irritability
  • Thoughts about death or suicide

Manic symptoms

  • Euphoric or irritable mood
  • Decreased need for sleep
  • Grandiosity (thinking you have abilities or powers you don't have)
  • Spending more money than you have
  • Rapid speech and movements
  • Distractedness
Download a fact sheet about schizoaffective disorder (PDF)

Other common co-occurring disorders are mood-related disorders and anxiety-related disorders.

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Also of interest

Types of disorders
Besides thought disorders, the most common co-occurring disorders fall into two other categories:

Effective treatment
Co-occurring substance use and mental health disorders need to be treated at the same time.
Learn more


Getting help
If you have co-occurring disorders, don't despair. There are effective ways to treat your mental health disorder while you heal from addiction.
Learn more


Recovery resources
Peer support groups, advocacy groups, and public policy agencies can help you learn more about co-occurring disorders.
Learn more


Frequently asked questions
Find answers to frequently asked questions.
Learn more

An effective, integrated
treatment program

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The Hazelden Co-occurring Disorders Program is the first comprehensive treatment program for people with non-severe mental health disorders that co-occur with substance use disorders.
Hazelden Co-occurring Disorders Program

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