### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was diagnosed schizoaffective disorder for a one time episode I had 6 years ago. I had recently had fallen and took the brunt of it to my forehead and was unconscious for a short amount of time. I refused to go to the Dr due to the fact my system was dirty. I had also dabbled with Spice. This is when I noticed a change in my thinking nd reasoning. I admit I had a problem... BUT I was diagnosed after being admitted thru ER and given all kinds of psychotropic medications. how can I have a true diagnosis when I don t even recall the first three days I was hospitalized? This diagnosis has followed me since then and has caused me so much pain. I have been treated impartial for this episode.

### output:

Hi and thanks for question. Schizoaffective disorder diagnosis made when pt have the following criteria: psychotic feature 1)delusion 2)Hallucination 3)impaired self-care 4)negative features like negativism, echolalia, posturing,mutism etc. if 2 of these symptoms present for more than 6 months than we diagnose as schizophrenia during the course period of schizophrenia many patient have mood symptoms like either depression or manic episode than we diagnose as schizoaffective disorder.  DSM-5 criteria. A. An uninterrupted period of illness during which there is a Major Mood Episode(Major Depressive or Manic) concurrent with Criterion A of Schizophrenia. Note: The Major Depressive Episode must include Criterion A1. B. Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a Major Mood Episode (Depressive or Manic) during the lifetime duration of the illness. C. Symptoms that meet criteria for a Major Mood Episode are present for the majority of the total duration of the active and residual portions of the illness. D. The disturbance is not attributable to the effects of a substance or another medical condition. Specify whether:Bipolar Type: This subtype applies if a Manic Episode is part of the presentation. Major Depressive Episodes may also occur. Depressive Type: This subtype applies if only Major Depressive Episodes are part of the presentation. With catatonia: This specifier, which applies to both 295.70 (F25.1) SchizoaffectiveDisorder, with prominent depressive symptoms, and 295.70 (F25.0)Schizoaffective Disorder, with prominent Manic Symptoms, may be used to specify a current episode with at least three of the following: catalepsy, waxy flexibility, stupor, agitation, mutism, negativism, posturing, mannerisms,