Patients are prescribed drugs that reduce psychotic symptoms and antidepressants (2011). Schizoaffective disorder is a fusion of mood and cognitive disorders. This was evident in the way he interacted with his domestic help and sister. She was anxious whenever she had to give orders to her cook, so she had difficulty establishing a sense of control at home. Treating schizoaffective disorder pharmacologically can be tricky because the individual may be too depressed or suffer from paranoia about the medication. Virginia may have benefited from the medications because she had a support system that could help her comply. Symptoms of paranoia, hopelessness, and lack of concentration may occur when the patient takes the medications as prescribed