Many people with schizophrenia or schizoaffective disorder experience the troubling symptom of hearing voices. I hear voices. I hear them often. It’s a breakthrough symptom even for those of us on medication. But there is one time when I experience schizophrenic/schizoaffective voices the most.

There are many difficulties with my mental illness. If you’ve been reading Creative Schizophrenia regularly, then you most likely know I have a wonderful husband named Tom who is very supportive in my journey with schizoaffective disorder. He is so supportive that he makes me feel it is our journey with my schizoaffective disorder. So when one of my readers asked me what the biggest difficulty with my mental illness was for him to deal with, his answer surprised me.

I’ve written recently about how I’m trying to lose weight while on a schizophrenia medication that causes weight gain. Now here’s an update. As I’ve mentioned before, I’m on an atypical antipsychotic medication for my schizoaffective disorder that causes severe weight gain: yes, severe. At times my natural weight has almost doubled on this schizophrenia medication.

I wish I didn't hear voices on vacation, but I know I do. Every year, my schizophrenic and schizoaffective symptoms come with me on vacation. They pack themselves up--even my schizoaffective voices. But I didn’t let hearing voices on vacation ruin my fun. Here’s what I did.

Since I was diagnosed with schizophrenia almost 20 years ago and then with schizoaffective disorder 15 years ago, I’ve gone through scores of psychiatric medication changes. They’re never fun but remain necessary as I work with my doctor to keep the dosage as low as possible and schizophrenia symptoms under control. I’m going through a psychiatric medication change right now after a peak of anxiety. You can probably relate to the way it’s affecting my schizophrenic and schizoaffective symptoms.

I was diagnosed with schizophrenia in school during 1998. I’ve spent the time since then rebuilding my life while getting re-diagnosed with schizoaffective disorder along the way. I remember that period as a terrible time for me and it doesn’t get any happier as American culture launches a nostalgia kick for the 1990s. I’ll always love Tori Amos’ records, but it’s not a time I want to revisit. Falling into a psychotic episode changed me forever and, although I love my life now, I don’t want to reminisce about the terrified person I became when I was first diagnosed with schizophrenia at school.

Anxiety affects me much more than schizoaffective disorder. You see, schizoaffective disorder is a combination of bipolar disorder and schizophrenia. I have schizoaffective disorder, so I have symptoms of schizophrenia and symptoms of bipolar disorder. Then there’s a bonus--generalized anxiety disorder. Bipolar disorder is often accompanied by anxiety disorders. And it's my anxiety symptoms that affect me the most, even more than schizoaffective disorder.

Behaving badly due to schizophrenia or schizoaffective disorder can cost us relationships, friendships, jobs, degrees, and more. I don’t use my schizoaffective disorder as a free pass to do or say whatever crummy thing I please. Here’s what I’ve learned about myself and my schizoaffective disorder through behaving badly. This is also how I confronted that behavior and turned it around.

A couple of weeks ago, I described my experiences with weight gain caused by atypical antipsychotics used to treat schizophrenia and schizoaffective disorder. Something has changed since then, and probably with some motivation from sharing that article with you. Now I’m trying to lose weight while on schizophrenia medication. I don’t want to go off the antipsychotic I’m on or find a new one--every time I do that I have a bad experience. But here’s how I’m going about the challenge of staying on schizophrenia medication and losing weight.

Boredom – it’s been a continuing struggle since I've started dealing with the effects of schizophrenia and then with schizoaffective disorder. After all, let’s face it, everyday life is not as exciting as a schizoaffective psychotic episode or even a manic episode. That’s not to say I would rather be experiencing acute schizophrenic symptoms than remaining successfully in treatment. I just mean that when you’re on medication for schizophrenia or schizoaffective disorder that is sedating, there are so many stressful activities I can’t handle and life can become a little boring due to the effects of schizoaffective disorder.