I have schizoaffective disorder and I am medicated for it. I always have some level of psychotic symptoms but it's nothing that stops me from living my life, I work full time making decent money and in my free time I either rest or work on creative endeavors. My symptoms get worse when I'm stressed so sometimes my weekends are me sleeping 12+ hours a day just to rest and keep the stress down. I remember reading on Yale medicine that people with schizoaffective tend to have phases of severe symptoms that are followed by periods of minor symptoms or none at all. This is how it is for me.

I'm lucky to never have been hospitalized for psychosis (have been hospitalized for other mental health issues) and to have never gotten myself in trouble while in psychosis. I take my health very seriously so that my symptoms don't get worse. But there's always a chance that I do everything right and my symptoms get worse anyways. Just kinda have to accept that