Introduction. The study is focused on identifying disorientation in the communication of patients with neurosis-like schizophrenia with obsessive-phobic syndrome. Insufficient scientific development and high medical and social significance of the topic are shown. The assumption is formulated that patients have a pronounced violation of social perception, interconnected with positive, negative symptoms and quality of life. Empirical analysis. The results of the study showed significant difficulties of perception and interpretation of social information, interrelated with clinical symptoms. The leading role is played by rigidity, stereotyped thinking, which determine the fragmentary and superficial perception of emotions, as well as elements of delusional ideas and hallucinations that distort the understanding of social situations. Over the course of the disease, inadequately inflated estimates of life are formed. Social anhedonia mediates the influence of clinical symptoms on social perception, stabilizing the deficits of social perception and intelligence. The length of the disease contributes to life satisfaction in connection with a protective self-attitude and reconciliation with the status of “disabled”. Conclusion. Patients have pronounced difficulties recognizing emotions by facial expressions, posture and gestures associated with positive and negative symptoms. An increase in the subjective assessment of aspects of life in society reflects a protective worldview and self-attitude, as well as a downward drift of standards.