Medication for psychosis

Most mental health problems are treated with medication. Medication is prescribed for many mental health problems and most people had been prescribed antipsychotics at one time (see ‘Resources section for a full description of medication). Some people said that whilst the quest to find a medication that suited them was not easy, it was worth the effort to persevere with medication. A few even described the effect of medication as ‘brilliant’. Some people who experienced side effects still wanted to take it as they felt the benefits outweighed the disadvantages. A few felt that taking medication had been the key to their recovery. However, some people were against medication and felt that it did not treat their ‘symptoms’ i.e. they were still hearing voices and thought that the side effects of medication were worse than their mental health problems.

Medication for anxiety and depression

Nearly all of the people interviewed had taken antipsychotic medication at some point in their lives. However some were prescribed other kinds of drugs (such as antidepressants, sleeping tablets or medication intended to help with anxiety – usually benzodiazepines).

Ceridwen saw an educational psychologist and was given antidepressants by her GP.

Age at interview 27

Gender Female

Age at diagnosis 20

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Janey said that everything blew up in her face and went to see her GP who gave her…

Age at interview 52

Gender Female

Age at diagnosis 29

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Green Lettuce now only takes diazepam.

Age at interview 25

Gender Male

Age at diagnosis 20

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Taking antipsychotic medication

Antipsychotic drugs are often prescribed to control the symptoms of psychosis. There are two main types of antipsychotics: the older antipsychotics and the newer atypical antipsychotics. For more information about the different types of medication and the associated side effects see organisations listed in our ‘Resources’ section.

Many felt that, although there was a role for medication, doctors relied too much on medication and should look at other ways of helping people feel better. One person said that as long as she took her medication she was ‘symptom free’, but felt ‘dizzy and disorientated’ if she forgot to take it. Some people felt that taking antipsychotic medication did not make their voices disappear or make them feel less paranoid, but what they did do was to make them feel drowsy and slowed down their thinking. A few described this as feeling like a ‘zombie’. For a full description of the physical side effects that people often experienced (e.g. weight gain) see the ‘Physical health’ section

Tom was given chlorpromazine in hospital; this lessened the voices a bit, but was very sedative.

Age at interview 39

Gender Male

Age at diagnosis 21

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Ron was kept hearing voices despite taking higher and higher doses of antipsychotics so he wanted…

Age at interview 51

Gender Male

Age at diagnosis 23

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Andrew has been on atypical medication for the last ten years and found that it has less sedative…

Age at interview 59

Gender Male

Age at diagnosis 24

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Margaret felt that she was able to halve the amount of medication she took as she discovered her…

Age at interview 41

Gender Female

Age at diagnosis 27

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Peter and Andre both reported problems with sex as a side-effect of their medication, which is not unusual. This can often be solved by changing to a different type of medication.

Psychological side effects

Many people had mixed feelings about taking medications due to unwanted psychological effects. Some said medication made them sleepy, was a sedative, made them feel ‘false’, or made it difficult to remember things. Rachel used the term ‘chemical cosh’ to describe the medication she was prescribed. Many people felt that they couldn’t work when taking medication because they were too tired or found it difficult to concentrate. Others felt they were ‘cocooned’ or that they couldn’t experience happiness or sadness. Peter felt unable to cry at his mother’s funeral because he felt ‘blunted’ by the drugs he was taking. It could sometimes be difficult for people – and the professionals working with them – to work out what was a side effect, and what was to do with their mental health condition.

Graham doesnt like taking medication although a part of him accepts that when he takes it he…

Age at interview 47

Gender Male

Age at diagnosis 22

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Dolly felt that when she was on antipsychotic medication she had no contact with her emotions and…

Age at interview 39

Gender Female

Age at diagnosis 22

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However a few people experienced no side effects at all.

Talking to professionals about medication

Some people talked about the way they discussed their medication with doctors. Here they discussed the type, dosage, side effects and reasons for taking medication. Many worried they had been taking too high a dose. A couple of people said they fought to get the best medication for themselves or their loved one. For example, some wanted to be prescribed the newer drug, Clozapine as it is thought to be more effective, however, it is associated with potentially serious side effects and requires very regular blood tests. Rachel asked about the side effects of a particular medication but didn’t feel satisfied, whilst another felt that black people were given more medication. A few people felt it dehumanising that staff could forcibly medicate people in hospital (by injection), and so took their medication because they didn’t want this to happen to them. Some people said that medication taking could involve a power struggle between patient and professional. Dolly refused to talk openly, and pretended to be well on medication because she just wanted to get out of hospital even though she was still hearing voices.

Rachel put on two stone taking medication and felt betrayed by a psychiatrist who told her it…

Age at interview 47

Gender Female

Age at diagnosis 27

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Andrew describes how after a nurse reported he wasnt taking his medication he felt intimidated…

Age at interview 59

Gender Male

Age at diagnosis 24

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Graham describes his mixed feelings about being on a compulsory treatment order as he hates…

Age at interview 47

Gender Male

Age at diagnosis 22

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Stopping or changing medication

People were frequently on many different types of medication at once, and had often changed the type or dose of antipsychotic they were taking. A few people had taken several different types of antipsychotics. Many people had difficulties when they stopped taking, or changed, the medication they were prescribed. Some people stopped taking their medication without telling their doctor, whereas others had their medication changed by their psychiatrist. A few people who stopped their medication after they were feeling better discovered that voices returned and some became unwell again.

Pete tried to reduce his medication and found that walking with a neighbour was very helpful.

Age at interview 48

Gender Male

Age at diagnosis 30

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Colin was short of a couple of tablets one weekend and found that he was getting elevated.

Age at interview 40

Gender Male

Age at diagnosis 19

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Devon started doing a course and felt that he didnt need medication anymore, so he stopped and…

Age at interview 52

Gender Male

Age at diagnosis 22

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Different ways of taking medication

Most people preferred to take medication in tablet form and avoid injections. Some people found having depot injections (intramuscular) into their backside humiliating as discussed above. Many people remembered to take their medication themselves, but others needed reminders (e.g. from family or professionals). A few people didn’t receive prescriptions on time, making them feel unwell.

Kirsty didnt feel in control when she had injections.

Age at interview 40

Gender Female

Age at diagnosis 24

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Hospital treatment and compulsory care

In this summary, people talk about their experiences of being admitted to hospital, in some cases compulsorily via powers provided by the Mental Health Act...