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Antipsychotics and Identity: The Adverse Effect No One is Talking About

Conneely, M; Roe, D; Hasson-Ohayon, I; Pijnenborg, GHM; van der Meer, L; Speyer, H; (2024) Antipsychotics and Identity: The Adverse Effect No One is Talking About. Community Mental Health Journal , 61 (2) pp. 228-233. 10.1007/s10597-024-01255-w. Green open access

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Abstract

People who take antipsychotics, and people who are prescribed antipsychotics without taking them, experience effects which are not frequently discussed: effects on their identity and sense of self. Qualitative research indicates the relationship between taking APs and identity is multilayered, and changeable. Taking APs can restore people to their earlier, pre-symptom sense of self. Being prescribed and taking APs can also, on the other hand, be experienced as damaging, erasing and dulling people’s sense of who they are. This complexity deserves exploration in clinical practice, which we believe is currently not done routinely. More work is needed to understand whether, and how, the relationship between identity and APs is being addressed. We outline the importance of having discussions in a clinical space around identity, and a sense of agency, on the grounds that true recovery-oriented care, which enacts shared decision-making principles, demands it. Further, we argue that it will allow for better therapeutic alliance and trust to be forged between clinician and client, ultimately leading to better care.

Type: Article
Title: Antipsychotics and Identity: The Adverse Effect No One is Talking About
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10597-024-01255-w
Publisher version: https://doi.org/10.1007/s10597-024-01255-w
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: ADHERENCE, Antipsychotics, EXPERIENCES, Health Care Sciences & Services, Health Policy & Services, Identity, Life Sciences & Biomedicine, Medication, MEDICATION, Neuroleptic Medication, PEOPLE, PERSONAL RECOVERY, Psychiatry, PSYCHOLOGY, Psychosis, Public, Environmental & Occupational Health, Schizophrenia, Science & Technology, SELF, Self-stigma, SHARED DECISION-MAKING, STIGMA
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research
URI: https://discovery.ucl.ac.uk/id/eprint/10209369
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