Antipsychotic-induced Sexual Dysfunction Under-reported

Here’s a post from Mad in America mentioning studies involving structured interviews or questionnaires that result in many more patients reporting sexual dysfunctions from neuroleptics (or so-called “antipsychotics”).

Researchers [from the Netherlands] “found that a comparison of different antipsychotics showed high frequencies of sexual dysfunction for risperidone and classical antipsychotics, and lower frequencies for clozapine, olanzapine, quetiapine, and aripiprazole.”‘


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Disney Pixar comes out with emotionally intelligent animation

I love Pixars, and I really want to see this one. Emotional “parts” are depicted in this film which may also be a legitimate way of understanding “hearing voices” (that can get people labeled psychotic). I think the truth is, we ALL have inner voices!

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Antipsychotic-Induced Sexual Dysfunction and Its Management

This is one of the articles I found today when I googled “PAPSD (Post AntiPsychotics Sexual Dysfunction)”:

It states that, “Sexual dysfunction is a common condition in patients taking antipsychotics, and is the most bothersome symptom and adverse drug effect, resulting in a negative effect on treatment compliance. It is known that hyperprolactinemia is a major cause of sexual dysfunction. Based on the blockade of dopamine D2 receptors, haloperidol, risperidone, and amisulpride are classed as prolactin-elevating antipsychotics, while olanzapine, clozapine, quetiapine, ziprasidone, and aripiprazole are classed as prolactin-sparing drugs. Risperidone and the other typical antipsychotics are associated with a high rate of sexual dysfunction as compared to olanzapine, clozapine, quetiapine, and aripiprazole. With regard to treatment in patients suffering from sexual dysfunction, sildenafil was associated with significantly more erections sufficient for penetration as compared to a placebo. Subsequent studies are needed in order to provide physicians with a better understanding of this problem, thereby leading toward efficacious and safe solutions.”

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Psychiatry causes harm and it’s widely denied: psychiatrist shares her sadness about her profession

So very true…

After graduating with a BA in Psych, and after working on two hospital psychiatric wards and a halfway house for patients coming out of a mental institution in Chicago, THIS is why I left the field of “Mental Health” many years ago:

Everything Matters: Beyond Meds

Joanna Moncrieff, MD shares her response to this question: How do you feel about the current state of psychiatry?

Dr. Joanna Moncrieff
psychiatrist and senior lecturer
University College London

video from CEP

bitterMore posts that feature Joanna Moncrieff’s work on Beyond Meds:

This is what happened to me: Monica’s story: the aftermath of polypsychopharmacology

See also: The Mental (Illness) system and thoughts on alternatives: a collection

Please do not attempt to discontinue psych drugs without first very carefully educating yourself on the risks involved so that you might minimize the chances of developing grave iatrogenic illness if you decide to withdraw: Psychiatric Drug Withdrawal and Protracted Withdrawal Syndrome Round-Up

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Sexual Dysfunction from Antipsychotics Common — But Poorly Monitored by Physicians

From Mad in America, December 31, 2014

“The most frequently reported or observed antipsychotic side effects identified were sexual dysfunction, metabolic problems and weight gain,” the researchers wrote. They found that up to 59% of male patients reported sexual dysfunction, compared to 25–50% of women.”


Describing the prevalence and management of adverse effects from antipsychotics as “a neglected area” of study, a team of researchers from the UK has published a systematic review in the Journal of Psychopharmacology. They aimed to identify the prevalence of, and management strategies for nine categories of adverse effects, including sedation, weight gain, metabolic syndrome, sexual dysfunction and cardiovascular effects.

The researchers reviewed 53 studies, and catalogued the rates of side effects identified in them. They found that “antipsychotic polypharmacy was associated with increased frequency of adverse effects.” They also found that longer duration of treatment was associated with more severe adverse effects.

“The most frequently reported or observed antipsychotic side effects identified were sexual dysfunction, metabolic problems and weight gain,” the researchers wrote. They found that up to 59% of male patients reported sexual dysfunction, compared to 25–50% of women.

The researchers also found that clinicians were generally not monitoring side effects nor developing management strategies for them very effectively. “Five of the seven studies which addressed baseline testing and follow-up monitoring revealed disappointing levels as low as 0% compliance with monitoring, despite guideline recommendations,” the authors wrote.

“Antipsychotic adverse effects are diverse and frequently experienced, but are not often systematically assessed,” they concluded. “There is a need for further scientific study concerning the management of these side effects.”

(Abstract) “First do no harm.” A systematic review of the prevalence and management of antipsychotic adverse effects. (Young, Su Ling et al. Journal of Psychopharmacology. Published online before print December 16, 2014. doi: 10.1177/0269881114562090)

This entry was posted in Adverse Effects, Featured News, In the News, Metabolic Syndrome,Obesity/Metabolic Syndrome by Rob Wipond. Bookmark the permalink.

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What is Mental Health Herbalism?

I think that this article is well worth reading. When one is looking for alternatives to harmful and disabling drugs, herbs may work slowly. Yet, when it comes to mental health, anything worth while takes a little time.

Everything Matters: Beyond Meds

teaBy Jon Keyes

Mental health herbalism is the practice of working with herbs and other plants to improve well being, develop keener insight into patterns of imbalance and to reduce emotional distress.  As a licensed professional counselor and herbalist, I often incorporate the use of herbs for helping people to get stronger and feel better.  I have seen herbs improve mental health and I have also seen herbs bring profound insights that help a person work through emotional knots.  Plants not only work on a physical level, they are able to transform people emotionally and spiritually as well.

Many of us are aware that certain herbs can help with certain mental health symptoms.  People talk about St. John’s Wort for depression or valerian for insomnia.  In my approach to mental health, I think about working with herbs a little differently.   Instead of just taking an herb or a formula…

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Post-Psych Drug Libido

I originally saw this article posted on Monica Cassani’s blog, “Beyond Meds”.  She describes it this way:

“Another incredibly touching and brilliant piece by Russell Baugher who was heavily psychiatrically drugged from the time he was 11 years old. He is now 31 and just one year off psych meds. He is documenting his sometimes disorienting return to his senses. All of a sudden an adult body that wasn’t allowed to feel all throughout his adolescence. He does this with great courage and insight.”

How many young people will grow up wondering what it is like to be a sexual being?

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