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Understanding Psychosis

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  1. An Introduction to Psychotic Disorders
    What is Psychosis?
  2. Introduction to Psychosis and Treatment Options
  3. The Signs & Symptoms of Psychosis
    The Signs & Symptoms of Psychosis
  4. Delusions
    3 Topics
  5. Hallucinations
    1 Topic
  6. Reacting to Psychotic Experiences
  7. The Causes of Psychosis
    Exploring the Causes of Psychosis
  8. Diagnosing Psychotic Disorders
    The Diagnosis of Schizophrenia
  9. The Diagnosis of Schizoaffective Disorder
    5 Topics
  10. Treatment for Psychosis
    Treatment Available for Psychosis
    5 Topics
  11. What Are Antipsychotic Drugs?
    8 Topics
  12. The Side Effects of Antipsychotics
    12 Topics
  13. Mental Health Services
    Hospital Admission and Crisis Services
  14. Community Care and Advocacy for Psychosis
  15. Living with Psychosis
    Overcoming Psychotic Experiences
  16. How Can I Help Myself During a Psychotic Episode?
  17. What Can Family & Friends Do to Help?
  18. Challenging Stereotypes and Stigma
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As we delve into the world of antipsychotics and their side effects, it is essential to explore the impact these medications can have on our sexual health. This lesson focuses on the often-neglected topic of sexual side effects associated with antipsychotic use. We will uncover how hormonal changes caused by these drugs can lead to physical discomfort and affect our relationships.

Antipsychotics, while beneficial in managing psychiatric conditions, can alter hormone levels in both men and women. Prolactin, a hormone responsible for breast development and milk production in women, may become elevated due to antipsychotic use. Surprisingly, this hormonal change can also affect men, leading to unwanted breast tissue growth or gynecomastia. The psychological impact of such changes cannot be understated.

In addition to hormonal alterations, antipsychotics can significantly impact sexual desire, arousal, and overall sexual functioning. Many individuals experience a decrease in libido or complete loss of interest in sexual activities while taking these medications. Men may also face challenges with achieving or maintaining an erection (impotence), which can be distressing for both partners involved.

For couples navigating their way through the complexity of antipsychotic treatment, it is crucial to engage in open communication with healthcare professionals regarding these intimate concerns. Discussing alternative medication options that have fewer sexual side effects may be a viable solution for some individuals.

Another potentially embarrassing and uncomfortable side effect related to antipsychotics is priapism – prolonged erections that are not related to sexual stimulation. Priapism is a medical emergency that requires immediate attention as prolonged cases can lead to permanent damage or erectile dysfunction.

Furthermore, spontaneous ejaculation has been reported by some individuals taking certain types of antipsychotics. This unexpected release of semen without any stimulation or orgasmic experience can be distressing and inconvenient for those affected. It is important to recognise that these side effects are not experienced by everyone, but they are worth discussing with healthcare professionals to ensure proper management.

Navigating the sexual side effects of antipsychotics can be challenging for individuals and their partners. Open and honest conversations about these concerns can help alleviate anxiety and facilitate the exploration of potential solutions. Adjusting medication dosages, switching to different antipsychotic medications with lower sexual side effect profiles, or adding adjunct medications like bupropion may be considered under the guidance of healthcare professionals.

It is crucial to remember that individuals on antipsychotic medications should not discontinue or adjust their dosage without consulting their healthcare provider. Abruptly stopping these medications can lead to a recurrence of psychiatric symptoms and potentially worsen overall well-being.

This lesson shed light on the often overlooked topic of sexual side effects associated with antipsychotic use. By understanding how hormonal changes affect our bodies and being proactive in addressing concerns, we can mitigate physical discomfort and maintain healthy relationships. Engaging in open dialogue with healthcare professionals is essential for exploring alternative options that minimise sexual side effects while still effectively managing psychiatric symptoms.

Stay tuned for our next lesson as we explore another set of side effects caused by antipsychotics – the antimuscarinic or anticholinergic effects that impact various bodily functions such as drowsiness, dry mouth, blurred vision, and constipation.

Course Discussion