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Taking Antipsychotics Makes You Sound Particularly Crazy

I wish someone had asked me before naming a class of drugs “antipsychotics.” I mean, I understand that to psychiatrists it might not be a big deal, but to the medication-taking public out here, let me just say that the stigma around medication is about 10-fold when you say you’re on something called an “antipsychotic.”

Tell someone that you’re on “antipsychotics” sometime and watch them back away slowly. I’m not kidding. It’s like they think an axe is about to magically materialize and you’re about to use it to chop off their head.*

Psychosis and Why We Have Antipsychotic Drugs

Antipsychotics are, of course, anti-psychotics, or drugs that are anti-psychosis, and psychosis, itself, is not all that rare. Numbers vary, but possibly 5-8% of people may experience a psychosis in their lifetime, which is about ten times the number of people who are diagnosed with a psychotic illness.

Psychosis is not “crazy” or “scary” (although may be very frightening to the person who is experiencing it). I would characterize psychosis as a very pronounced “trick” of the brain. Psychosis consists of delusions – or believing in something in spite of overwhelming contradicting evidence – and/or hallucinations – sensing something (such as through sight or sound) that doesn’t exist. And truly, anyone can experience psychosis for any number of reasons, only some of which are related to a mental illness.

Treating Disease with Antipsychotics

And it is critical that some psychoses be treated, and generally antipsychotics are quite effective at doing so. They’re not Big, Bad Scary Meds, they are just medications used to treat a medical condition of the brain.

Antipsychotic Use Outside of Psychosis

But some while back it was discovered that antipsychotics were actually useful outside of psychosis treatment as well. Quite a few antipsychotics are approved in the treatment of bipolar disorder and one is even approved as an add-on treatment for depression. And it has nothing to do with psychosis in bipolar or depression (although that can happen) it’s just that these drugs have been found to be effective for those conditions.

It’s like anticonvulsants. Anticonvulsants are used to treat seizure disorders but it was discovered they’re helpful in bipolar too, and some are now a mainstay of bipolar treatment. Of course, no one runs away from you for taking an “anticonvulsant.”

My Experience with Antipsychotics

My personal experience with antipsychotics has been mixed. Generally, I swear off of them due to side effects (except for, you know, the one I take).

But what’s notable is that I had distinct, internalized stigma around taking something called an “antipsychotic” and that’s a shame, because they literally save people’s lives every day. And a couple of them have produced profound changes in me personally; which I would have never seen if I hadn’t gotten over my own prejudice about a silly word.

So, the next time someone squirms at the idea of an antipsychotic, tell them this, they’re dopamine modulators – which they are. They are simply a class of drugs that modulate a neurotransmitter – just like an antidepressant – the difference is in the specific neurotransmitter. There’s really nothing scary about that.

The important thing about medication, of course, is that it work for you, whether they call it an anticonvulsant, an antipsychotic or Fred.

* This is in large part due to confusion between the word “psycho” and “psychotic,” which are two completely different things. “Psycho” is a slang term used to refer to a psychopath while someone who is “psychotic” suffers from a condition that contains delusions and hallucinations.

You can find Natasha Tracy on Facebook or GooglePlus or @Natasha_Tracy on Twitter.

Author: Natasha Tracy

Natasha Tracy is a renowned speaker, award-winning advocate and author of Lost Marbles: Insights into My Life with Depression & Bipolar.

Find Natasha Tracy on her blog, Bipolar Burble, Twitter, Google+ and Facebook.

20 thoughts on “Taking Antipsychotics Makes You Sound Particularly Crazy”

  1. There is a problem with the stigma surrounding psychosis, but the answer isn’t calling it by another name and the problem isn’t about people who need to take antipsychotics but aren’t psychotic.

    The problem is people like you who hear psychotic and immediately think crazy. In your wish to not be connected to the disorder or people who suffer from psychosis in any way, you show that you still are scared of psychosis and in your video you still equate it with insanity.

    Schizophrenia, the most serious of psychotic disorders, is actually quite common, with every 1 in 100 people being schizophrenic. And as you yourself pointed out, 5-8 out of every 100 people will experience a psychotic episode of some sort. Unsurprisingly, these people aren’t all going out and stabbing people and being ‘crazy’ or ‘deranged.’ That’s the minority of people who are affected, scared people trying to live there life and having to deal with stigma.

    Through your attempt to hide the word psychosis, brush it under the rug so you don’t have to deal with it, you only further the problem and the stigma. This isn’t a way to deal with stigma, it’s a way to hide from the work of helping. And as two people who have felt mental illness, the terror that it can cause, and have felt the misled judgment of others, I wish we could work together on this

  2. Thanks for the article-so little info about antipsychotics. In 1992 in went to a mental hospital, paranoia, hallucinations and very bad behavior. Four law enforcement officers held me down to give me a shot of haldahl (sic) – that was my first experience with an antipsychotic – not pleasant. After some time I would take the oral medicine without force. After a couple of weeks the doctors concluded that it was “brief reactive psychosis” and I should take Risperdol for a while and I should be fine – wrong. Long story short – several bouts of no medicine, different etc. Life better with it–newer drugs better. Since Lithium due to proper diagnosis of bipolar I feel almost normal.

  3. Well even the drug information for them refers in the paragraphs to them as anti-depressants, which they’re not . . .strictly speaking.

    But there’s of course a huge difference between the first line antipsychotics and the newer second generation atypical antipsychotics.

    There’s really only one drug directly linked to diabetes, but even that can be modulated/is preventable. I know someone on it.

    Sarah, good explanation later on. I couldn’t agree with your point more.

    Oddball, auditory hallucinations such as voices do not have to be interpreted as external, coming aurally through your ears. They can be external to you, but heard in your head. Check out this website for more info: http://www.mentalhealth.org.uk/help-information/mental-health-a-z/H/hearing-voices/

    You can also look up the Hearing Voices Network, which may very well be linked to the previous page I cited.

    Good luck!

  4. VenusH is right, as long as crimes are easy to commit and get away with they will continue. Everything from peddling horse poop to murder is condoned with a pat on the back and profit results.

  5. shrugs.

    Apparently, the stigma is not as strong, since APs are prescribed left and right, for sleep, depression, anxiety, problem behaviour in kids and some people don’t ever realize what they are taking, believe it’s sleep aid, something you add-on to antidepressant or that it is indeed an AD.

    “But some while back it was discovered that antipsychotics were actually useful outside of psychosis treatment as well”

    yeah, they are actually useful at creating profit for Pharma companies.

    Call em sciency schmiency names all you want, but they are still serious drugs for serious condition and to be thrown around as candy (“off labelling”) is criminal.

  6. At the start of my diagnosis, I got the antipsychotics because I was psychotic. Later on, I got them when I was manic or hypomanic, which is a very usual extra medication next to lithium. It also gave me the creeps to take them: it made me feel like I was close to psychosis again (which was, exactly, a scary experience on the inside, and in the Netherlands you often get locked up when this happens -> we’re otherwise quite a reasonable and human country btw). My psychiatrist of course convinced me that I wasn’t on the brink of becoming psychotic, but still… it’s the word, yes.

  7. hi i take a range of antidepressants as well as antipsychoic and just taking that extra pill has relly helped kick start my life while before i was a total mess and it also helps me relex and sleep well

  8. i am on a low dose of an atypical antipsychotic med for PTSD and have had good results with minimal side effects at least so far. i was a little hesitant but not much because i was having a lot of unpleasant symptoms and figured it was worth a try. i’ve been on it for about 3 years and so far so good. thanks for the blog.

    1. Do you mind saying what the drug is? I have been prescribed ability and risperidone for cod and anxiety and I am terrified of the side effects so I have yet to take them.

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