Physical well-being and side effects of medication

Many people spoke about the physical impact of taking a variety of different types of medication, primarily antipsychotic medication (for more information see ‘Medication). People also spoke about their physical health more generally, including strategies that people used to improve their physical well-being (such as diet and exercise). A few people talked about the difficulties of getting their physical health cared for when they were in the care of the mental health system.

People’s sensitivity to psychiatric drugs varied enormously, with some people experiencing severe side effects. The side effects people spoke to us about were: weight gain; muscle stiffness; heart problems; digestive problems; type II diabetes; confusion and memory loss; sleepiness; movement problems such as muscle spasms; emotional blunting, feeling over-sedated and like a ‘zombie’.

Older antipsychotic medications are more commonly associated with side effects such as sedation and neuromuscular problems ( e.g. restlessness and tremor). Whereas newer so-called ‘atypical’ medication produces fewer of these side effects but is associated with metabolic syndromes such as weight gain, hormonal changes and type II diabetes amongst other side effects. However there were some people who said they didn’t experience any of these effects on their current medication and talked about their medication as a ‘life saver’.

Gains and losses of taking medication

Most people experienced at least some of the physical side effects listed above and, together with their psychiatrist, weighed up the benefits of taking medication along with the side effects they experienced. Some people felt they were unable to choose whether or not to take a particular medication when they were detained under a section of the Mental Health Act.

Dolly found quietiapine helped her, but cant think of one part of her body that hasnt been…

Age at interview 39

Gender Female

Age at diagnosis 22

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Jenni hasnt experienced any side effects from the antipsychotic, mood stabiliser and…

Age at interview 30

Gender Female

Age at diagnosis 26

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Two of the most common side effects that people experienced were weight gain and sedation. Weight gain is particularly associated with the use of newer antipsychotics known as atypical antipsychotics. A few people we spoke to experienced sudden and dramatic side effects, or allergic reactions, that felt unfamiliar and frightening.

Kirstys tongue swelled up as a result of taking medication and it was difficult for her to breathe.

Age at interview 40

Gender Female

Age at diagnosis 24

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Pete was on very high doses of medication in hospital and experienced severe side effects.

Age at interview 48

Gender Male

Age at diagnosis 30

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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.

Finding a medication that works

Over time many people took different types of medication, and some were able to find a medication with fewer side effects that still improved their mental well-being.

Andrew has been taking olanzapine for the last ten years and doesnt experience any of the…

Age at interview 59

Gender Male

Age at diagnosis 24

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Tom has been taking many medications over the years and has experienced physical and…

Age at interview 39

Gender Male

Age at diagnosis 21

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Others found they needed to take other medication beside their antipsychotic medication to counter side effects.

Janey found it took a long time to find the right combination of medication, as she felt awful on…

Age at interview 52

Gender Female

Age at diagnosis 29

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Looking after your physical health

Many people had tried, or had thought about trying, to live healthier lives, in order to combat weight gain often caused by the medication. Many also wanted to increase their overall well-being by eating well and doing exercise. Although it was often hard to do on a tight budget, some people spoke about joining gyms; some did exercise ‘on prescription’ and made changes to their diet.

Cat joined a gym as people had advised her to lose weight and she had ‘a lot of time on her hands.

Age at interview 45

Gender Female

Age at diagnosis 29

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Rachel tries to get out for walks and has joined a gym with her partner to exercise during the…

Age at interview 47

Gender Female

Age at diagnosis 27

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A few people were resigned to the fact that their physical well-being was not going to be a priority for them. A couple of people talked about the continuing pain from past suicide attempts.

Tim has had problems with high cholesterol and doesnt do any exercise.

Age at interview 61

Gender Male

Age at diagnosis 19

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Some people found that doing ‘mindfulness’ classes, yoga or meditation helped their physical and mental well-being. Margaret said that she had devoted the last three years to improving her mental health, and now wanted to join an exercise class as she had ‘neglected’ her body. For more information see the ‘Recovery’ section.

Talking therapies for psychosis

Many people were not offered any type of talking therapy or said that talking therapies were too difficult to access. A few didn’t want counselling...

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...