Deprescribing antipsychotics in adults with psychotic disorders – a literature review

PAINTER, Joanna M (2023). Deprescribing antipsychotics in adults with psychotic disorders – a literature review. Mental Health Practice.

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Abstract

Despite evidence of adverse effects, continuous antipsychotic maintenance treatment is still often the preferred intervention for people with a long-term psychotic disorder. Antipsychotic treatment should be discussed with patients and the option of deprescribing should be explored. There is, however, a lack of guidance on antipsychotic deprescribing as well as a conflict in mental health services between recovery-oriented practice, which promotes collaboration and patient choice, and the more traditional approach of promoting adherence to the clinician’s recommendation. The author conducted a literature review to gather clinical and academic perspectives on antipsychotic deprescribing in adults with a psychotic disorder in the context of recovery-oriented practice. Findings suggest that the adverse effects of long-term antipsychotic use are such that deprescribing should be considered, the challenge for nurses being to find a balance between patient autonomy and risk mitigation.

Item Type:	Article
Uncontrolled Keywords:	1110 Nursing; 1701 Psychology; 1702 Cognitive Sciences; 4205 Nursing; 5203 Clinical and health psychology
Identification Number:	https://doi.org/10.7748/mhp.2023.e1670
SWORD Depositor:	Symplectic Elements
Depositing User:	Symplectic Elements
Date Deposited:	19 Sep 2023 10:41
Last Modified:	11 Oct 2023 11:45
URI:	https://shura.shu.ac.uk/id/eprint/32411

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