High-dose antipsychotics: Addressing patients' resistance to physical health monitoring

Paula Marie Murphy, Andrew Iles, Suja Sreedharan

Research output: Contribution to journalArticle

Abstract

High-dose antipsychotics are sometimes used in clinical practice when patients fail to respond to treatment at standard doses. Owing to the potential physical complications associated with this, strict adherence to physical health monitoring is essential. Challenges arise for clinicians when patients refuse to cooperate with this monitoring. We discuss different interventions to overcome this problem, many of which are coercive in nature, and consider their professional, ethical and legal implications. We include a flow diagram to assist clinicians in their documentation and decision-making in these circumstances as well as case vignettes showing when monitoring under restraint is and is not justifiable.

Original languageEnglish
Pages (from-to)88-97
Number of pages10
JournalBJ Psych Advances
Volume21
Issue number2
DOIs
Publication statusPublished - 01-01-2015

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All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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