Antipsychotic

What Are Antipsychotics?

Antipsychotics are a class of medications used to treat psychotic symptoms — including hallucinations, delusions, and thought disorders — that occur in conditions such as schizophrenia and bipolar disorder. They work primarily by blocking dopamine receptors, reducing excessive dopamine activity that is associated with psychotic experiences.

Types

First-generation (typical) antipsychotics were the original class. They are effective against positive symptoms (hallucinations, delusions) but carry a higher risk of extrapyramidal side effects, including tremor, rigidity, and tardive dyskinesia.

Second-generation (atypical) antipsychotics act on both dopamine and serotonin receptors. They address positive and negative symptoms (such as flat affect and social withdrawal), have fewer motor side effects, but require monitoring for metabolic changes including weight gain and elevated blood sugar.

Important Considerations

Antipsychotics must be taken under a psychiatrist's supervision. Common side effects include drowsiness, weight gain, and metabolic changes, which should be monitored regularly. Stopping medication without medical guidance significantly increases the risk of relapse.

Mindy's Note

It's natural to have concerns about psychiatric medication. When prescribed and managed appropriately, antipsychotics can be an important step toward regaining stability. Working closely with your specialist to find the right treatment plan makes a real difference.