What Do Antipsychotics Do?

Antipsychotic medications are primarily used to manage the symptoms of psychotic disorders such as schizophrenia, bipolar disorder, and certain severe forms of depression. They work by altering the effects of certain chemicals in the brain, specifically dopamine and serotonin, which are neurotransmitters responsible for communication between brain cells.

Here are some of the primary effects and actions of antipsychotic medications:

  1. Reducing Psychotic Symptoms: Antipsychotics help alleviate symptoms like hallucinations (seeing or hearing things that aren’t there), delusions (false beliefs), disorganized thinking, and other disturbances in thought processes commonly associated with psychotic disorders.
  2. Stabilizing Mood: They can also assist in stabilizing mood in some cases, particularly in bipolar disorder where episodes of mania and depression occur.
  3. Impact on Dopamine Receptors: Antipsychotics primarily work by blocking dopamine receptors in the brain. Dopamine is a neurotransmitter associated with pleasure, motivation, and the control of movement. By blocking excessive dopamine activity, antipsychotics can reduce symptoms of psychosis.
  4. Different Types: There are two main classes of antipsychotics—typical (first-generation) and atypical (second-generation). Typical antipsychotics primarily target dopamine receptors, while atypical antipsychotics also affect serotonin receptors. Atypical antipsychotics tend to have a lower risk of movement-related side effects compared to typical antipsychotics.
  5. Side Effects: While these medications can be effective, they may also have side effects such as weight gain, diabetes risk, movement disorders (such as tardive dyskinesia), drowsiness, dizziness, and increased cholesterol levels, among others. The side effects can vary depending on the specific medication and the individual’s response to it.
  6. Individual Responses: It’s important to note that different people respond differently to antipsychotic medications. Some individuals might find a particular medication more effective or tolerable than others, and finding the right medication often involves a trial-and-error process under the guidance of a healthcare professional.

Antipsychotic medications are an important part of managing psychotic disorders, but they are usually used in combination with other therapies like counselling, psychotherapy, or social support to help individuals lead functional lives and manage their symptoms effectively.