ABSTRACT

The psychotropics are the main category of mood-altering drugs prescribed by doctors; they include sedatives, stimulants, . tranquillisers and anti-depressant medications. Within the psychotropic group there is a bewildering multiplicity, many drugs having the same pharmacological actions. There is little clarification for the GP, at the sharp end of clinical practice, on the distinction between drugs and on their individual limitations. The GP is often confronted with a range of conflicting and exaggerated information from the drug companies; new drugs are introduced at a bewilderingly fast rate. Unfortunately, not only is the need for them uncertain, as many are very similar to products already on the market, but also the full spectrum of side effects has yet to be elucidated, and this may take at least 5-10 years for an individual drug. The vast variety of psychotropic drugs, the polished quality of the publicity for their use and the attendant creation of an unlimited market, amplifies the demand for drugs. It overwhelms the more critical scientific literature to which the doctor might become exposed, calling upon stamina, self-discipline and a background of thorough initial training to resist. However, resistance is one thing, providing alternative methods of treatment and management is another.