Chapter 4
Treatment considerations in sexually active patients living with schizophrenia
This chapter explores how treatment may affect sexual well being, intimacy, and relationships. It emphasizes the importance of identifying possible side effects, discussing personal priorities openly, and making treatment decisions collaboratively so that care supports both clinical stability and quality of life.
Mini-Glossary
Sexual functioning: A broad concept that includes desire, arousal, satisfaction, and emotional engagement in
intimate relationships.
Prolactin: A hormone involved in reproductive and sexual functioning. Elevated levels may influence libido, menstrual cycles, and overall sexual well-being.
Hyperprolactinemia: A condition in which the level of prolactin in the blood is above the expected range, potentially affecting sexual function, fertility, and hormonal balance.
Treatment adherence: The extent to which a person follows the agreed treatment plan. It is closely linked to trust, communication, and perceived tolerability of treatment.
Side effects: Unintended effects of treatment that may influence physical, emotional, or sexual well being.
Shared decision-making: A collaborative process in which clinicians and patients make treatment decisions together, based on medical evidence and personal preferences.
Therapeutic alliance: The relationship of trust and collaboration between a patient and clinician, which supports
engagement and long-term outcomes.
Autonomy: The patient’s right to make informed decisions about their own care, based on
understanding and personal values.
Welcome to podcast #4
Treatment considerations in sexually active patients living with schizophrenia
with Elena Maurer, Health Journalist, and
Dr. Lukas Stein, Psychiatrist and Researcher
Elena:
Welcome back to Living, Loving, Recovering.
In the previous chapter, we explored how body image and physical well-being shape confidence, relationships, and closeness.
Today, we take the next step, looking at something that often becomes part of that experience: treatment.
How does treatment influence intimacy, and how can these decisions be made in a way that respects both clinical needs and personal priorities?
Dr. Stein:
Thank you, Elena. These topics can be discussed openly, and in many cases concerns can be assessed and addressed.
Elena:
Many families may find it reassuring to know that these concerns can be discussed and addressed rather than simply accepted.
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