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To trust or not to trust? Faith issues in psychopharmacological prescribing

^*North Trent Rotational Training Scheme in Psychiatry, Waltheof Road, Sheffield S2 1PE, email: waqqaskhokhar{at}doctors.org.uk

Imran Hameed, Specialty Registrar and Mohammed Mubashir Ali, Specialty Registrar

North Trent Rotational Training Scheme in Psychiatry, Sheffield

Javaria Sadiq, Clinical attaché

Mayo Hospital, Lahore, Pakistan

Peter Bowie, Consultant Psychiatrist

Grenoside Grange Hospital, Saltbox Lane, Sheffield

Declaration of interest

P.B. has given talks for and received hospitality from various pharmaceutical companies.

AIMS AND METHOD

To ascertain attitudes, awareness, knowledge and variations in prescribing habits of psychiatrists when addressing issues of faith, culture and dietary requirements (in keeping with the General Medical Council’s and the Royal College of Psychiatrists’ guidelines), and how these may affect the trust in doctor-patient relations. We undertook a cross-sectional postal survey aimed at clinicians in South West Yorkshire Mental Health Trust.

RESULTS

We obtained 38 responses (40% of the total number of questionnaires sent out) from two mailshots. Although the majority of respondents indicated that they were aware of the presence of potentially forbidden animal-derived ingredients in medication, only half expressed the view that a discussion regarding the above should take place prior to prescribing such medication.

CLINICAL IMPLICATIONS

Diversity training combined with taking a genuine interest in patients’ wishes will not only minimise ‘mistrust’ but also facilitate prescribing in a therapeutic relationship.