Abstract
This chapter presents an evaluation of psychotropic drugs in general practice. In the United Kingdom, the great majority of psychotropic drugs—antidepressants, anxiolytics, and hypnotics—are prescribed by general practitioners. The majority are prescribed for symptoms of psychological distress or for presumed psychosomatic disorders. Both the diagnostic skills and the prescribing habits of general practitioners have often been called into question. Practitioners ought perhaps to be encouraged to adopt a positive rather than a negative approach to affective disorder ab initio . Even in apparently physical diseases, there still remains interplay with psychological factors. Dr. Wheatley's group have shown that in such disorders as hypertension, angina, the menopause, obesity, and osteoarthritis, treatment with psychotropic drugs in general practice can lead to favorable effects. Special attention should be paid to methods of ensuring and improving compliance as patients lock the day-to-day supervision provided by the hospital environment.
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