Fasting while on antipsychotics: an exploration of the decision-making process of Muslim patients during Ramadan

ABSTRACT Fasting during the holy month of Ramadan is one of the five pillars of Islam. Adherents to the Muslim faith are expected to abstain from drinking or eating during daylight hours. Exclusions to fasting apply, including for medical reasons. There is no consensus on the specific implications for psychiatric conditions. This qualitative study explores the decision-making process of Muslim patients on antipsychotic treatment with regard to fasting during Ramadan. The sample consisted of eleven outpatients actively treated at three psychiatric clinics in Lebanon. They were asked about the different factors that influence their decision to fast or not. Most participants prioritized their personal interpretation of the religious dogma. The opinion of the psychiatrist was important but not always readily available. The wider community, including religious figures, had the least influence. The findings highlight an important role for psychiatrists in proactively supporting patients in their decision on fasting in Ramadan.