Reint Jelger: Do some Schizophrenic men (voluntary or not) get an arm injection with their perhaps anti-psychotic medicine in a slow release way?

Yes, men (and women) diagnosed with schizophrenia frequently receive slow-release arm injections of antipsychotic medication. These are medically known as Long-Acting Injectable (LAI) antipsychotics or depot injections.

LAIs are formulated so that the active medication is suspended in an oil-based liquid or water-based micro-crystal suspension. When injected deep into muscle tissue—typically either the deltoid muscle (upper arm) or the gluteal muscle (buttock)—the muscle tissue slowly releases the active drug into the bloodstream over time.

Depending on the specific formulation, doses are administered once every 2 weeks, once a month, or up to once every 3 to 6 months. Common medications administered this way include extended-release formulations of aripiprazole, paliperidone, risperidone, and haloperidol.

  • Voluntary Use: Many patients prefer LAIs because they eliminate the burden of taking daily pills, maintain consistent blood concentration levels (reducing symptom relapse), and avoid accidental missed doses.
  • Involuntary Use: In medical emergencies or legally mandated psychiatric care (such as under court-ordered Community Treatment Orders or inpatient holds), LAIs are sometimes administered involuntarily to individuals who lack insight into their illness or who cannot maintain oral medication adherence safely on their own.

Reint Jelger: Women with perhaps a mental illness sometimes get the medicine injected in the butt, but could this concept not be sexualized by sexual monsters?

Google Gemini – and edited by Reint Jelger; men should only have in a worst case scenario an Arm injection: Gluteal (buttock) injections are a standard medical route for long-acting medications in women, primarily chosen because the ventrogluteal and dorsogluteal muscles are large, well-vascularized muscles capable of safely absorbing high-volume, slow-release medications with minimal localized pain.

The vulnerability inherent to psychiatric care—where patients may be in altered mental states, experiencing involuntary treatment, or exposed during physical procedures—presents a real risk of exploitation if proper safeguards are not strictly enforced. In healthcare ethics and clinical practice, several strict boundary mechanisms exist specifically to eliminate inappropriate dynamics and protect patient dignity:

  • Chaperone Policies: Medical guidelines in most jurisdictions mandate or strongly recommend the presence of an independent third-party chaperone (often a second healthcare worker) during any exposure-sensitive examination or injection, regardless of the clinician’s gender.
  • Alternative Administration Sites: Whenever clinically appropriate, alternative injection sites (such as the upper arm’s deltoid muscle) or oral formulations are offered to minimize discomfort and respect physical boundaries.
  • Professional Standards and Regulation: Medical environments enforce clear boundaries, strict professional codes, and legal oversight to prevent abuse of power, mistreatment, or sexualization of routine clinical procedures.

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