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Anticipatory Planning for Psychiatric Treatment: Liberty or Limitation for our Future Life Plans?

ABSTRACT The concept of psychiatric advance directives has been promoted as a mechanism by which individuals may make choices in the present about treatment they would want or not want should they, in the future, lose their capacity for decision-making. Yet, what we wish for when we prepare a PAD, may no longer be what we want or require when the PAD is implemented. Some consumers fear that the PAD may be used as a coercive instrument to make them choose unwanted treatments. Legal PADs may represent a promise that cannot be honored.