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Therapist

Blog

This is a collection of information I believe is helpful for client's and the community to better understand concerns related to our mental health.

Is Medication Right For Me?

Todd Swagler

As a licensed psychotherapist, I’ve seen client’s struggle with the concept of taking medication to support the hard work of therapy. For those who already use medication to support their treatment, I’ve had the opportunity to learn of some very trigger-happy prescription-writhing behavior by mental health professionals in New York City. While I am neither a psychiatrist, nor a clinical psychologist (who in a few states can prescribe medications), as a mental health provider I would like to apologize if you have had a similar experience. It is crucial as a mental health practitioner to discern the need for medication as medically, clinically, and ethically necessary. We will discuss the importance of evaluating, as a patient/client, your rights and how to make the most informed decision for yourself and your treatment.

Psychotropic Medication

Medication, or more important psychotropic medication, are drugs that are prescribed by licensed and trained professionals to alter your mind, emotions, and behavior. These drugs are often used to elevate, alter, or correct neurological concerns. For example, Clonazepam (brand name Klonopin) used to treat panic, anxiety, and seizure based disorders, can impact your ability to operate and function effectively. This drug is a benzodiazepine, a group of medications, responsible for slowing down the nervous system and ultimately impacts your behavior.

According to the 2012 National Conference on Health Statistics, apart of the Center for Disease Control and Prevention (CDC), the primary drugs prescribed were for anti-depressants, followed by ADHD and anti-anxiety. Additionally, Kathryn McHugh and colleagues highlighted “The past 10 years have seen substantial increase in the prescription of antidepressant medications, which surpassed all others as the most commonly prescribed class of medication in the US in 2005. There is also evidence of a concurrent decrease in patients receiving psychological treatment. However, the available data on patients preference, efficacy, and cost-efficacy for depression and anxiety do not support this trend, and imply that many patients are not engaged in their preferred psychological treatment” (p. 7).

So we have seen an increase in prescription medication for mental health concerns, but does that mean it’s helping us? This is a little less clear, however, there is a growing body of research and evidence that medication alone is highly ineffective, without psychotherapy to support the deeper work that must be achieved for successful treatment of any diagnosis. Between 1998 and 2007 the American Psychological Association (APA), there was an increase from 44% to 57% for the prescription of medication of the only treatment for mental health disorders—no psychotherapy—that’s a huge increase! This is important information because drugs alone can not heal all psychological concerns without treatment through “talk-therapy.”

What are my options? 

This is the best part of my job! I have the freedom in this platform of letting clients know they have options in how they tailor their treatment and gain insight into their healing process. It can be highly discouraging if mental health progressional are not on the same page as you. Lissa Rankin, MD argues there are more than just the medication options to help you feel better, particularly in regards to depression.

  1. Speak with your psychiatrist, psychologist (if they are prescribing medication), therapist, or life coach. There is significant research that states talking out your feelings, beliefs, and thoughts with a person you trust can be highly effective and healing.
  2. Ask about psychotherapy treatment to support your medication. (Refer to number 1)
  3. Try meditation or guided imagery. While it may seem “too simple” to meditate, research and data has proven this is an effective mood booster and a host of other mental health benefits.
  4. Try mood-enhancing supplements (DISCLAIMER: based on my research these are the recommended holistic options to support your mental health, but I would always recommend speaking with a medical professional before integrating these supplements into your daily diet).
    1. 5-HTP
    2. St. John’s Wort
    3. SAMe
    4. L-Theanine
    5. Fish oil
  5. Expose yourself to sunlight, which can boost your mood and vitamin D levels. This is seen throughout the northeast, we’re sad in the winter and happy in the summer. The sun plays a huge role in our happiness and mood (See previous blog post: It’s getting sunny, but why do I still feel sad?).
  6. Avoid caffeine which lowers serotonin levels.
  7. Never skip a meal. Keeping your body and sugar levels balances.
  8. Move your body. Exercise and moving your body releases happy-feeling endorphins. That’s easy right?
  9. Eat a serotonin-enchanting diet. Serotonins-Enhancing foods include:
    1. Foods high in omega-3 fatty acids
    2. Healthy fats like coconut oil
    3. Eat high protein diet

References:

McHugh, R.K., Whitton, S.W., Peckham, A.D., Welge, J.A., & Otto, M.W. (2013). Patient Preference for Psychological vs. Pharmacological Treatment of Psychiatric Disorders: A Meta-Analytic Review, J Clin Psychiatry. 2013 June ; 74(6): 595–602. doi:10.4088/JCP.12r07757.

https://www.psychologytoday.com/blog/fulfillment-any-age/201507/psychotherapy-vs-medications-the-verdict-is-in

https://www.psychologytoday.com/blog/owning-pink/201103/11-natural-treatments-depression-md-s-tips-skipping-the-prozac

https://www.psychologytoday.com/blog/why-we-worry/201401/overprescribing-drugs-treat-mental-health-problems

http://pgxmed.com/wp-content/uploads/2014/03/drugsinhand.jpg

http://www.apa.org/monitor/2011/09/psychotherapy.aspx

http://integrativeholisticdoctors.org/wp-content/uploads/2014/09/holistic-natural-foods.jpg