the Need for Regulation of Antidepressants: A Patient's Dilemma - Psychiatry

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Why are antidepressants regulated?


I am afraid to go to the hospital, but I still want to continue taking my medication.
It's not good to hide in the counseling room all day, and my teacher wants me to see a doctor.
I agreed, but I haven't followed through each time.
The stomach pain caused by anxiety can be managed with antacids, but what should I do about my low mood? It's difficult to quit self-harm and feel good at the same time.
I want to go to the pharmacy to buy something to improve my mood.
Can you recommend anything?

Niming, 10~19 year old female. Ask Date: 2020/08/20

Dr. Wang Yaoting reply Psychiatry


Hello: Many studies indicate that depression and anxiety are caused by multiple factors, but they are related to physiological imbalances in brain neurotransmitters.
Antidepressants can help improve the imbalance of neurotransmitters in the brain, so a combination of medication and psychotherapy is necessary to truly help improve your mood.
Antidepressants require a physician's prescription, and since you are still a minor, the selection of medication and dosage adjustments need to be managed by a qualified child and adolescent psychiatrist.
It is recommended that you seek care from a nearby child and adolescent psychiatry clinic.
I hope this answers your question :)

Reply Date: 2020/08/20

More Info


Navigating the complexities of mental health treatment, particularly when it comes to antidepressants, can be a daunting experience for many patients. Your concerns about continuing medication while managing anxiety and emotional distress are valid and shared by many individuals facing similar challenges.
First and foremost, it's important to understand that antidepressants are typically prescribed to help alleviate symptoms of depression and anxiety. However, they are not a one-size-fits-all solution, and their effectiveness can vary significantly from person to person. The decision to continue or adjust medication should always be made in consultation with a healthcare provider, as they can provide personalized guidance based on your specific circumstances.

If you are experiencing anxiety that manifests as physical symptoms, such as stomach pain, it’s crucial to address both the psychological and physiological aspects of your condition. While over-the-counter medications may provide temporary relief for gastrointestinal discomfort, they do not address the underlying emotional issues. Therefore, it is essential to seek a comprehensive treatment plan that includes both medication and therapy.

In terms of medication, it is not advisable to self-medicate or purchase antidepressants without a prescription. Many antidepressants require careful monitoring due to potential side effects and interactions with other medications. Additionally, some over-the-counter supplements, such as St. John's Wort, have been shown to have mild antidepressant effects, but they can also interact with prescription medications and may not be suitable for everyone. Therefore, discussing any interest in supplements or alternative treatments with your healthcare provider is essential.

Therapy can also play a significant role in managing anxiety and depression. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders and can help you develop coping strategies to manage your symptoms. Engaging in therapy can provide a safe space to explore your feelings and develop tools to navigate your emotional landscape.

If you find it challenging to visit a healthcare provider in person, consider telehealth options. Many mental health professionals offer virtual appointments, which can be more convenient and less intimidating. This could be a good way to initiate treatment without the added stress of being in a clinical environment.

In summary, while the desire to feel better is completely understandable, it is crucial to approach treatment for anxiety and depression with caution and under professional guidance. Self-medicating can lead to more complications and may not provide the relief you seek. Instead, focus on establishing a supportive relationship with a healthcare provider who can help you navigate your treatment options, whether that involves medication, therapy, or a combination of both. Remember, you are not alone in this journey, and there are resources available to help you find the balance you need for your mental health.

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