Are There Medications to Boost Energy and Improve Mental Health? - Psychiatry

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Are there any medications that can improve mental well-being?


Hello, Doctor: I have been diagnosed with schizophrenia for three years and have been on medication for the same duration.
Currently, I take one pill of Perphenazine daily.
Over these three years, I have experienced poor daytime energy, fatigue, and a general lack of vitality.
Sometimes, I sleep over 10 hours at night, but I still feel the same way the next day—tired, fatigued, and lacking energy.
There have been a few instances when I missed my medication, but my condition remained unchanged, indicating that it may not be related to the medication.
My doctor has informed me that my physical weakness and positive/negative symptoms are not related but are associated with neurological factors.
I would like to ask if there are any medications that could help improve my mental state, such as stimulants or other medications that could enhance my energy and overall mood?

A-Hua, 30~39 year old female. Ask Date: 2021/07/28

Dr. Lin Mianzhang reply Psychiatry


Hello Ah Hua: Some medications have a stimulating effect, such as those used to treat Attention Deficit Hyperactivity Disorder (ADHD) like Ritalin and Concerta.
However, if you do not have ADHD, taking these medications will not be beneficial.
Doctors will not prescribe these medications to you if you do not have the condition! If you continue to feel sleep-deprived, fatigued, and mentally sluggish, it is recommended that you consult a sleep medicine specialist for a sleep study to check for any sleep-related issues.
If any are found, treatment can help improve your current problems! Wishing you peace and health.

Reply Date: 2021/07/28

More Info


When it comes to improving energy levels and mental health, especially for individuals diagnosed with schizophrenia or similar mental health conditions, it is crucial to approach the topic with caution and a comprehensive understanding of the available options. Your experience of persistent fatigue, lack of energy, and mental dullness, despite medication, is not uncommon among individuals with mental health disorders.
First, it is essential to recognize that medications like Perphenazine (the medication you mentioned, which is an antipsychotic) can sometimes lead to side effects that include fatigue and lethargy. While these medications are effective in managing symptoms of schizophrenia, they may not always address the overall energy levels or cognitive function. It’s important to have an open dialogue with your psychiatrist about your symptoms and any side effects you are experiencing. They may consider adjusting your dosage or switching to a different medication that might have a more favorable side effect profile.

In terms of medications that can boost energy and improve mental health, there are several classes of drugs that might be considered, but they should only be prescribed by a qualified healthcare provider. Here are a few options:
1. Stimulants: Medications such as amphetamines (e.g., Adderall) or methylphenidate (e.g., Ritalin) are often used to treat ADHD but can also help improve energy and focus in some individuals. However, these medications can have side effects and may not be suitable for everyone, particularly those with a history of anxiety or certain heart conditions.

2. Antidepressants: Some antidepressants, particularly those that are classified as norepinephrine-dopamine reuptake inhibitors (NDRIs) like bupropion (Wellbutrin), can help improve energy levels and mood. This medication is often used to treat depression and can also assist in managing symptoms of ADHD.

3. Mood Stabilizers: Certain mood stabilizers, such as lamotrigine, can help improve mood and energy levels in individuals with mood disorders.

4. Nutritional Supplements: While not medications, certain supplements may help improve energy and mental clarity. Omega-3 fatty acids, B vitamins, and magnesium are known to play roles in brain health and energy metabolism. However, it’s important to consult with a healthcare provider before starting any new supplements, especially if you are on other medications.

5. Lifestyle Modifications: In addition to medication, lifestyle changes can significantly impact energy levels and mental health. Regular physical activity, a balanced diet rich in whole foods, adequate hydration, and good sleep hygiene are all critical components of mental health. Engaging in mindfulness practices, such as meditation or yoga, can also help reduce stress and improve overall well-being.

6. Cognitive Behavioral Therapy (CBT): Therapy can be an effective adjunct to medication. CBT can help you develop coping strategies, improve your mood, and address negative thought patterns that may contribute to feelings of fatigue and low energy.

7. Regular Follow-ups: Regular follow-ups with your psychiatrist or mental health provider are crucial. They can monitor your symptoms, adjust medications as needed, and provide support as you navigate your treatment.

In conclusion, while there are medications and supplements that may help improve energy and mental health, it is vital to work closely with your healthcare provider to find the right balance for your specific situation. Self-medication or making changes without professional guidance can lead to adverse effects. Your mental health is a priority, and with the right support and treatment plan, you can work towards feeling more energized and mentally sharp.

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