Medication Changes in Mental Health Treatment: A Patient's Perspective

Dr. Chen... I need your help urgently..?

Hello, doctor.
Yesterday, I went for psychotherapy and then visited my attending physician.
During the therapy session, I told my therapist that I sometimes have suicidal thoughts, and he relayed this information to my attending physician.
That day, my attending physician decided to increase my medication dosage.
Since the doctor did not explain this to my mother, she believes that the treatment is making things worse, and she thinks it would be better not to pursue treatment at all.
My mother also mentioned that taking such medication will lead to needing more and that it could affect my intelligence.
Because of this, I feel a lot of pressure when taking my medication...
Honestly, I’m really struggling.

mimi, 10~19 year old female. Ask Date: 2004/08/13

Dr. Chen Wenke reply Psychiatry

MIMI faces challenges in treatment that truly trouble many people.
However, one thing is certain: treatment is always better than no treatment.
We must acknowledge that some individuals may experience suboptimal responses to therapy, and these individuals may require more time and a variety of treatment approaches to see symptom improvement.
I hope you do not give up on treatment; medication is just one option.
Although current medications are continuously improving, they inevitably come with several side effects that can be uncomfortable.
Nevertheless, when comparing the effectiveness of treatment to its side effects, the benefits should outweigh the drawbacks.
Many aspects of life are not perfect, and we need to try to find our place within these imperfect circumstances; otherwise, it is easy to fall into emotional lows.
Stay strong, and consider taking medication as a form of nourishment; perhaps this perspective will provide some psychological relief.
Wishing you well.

Reply Date: 2004/08/13

More Info

It's understandable that navigating mental health treatment can be incredibly challenging, especially when it involves medication changes and the perceptions of those around you. Your experience highlights several important aspects of mental health care, particularly regarding medication management, communication with healthcare providers, and the emotional toll that these factors can take on patients.

Firstly, it's crucial to recognize that mental health conditions can be complex and often require a multifaceted approach to treatment. This may include therapy, medication, or a combination of both. When your therapist communicated your suicidal thoughts to your primary physician, it was likely done out of concern for your safety. Increasing medication dosage can be a common response to ensure that you are receiving adequate treatment, especially if there are indications that your symptoms may be worsening. However, this can understandably lead to feelings of anxiety or pressure, particularly if you feel that the treatment is not yielding the desired results.

Your mother's concerns about medication are also quite common among caregivers and family members. Many people fear that psychiatric medications will lead to dependency or cognitive impairment. It's important to clarify that while some medications can have side effects, including potential impacts on cognition, these risks must be weighed against the benefits of managing your mental health condition. Open communication with your healthcare providers can help alleviate these concerns. It might be beneficial to have a family meeting with your doctor to discuss the treatment plan, address any misconceptions, and ensure that everyone involved understands the rationale behind medication adjustments.

Feeling overwhelmed by the pressure to take medication, especially when it seems to be increasing, can lead to significant distress. It's essential to remember that you have a voice in your treatment. If you feel uncomfortable with the current medication regimen or the way your treatment is being managed, you should express these feelings to your healthcare provider. They can work with you to find a solution that feels more manageable, whether that means adjusting the dosage, exploring alternative medications, or incorporating additional therapeutic strategies.

Moreover, it's vital to monitor your mental health closely. If you are experiencing thoughts of self-harm or suicide, please prioritize your safety and reach out for immediate help. This could involve contacting a crisis hotline, seeking emergency care, or discussing your feelings with a trusted friend or family member. Your well-being is paramount, and there are resources available to support you through this difficult time.

In conclusion, navigating mental health treatment requires collaboration and open communication between you, your healthcare providers, and your family. It's essential to advocate for yourself and seek clarity on your treatment plan. Remember that it's okay to express your concerns and to seek adjustments that align with your comfort level and mental health needs. Your journey towards mental wellness is important, and you deserve to feel supported and understood throughout the process.

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