Are Psychiatric Medications Dangerous? Do I Need Therapy? - Psychiatry

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Is taking medication dangerous, and is psychological therapy necessary?


I've been wondering about the dangers of the medication prescribed to me by my doctor.
How much would be considered dangerous? I have asked my doctor, but they haven't given me a straightforward answer; they only asked why I have such thoughts.
I do have negative thoughts, but I'm not at the point of acting on them.
I'm just curious and hope the doctor can provide an answer.
Additionally, I have accumulated a lot of medication that I don't need to use.
Every Friday, I join the chat room of the Dong Foundation's mental health group, where they have doctors chatting with us.
During my conversation with one of them, they suggested that I consider psychological therapy.
I'm not sure if I need it, and if I do, how much would it cost? Also, are there female therapists available at the hospital? I tend to keep my distance from the opposite sex.
Recently, I've been using needles to prick myself; does that count as self-harm? Doctors can feel free to answer honestly.
Wishing you well, and I believe the doctor knows who I am.

MM, 30~39 year old female. Ask Date: 2012/06/23

Dr. Lin Junyuan reply Psychiatry


Hello, regarding the dangers of medication, it includes two aspects: first, whether there are side effects at therapeutic doses, and second, whether there is a so-called toxic dose.
When you mentioned "I have accumulated medication" and "how much medication is dangerous," the first reaction of all healthcare professionals would be concern for your potential self-harm plans.
Your mention of using needles to harm yourself is indeed a self-harming behavior.
As for the arrangements for psychological treatment, the processes vary among hospitals, and you will need to consult during your follow-up visit.
Wishing you well.

Reply Date: 2012/06/23

More Info


When it comes to psychiatric medications, it's essential to understand both their potential risks and benefits. Psychiatric medications, like any other medications, can have side effects and risks, but they are also crucial for managing mental health conditions effectively. The danger associated with these medications often depends on several factors, including the specific medication, dosage, individual health conditions, and whether they are taken as prescribed.

1. Understanding Risks: Psychiatric medications can indeed pose risks, especially if misused or taken inappropriately. For instance, taking a higher dose than prescribed or combining medications without medical guidance can lead to dangerous side effects or even overdose. It's important to communicate openly with your healthcare provider about any concerns you have regarding the medications you are taking. If you feel that your doctor is not addressing your concerns adequately, consider seeking a second opinion or discussing your worries more explicitly.

2. Self-Harm and Medication: You mentioned engaging in self-harm by using needles to prick yourself. This behavior is concerning and should be addressed seriously. Self-harm often indicates underlying emotional distress or mental health issues that need to be explored in a therapeutic setting. It's crucial to talk to a mental health professional about these behaviors, as they can help you understand the underlying causes and develop healthier coping strategies.

3. The Need for Therapy: Therapy can be incredibly beneficial, especially if you are experiencing negative thoughts or feelings of distress. While medication can help manage symptoms, therapy addresses the root causes of these feelings and provides tools for coping and recovery. If a therapist suggested that you consider therapy, it might be worth exploring. The cost of therapy can vary widely depending on your location, the therapist's qualifications, and whether you have insurance coverage. Many hospitals and clinics offer sliding scale fees based on income, and some may have female therapists available if that is your preference.

4. Understanding Mental Health: It's common to feel uncertain about whether you need medication or therapy. Many people experience fluctuations in their mental health and may feel "normal" at times and "strange" at others. This variability does not necessarily indicate a severe mental illness. However, if you find that these feelings are impacting your daily life, it may be beneficial to seek professional help. Mental health conditions can manifest in various ways, and a qualified professional can help you determine the best course of action.

5. Communication with Healthcare Providers: If you have concerns about your medications or mental health, it's essential to communicate these with your healthcare provider. They can provide clarity on the risks associated with your specific medications and help you understand what constitutes a dangerous situation. If you feel uncomfortable discussing these issues with your current provider, consider finding someone with whom you feel more at ease.

In conclusion, psychiatric medications can be safe and effective when used appropriately, but they do come with risks that should not be overlooked. Therapy can provide additional support and coping strategies, especially if you are experiencing self-harm or negative thoughts. Open communication with healthcare providers is key to ensuring that you receive the best care possible. If you are feeling overwhelmed, seeking help from a mental health professional can be a significant step toward understanding and improving your mental health.

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