Medication Management

What is Medication Management?

In some cases, patients with mental illnesses heal from their symptoms without assistance from medication. However, other people with mental health troubles need help from medication for a short time while they learn healthy coping mechanisms or work through specific problems. Depending on the nature of the illness, some patients may need long-term medication.

Whether a person needs mental health medication for a few months or a lifetime, it’s important to include medication management in the treatment process. Medication management for mental health is substantially different from medication management for physical illness.

Medication Management for Mental Health

For example, patients who go to the doctor for flu-like symptoms may get an antiviral for treatment. The antiviral dosage will be based only on the person’s age and size. At that time, the doctor will tell the patient to follow up if symptoms do not improve within a certain number of days. This approach does not work for psychiatric illnesses.

Dosages in mental health medication are based on what works for many patients, the severity of the symptoms, and tolerance for other similar medications in the past. Often, the first dose or type of medication is not right for the patient. As such, prescribing doctors must follow-up with mental health patients often to get the medication just right.

Even when a patient with a chronic mental illness finds the right dose and feels well for a while, medication management remains vital. Mental health disorders can change and the body can adapt to specific dosages, meaning patients need to change their medications. In some cases, medication management is required by law in regular intervals, which helps prevent substance abuse.

Why Medication for Mental Illness Can be Beneficial

The decision to include medication in your mental health treatment plan is personal and should not be made lightly. We respect every person’s right to make their own choices regarding healthcare. However, we believe that patients can only make informed choices about psychiatric medication when they stop believing myths, comprehend the medication’s many uses, and understand the risks with which medication comes.

Myths About Medicine

While many people assume that mental health medications are only used in rare and extreme circumstances, these medicines are more common than that. One out of every six adults in the United States has a prescription for a psychiatric medication. If you decide to include medication in your treatment plan, you are not alone.

Myths also circulate regarding whether psychiatric medications are addictive or keep people from feeling anything at all. In truth, some mental health drugs can cause dependence, but many do not. If you’re worried about addiction, make sure your doctor knows that you prefer medications that do not cause dependence.

Sometimes, a medication will make a patient feel “like a zombie,” with a neutral affect at all times. This is a sign that the medication is not working properly and the doctors may need to change the dose or medicine. This highlights the importance of medication management, which allows patients to find medication combinations that relieve symptoms without removing all emotions.

What Types of Illnesses Can Psychiatric Medicine Treat?

Medication alone is not the answer to all mental health conditions. Some issues may have no drugs to treat them while others may also require other interventions. For example, no medicine can raise a person’s self-esteem, but therapy might.

In the case of specific phobias, medication acts as an aid in counseling. For example, an anti-anxiety pill can give the person the calmness they need to complete exposure therapy.

In other cases, medication takes the driver’s seat while counseling plays a supporting role. For example, if a chemical imbalance causes a person’s anxiety, medication may be what they need to rebalance and feel better. However, therapy can help such a person heal from any damage the anxiety caused emotionally.

Medication for Mental Illness Pros and Cons

Doctors should always help patients weigh the possible benefits of taking these medications against the possible side effects. Each medication has a different list of side effects and possible benefits. Below are some common pros and cons for taking psychiatric medication:

Pros:

Can reduce or eliminate symptoms

In some cases, it is the only medical solution to a biological imbalance

Can help take the edge off of symptoms while patients work through therapy

Makes up one part of the whole-person approach to healing

Can allow patients to return to their everyday lives

Cons:

Without doctor supervision, these medicines can be dangerous

Some unwanted side effects can occur

Sometimes patients have to go through trial and error to find the right dose and medication

Some people judge and stigmatize people who take psychiatric medicine

Common Mental Health Medications

Although mental health medication only became part of Western medicine in the late 19th century, people have used certain substances to change their moods for much longer than that. Psychiatric medication entered Western medicinal practices only when doctors realized they could use these as an alternative to restraining patients.

Mental health medication has come a long way since it first became part of Western medicine. Now, the goal is typically not to control patients. Instead, it is to help people feel their best. There are also now several categories of psychiatric medication that treat the many identified mental health disorders.

Antidepressants

One of the most commonly used types of psychiatric medications is antidepressants. As the name suggests, these medications primarily help people heal from depression. However, people with other mental health issues, including anxiety disorders, use these medications to manage symptoms. Some of the most commonly prescribed antidepressants are:

  • Fluoxetine (Prozac)

  • Duloxetine (Cymbalta)

  • Citalopram (Celexa)

  • Venlafaxine (Effexor)

Anti-Anxiety Medication

Anti-anxiety pills can take the form of rapid-response doses that help people who feel panic attacks coming on. Alternatively, people with anxiety disorders may take daily doses of anti-anxiety medications to balance their lives. In either type of dose, these medications act as mild sedatives. Some common anti-anxiety medications are:

  • Buspirone

  • Lorazepam (Ativan)

  • Clonazepam (Klonopin)

Antipsychotics

Antipsychotic drugs can help people with a variety of disorders, including:

  • Obsessive-Compulsive Disorder (OCD)

  • Eating disorders

  • Schizophrenia

  • Post-Traumatic Stress Disorder (PTSD)

  • Bipolar disorder

There are several different types of antipsychotic medications, including Ziprasidone (Geodon), Aripiprazole (Abilify), and Lurasidone (Latuda)

Stimulants

Although it may seem counterintuitive, stimulants are primarily prescribed for people with ADHD/ADD. One stimulant has also been approved for binge eating disorder. Common stimulants for ADHD include:

  • Adderall

  • Methylphenidate (Concerta)

  • Lisdexamfetamine (Vyvanse)

  • Dextroamphetamine (ProCentra)

Medication Therapy Management vs. Self-Dosing

Because psychiatric medications are so powerful, it’s important for clients to only take these drugs exactly as the doctor prescribes. Taking too much of the medication can cause unwanted and even dangerous side effects. On the other hand, not taking enough of these medications can leave patients without the treatment they need for their mental health disorders. It’s vital to remember that some mental health disorders are fatal when not treated, so patients should take their medications regularly.

Furthermore, it’s dangerous to take mental health medications that are not prescribed for you. For example, someone should not take a loved one’s Xanax in the middle of a panic attack. Instead, the person having a panic attack should seek professional help when possible. We also recommend medication management services to all patients who use medication as part of their mental health treatment plans.

Even if you take a medication exactly as the doctor prescribes, you may experience some negative side effects or other problems. Engaging in medication management services helps ensure that you continue to get the dosage you need.

In some cases, psychotropic medicines make a person feel worse than they did before. If this happens, the patient should not wait until the next scheduled appointment to talk to the doctor. Instead, call the office immediately and schedule an appointment. The doctor can help the patient determine whether or not to quit the medication cold turkey or wean off of it.