09 Jun
Posted by: admin in: Anxiety, Bipolar Disorder, Chemical Imbalances, Depression, Emotional Health, Medication, Medication Management, Online Counseling, Therapists/Counselors, Therapy/Counseling
by KC Kelly, Ph.D., LMHC
How Do I Know What Medication is Best for my Mental/Emotional Disorder?
Many of my readers have asked me this question. I wish there could be one proven effective and safe treatment, or even cure, for those who suffer with mental/emotional disorders.
Firstly, I want to make it clear that I am a doctor of psychotherapy and not an MD, so I can only talk from my knowledge and education about medication here in this public forum as well as privately. Prescribing medication over the Internet is not suggested for anyone. I can discuss my strong familiarity and understanding with all the different clients I have worked with and about their experiences with different medications.
I DO understand many of the difficulties and successes associated with different psychotropic medications. Let me share what I DO know:
The truth about finding the right psychotropic medication(s) to aid in the treatment of mental/emotional disorders, may be easy for some and more difficult for others to want to “hear”. The fact is that finding the right medication or combination of medications is almost like a crap shoot or trial and error. With the number of different neurotransmitters in the brain and causes of mental/emotional disorders including:
Serotonin
Norepinephrine
Dopamin
Gamma-aminobutyric acid (GABA)
Thyroid instability
Estrogen levels
to the number of different classifications of medications for, let’s say, just depression alone which include but are not limited to:
Tricyclics
SSRI’s
MAOI’s
(each with numerous choices of medications under each category), it’s no wonder with this many choices, it’s so very difficult to find the right medication.
The lucky person is the one who finds success with the first medication they try, while another person must continue on and on without results until they find the right one(s) for him/her. In the meantime, they may deal with horribly debilitating side effects to the point that they may even give up thinking that living with the disorder is easier than feeling like a guinea pig testing all these medications out that make them feel sick.
THE KEY IS NOT TO GIVE UP! Easier said than done, I know.
The brain is the most mysterious organ in the body and therefore, I believe we are not only many years away from fully understanding brain functioning, there may never be just one “magic pill” for everyone. Just like with antibiotics, one may work for one person and make another person sick. The same goes for psychotropic medications.
The bottom line is that every person is different, with their own unique body chemistry. Each person reacts differently to each medication and there is no ONE medication that has proven to help everyone. Many people do really well on SSRI’s for depression and/or anxiety, while others are either not effected by the medication at all, or cannot handle the side effects.
As mentioned earlier, the key is to keep trying different ones a psychiatrist you feel comfortable with until you find the right medication or combination of medications that works for YOU. This is understandably a very difficult thing to do and much easier said than done. You must also remember the importance of pairing psychotherapy (Cognitive Behavioral Therapy is great for anxiety and depression) with a psychotherapist you feel comfortable with, along with your medication management.
I wish I could have bestowed upon my readers the perfect answer to the question, “How Do I Know What Medication is Best for my Mental/Emotional Disorder?” Unfortunately, there is no perfect answer. There are, however, many good professionals out there who are willing to help in the battle against your disorder. You can feel better and you DO deserve to feel better!
If you would like to talk one on one about your experiences or other more detailed information, please contact me at DOCintheBiz. I would be happy to help you in any way I can. I DO understand and you are NOT alone.
Dr. KC
http://DOCintheBiz.com
26 Responses
» How Do I Know What Medication is Best for my Mental/Emotional Disorder?
09|Jun|2008 1[...] [Technorati] Tag results for mental health wrote an interesting post today onHere’s a quick excerpt by KC Kelly, Ph.D., LMHC http://DOCintheBiz.com How Do I Know What Medication is Best for my Mental/Emotional Disorder? Many of my readers have asked me this question. I wish there could be one proven effective and safe treatment, or even cure, for those who suffer with mental/emotional disorders. Firstly, I want to make it clear that I am a doctor of psychotherapy and not an MD, so I can only talk from my knowledge and education about medication here in this public forum as well as private [...]
workworkwork
09|Jun|2008 2Gosh, I first read a post you wrote because it hit home.
Now, I just make it my daily habit to read everything you write.
I am learning so much.
I have a close relative who shares his problems with me. He has terrible emotional problems and he is so confused about the medication he should take. Different doctors tell him different things. This is the first time I have gotten some solid information that I understand.
I am so grateful to you for enlightening and teaching.
I am going to introduce him to your site and hopefully you will be able to help him.
Again, thank you!!
Doc KC
09|Jun|2008 3Dear WorkWorkWork,
Thank you so much for you kind comment and your referring my site to others whom you think it may help!
Please keep reading and posting! I am very honored to have loyal readers such as yourself!
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Laurie
09|Jun|2008 4I was on Zoloft then I switched to Lexipro due to the sexual side effects. I still have the same side effects. I really felt good on either one if you don’t mind the side effects. I have also gained weight while on it. I am considering asking to get on Welbutrin (I don’t know how to spell it) because I hear it doesn’t have that sexual problem. Funny, for guys the sexual side effect can actually be a good thing but for women…not so much. It’s most frusrtating.
Laurie
09|Jun|2008 5Doc,
Have you done any posts on addictive personalities and how to enjoy things without becomeing addictied. Also how to break ones you already struggle with. I tend to get hooked on stuff, like blogging, or the i-pod, or reading etc. In some ways it is a vacation from the pressures of the day, but in others is it kind of an obsession with learning more about myself, life, and God. I also have to watch my connection to people, as I told you before about the addiction I had to the counselor (although he invited it).
Dr. Nicole Sundene
09|Jun|2008 6Great article KC, love the way that it flows. I cannot reiterate the importance of investigating the physical causes of mental diseases before just treating with anti-depressants or other psych meds. Anyone that is struggling with depression should be worked up thoroughly with current blood work to rule out hormonal causes such as thyroid or menopause.
Finding the right anti-depressant really is a “crap shoot”. For those that have mild and moderate cases of depression that do not choose to be on anti-depressants they can always consider natural medicines as an option as well. The following is a link to my research and experience on what is safe and effective. Because as you said, we just don’t want people to give up or ever feel like things are hopeless.
It is all about progress and not perfection!
http://kitchentablemedicine.com/the-nine-best-natural-remedies-for-depression/
http://kitchentablemedicine.com
Bradley
09|Jun|2008 7THE KEY IS NOT TO GIVE UP!
THE KEY IS NOT TO GIVE UP!
THE KEY IS NOT TO GIVE UP!
My favorite words in your entire post. Far too often I hear people tell me they don’t take meds because of how sick they made them. When I ask how long they tried I would guess that 75% of them tell me about a week. How sad this is when you consider it can take 4 - 6 weeks for some meds to kick in.
In addition, that quest for the right meds can also be a long haul. I’m not quite there yet but it’s improving and worth every hour of struggle.
erk
10|Jun|2008 8marijuana is the best. my choice. no nasty side effects
Doc KC
10|Jun|2008 9Dear Laurie,
Unfortunately, there are usually side effects for most medications. Not all people get them and they are different in everyone, however, I think the key is to try to get through them until they fade to see if the medication makes you feel better overall.
Many people give up because the effects are so bad. It’s unfortunate, but understandable. I don’t think the sexual side effects are a male/female thing. I think they are very individualistic depending on the person.
Allow your psychiatrist to guide you with your medications, talk to him/her about the possible side effects and then make your decision based off that education. I think you’re on the right track and know what is best for you.
Thank you for your comment.
Please keep reading and posting.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Doc KC
10|Jun|2008 10Dear Bradley,
I am so happy that you are on a great track to finding the medication that is best for you. Yes, I do say, “The key is not to give up,” but I also foster a lot of compassion for the “long haul”. I know it’s not easy and I can understand why people give up.
Some people’s side effects are so bad that they think they would rather live with the disorder than the side effects. This might be hard for some to understand, but everyone experiences the side effects differently and for some, they are just truly unbearable. I certainly do say, if you can hold out for the medication to take its full effect (usually a month like you said), you might be surprised at the results!
Thank you so much for your comment and I hope you can continue your journey towards finding the right medication for you! I truly commend you on your persistence and determination!
Please keep reading and posting as you give readers much hope that one CAN find something that will work for them!
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Doc KC
10|Jun|2008 11Dear Erk,
I cannot say that self medicating is the best choice for dealing with emotional/mental issues, but I do understand that many people turn to marijuana or alcohol to cope with the problems they are facing.
This type of method is called a negative coping skill to “numb” the pain the person is feeling. It is usually not the best choice as well because it can and often does lead to other drugs that are both dangerous and illegal. I’m not saying that this applies to you. I’m just making a general statement.
I wish you the best and hope that perhaps you will get psychotherapy to deal with the issues you are facing.
Thank you for your comment. Please keep reading and posting.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Doc KC
10|Jun|2008 12Dear Laurie,
No, I have not written any articles on addictive personalities, however, at your request, please look out for one coming soon.
Thank you for your comment! You bring up some very valid points and I will address them shortly.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Doc KC
10|Jun|2008 13Dear Dr. Nicole,
I absolutely agree with you that a person should be fully checked out by a medical doctor to rule out any physical reasons, including the thyroid or other hormonal causes, BEFORE being put on medication for mental/emotional troubles.
Even a good dose of psychotherapy (I recommend Cognitive Behavioral Therapy for many issues) to help alter thought patterns and attitudes to see if that will change a person’s life before going onto a medication.
Natural remedies to me, would seem the most safe and certainly a choice I would choose if dealing with myself. Everyone will make their own choices and hopefully the bottom line is that something successful is found to help bring quality back to a life robbed of it due to a mental or emotional disorder.
Thank you for your linkback to that wonderful article and I hope that readers here will find it as useful as I have.
Please keep reading and commenting.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
axecity
11|Jun|2008 14THE KEY IS NOT TO GIVE UP!
I am sure you didn’t mean what I got from those words
If someone kept on trying different medications, switching from one to another, doing experiments on him/herself, I am afraid this might end up with another misery of side and withdrawal effects instead of feeling at least alittle better.
Trials and failures have a very negative impacts on patients as I heard from some people in such trouble, added to the real side and withdrawal effects they might experience.
I amn’t against trying to reach the appropriate medication, I just have an opinion of mine that there is no magic in such medications that will provide a total cure, I amn’t a Doc, but I feel that sticking to a certain medication that provided an accepted percentage of a cure is better than listening to a patient who might be going after the dream of finding a perfect medication.
It’s good not to over emphasize the medication treatment for emotional disorders mainly, as you mentioned before, integrating it with behavioral therapy is of great importance.
Mary Ward, Do You Digg It Review Team
11|Jun|2008 15Hello Doc,
Benny and Dr Nicole led us to you, and loving what you do here we reviewed you, too! Please stop in and have a look, and maybe reward yourself with a Digg. Some of your fans have already found you
Others of you here might be interested in this review of Doc KC’s blog, too. See if I’ve got the right of it and support KC with some Digg’s!
Here’s a link:
http://www.doyoudiggit.com/self-improvement/dont-just-dream-it%e2%80%a6do-it-%e2%80%93-with-docinthebiz-as-your-guide
Doc KC
11|Jun|2008 16Dear Mary,
Thank you so much for this very very kind email. It is very much appreciated. I’m not sure I can Digg myself as I am not too familiar with the site, but I am learning! I am very grateful for the encouraging words said about DOCintheBiz and my blog.
Thank you again! It means a lot to me!
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Doc KC
11|Jun|2008 17Dear Axecity,
I understand complete from where you are coming! I try not to think of trying new medications as “experimenting” on oneself, but in a way I can definitely see how it may seem like that.
You have inspired me to write my next article entitled, The Difficulties in Finding a Medication that Works for You. Please review this article and I can only hope that it sheds light on what I have written in this article about “THE KEY IS TO NEVER GIVE UP.” With a positive mental attitude that you truly want to feel better and will do anything it takes, you’ll get yourself through it. It really and truly is worth the ride. I can share so many testimonials of the horrendous process finding the right medication has been for people, but for those who stuck with it and actually found a medication or combination of medications that worked for them, their lives changed 100%.
And without a doubt, add psychotherapy to the mix to help with dealing with the whole process of finding the correct medication and dosage and your initial issues that brought you to need medication in the first place, and you’re well on your way to a better life!
Thank you so much for your comment! Please keep reading and posting and please check out Finding a Medication that Works for You!
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Shilpan | successsoul.com
12|Jun|2008 18Dr KC,
This is an insightful post. I read in a medical journal before that many who self prescribe medicine for their mental disorder end up finding themselves in severe depression as they lack the understanding surrounding the complexity of brain function. Many thanks for the post.
Shilpan
Doc KC
12|Jun|2008 19Dear Shilpan,
Not only do people who self medicate never really get to the root of their issues, they often get worse. Once the instant gratification of the drug or alcohol they are self medicating with wears off, they are left in the same place they started. Then eventually, they need more of the drug or find themselves drinking all the time…this is addiction. And of course, I want to clarify that NOT everyone who self medicatesfalls into this negative pattern, but in my experience it is the rule vs. the exception. I will be writing an article soon about the difference between addiction and dependence.
Thank you for your comment.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
pamelabaker
15|Jun|2008 20This is an excellent post.
I have a friend diagnosed bipolar who would self medicate and over and over she would have breakdowns. She finally was placed on a blend of that work for her and she is like a new person. She has been balanced with these medications for three and a half years now, which is the longest I have ever seen her remain stable.
She is now married and is an advocate for the new programs for mental health here. She has been interviewed on talk shows. It is a happy ending to what started asa tragic story.
Doc KC
15|Jun|2008 21Dear Pamela,
I couldn’t be happier that your friend was able to get great medical treatment and turn her life around. What an inspiration to all! Thank you SO much for sharing this story!!
Please keep reading and posting!
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
Reiki Chic
16|Jul|2008 22Have any of you ever explored not using drugs for your emotional problems? I am a Reiki Master and I think you should investigate energy healing. This unique complimentary healing modality has no side effects, will not interfere with prescription meds and has lasting positive effects on people. It works by creating a mood of extreme relaxation and trust. It also has been proven to increase focus, lower blood pressure, help ADD/ ADHD and has special energy frequencies that deal with emotional trauma. Please see http://www.reiki.org for more info on Reiki. You can also go to my website at http://www.wakeupreiki.com.
Different thought, less confusing!
Dr. KC
16|Jul|2008 23Dear Reiki Chic,
Thank you so much for this great information. I will be certain to read about Reiki.
For true chemical imbalances where medication is needed, I always strongly suggest and believe that psychotherapy should go along with that, hand in hand. One great form of therapy can be Reiki!! I cannot see it interfering at all with prescription medication, only acting as an adjunct to perhaps help people to wean off medication once they (if possible) have their emotional issues under control.
Some disorders require lifelong medication, others do not. Either way, Reiki sounds like a fantastic idea and I encourage people reading this and your comment to read about it. I certainly will!
Thank you again for posting.
Dr. KC
http://www.DOCintheBiz.com
http://www.GLCzone.com
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12|Oct|2008 24[...] How do I Know what Medication is Best for my Mental/Emotional Disorder [...]
How Do I Know What Medication is Best for my Mental Emotional | Menopause Relief
08|Jun|2009 25[...] How Do I Know What Medication is Best for my Mental Emotional Posted by root 16 minutes ago (http://docinthebiz.com) Prescribing medication over the internet is not suggested for anyone with current blood work to rule out hormonal causes such as thyroid or menopause thank you so much for your comment and i hope you can continue your journey towards copyright 2007 docint Discuss | Bury | News | How Do I Know What Medication is Best for my Mental Emotional [...]
Dylan Lopez
20|Jun|2010 26are there any other good internet links about Reiki? i am really interested about it.*-”
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