What are 5 Common Myths about Taking a Psychiatric Medication?

When it comes to treating mental health conditions, psychiatric medication can be a powerful tool. However, there are many myths and misconceptions surrounding these medications that can prevent people from seeking the help they need. In this blog post, we will explore five common myths associated with taking psychiatric medication.

Myth #1: Psychiatric medication changes your personality

One of the most common myths associated with taking psychiatric medication is that it changes your personality. Many people fear that taking medication will alter who they are and make them feel like a completely different person. However, this is not the case. Psychiatric medication works by balancing the chemicals in your brain, which can improve your mood, reduce anxiety, and help you feel more like yourself. In fact, many people report feeling more like their true selves after starting medication.

Myth #2: Psychiatric medication is addictive

Another common myth is that psychiatric medication is addictive. While some medications can have addictive properties, most psychiatric medications do not. In fact, many of these medications are designed to be taken on a long-term basis to manage chronic conditions. It is important to follow your doctor's instructions and only take medication as prescribed to minimize the risk of addiction or dependence.

Myth #3: Psychiatric medication is a "quick fix"

Many people believe that psychiatric medication is a quick fix for mental health conditions. However, medication is just one tool in the treatment of mental illness. It may take several weeks or even months for the medication to take effect, and it is often used in combination with therapy, lifestyle changes, and other interventions. Additionally, medication may need to be adjusted over time to ensure that it continues to be effective.

Myth #4: Psychiatric medication is only for severe mental illness

There is a misconception that psychiatric medication is only for people with severe mental illness. However, medication can be helpful for a wide range of mental health conditions, from anxiety and depression to bipolar disorder and schizophrenia. Medication can help manage symptoms, improve quality of life, and prevent relapse. It is important to work with a mental health professional to determine if medication is right for you.

Myth #5: Psychiatric medication is dangerous

Finally, there is a myth that psychiatric medication is dangerous and can cause serious side effects. While all medications have the potential for side effects, many people are able to take psychiatric medication safely and without major issues. Your doctor will work with you to monitor your medication and adjust your dosage as needed to minimize the risk of side effects. Additionally, the benefits of medication often outweigh the potential risks, especially when used as part of a comprehensive treatment plan.

There are many myths and misconceptions surrounding psychiatric medication. It is important to seek out accurate information and work with a prescriber who specializes in psychiatric medications to determine if medication is right for you. Although side effects can happen with any medication, establishing an alliance with a psychiatry provider to help support you in your journey in navigating the right treatment and support will hopefully lead ultimately to improvement in overall quality of life.

Greg Roussett NP is a board certified psychiatric mental health nurse practitioner offering treatment for anxiety, depression, and treats clients holistically. He is a cognitive behavioral therapist, psychopharmacologist (prescribing practices similar to a psychiatrist ), and offers a combination of psychotherapy and medication management to individuals experiencing depression. His office is located in Rockridge in Oakland, CA and provides services across the bay area to those residing in cities inclusive of Piedmont, Lafayette, Walnut Creek, Berkeley, and San Francisco. One of his primary specialties is working with those looking for help with complex medical problems as well as health anxiety. To book a free consultation, click here.

How do Psychiatric Medications Actually Work?

In this blog post we will explore how common psychiatric medications work. We will explore this by breaking down the common of class of medications used to treatment common psychiatric conditions. We will also explore the common myths associated with taking a psychiatric medication.

Medications for Depression

Antidepressants are a class of medication used to treat depression, anxiety, and other mental health conditions. They work by affecting the levels of certain chemicals in the brain called neurotransmitters. These chemicals are responsible for transmitting messages between nerve cells in the brain, and imbalances or deficiencies in certain neurotransmitters have been linked to mood disorders.

The most commonly targeted neurotransmitters by antidepressants are serotonin, norepinephrine, and dopamine. Here’s a breakdown of how antidepressants affect each of these neurotransmitters:

1. Serotonin: Many antidepressants work by increasing the availability of serotonin in the brain. Serotonin is a neurotransmitter that helps regulate mood, appetite, and sleep. Low levels of serotonin have been linked to depression and anxiety. Antidepressants that target serotonin include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and atypical antidepressants.

SSRIs work by blocking the reabsorption of serotonin in the brain, which allows more of the neurotransmitter to remain in the brain and enhance its effects. SNRIs work similarly to SSRIs, but also block the reabsorption of norepinephrine, another neurotransmitter that is involved in regulating mood.

1. Norepinephrine: Norepinephrine is another neurotransmitter that is involved in regulating mood, attention, and arousal. Antidepressants that target norepinephrine include SNRIs, tricyclic antidepressants (TCAs), and atypical antidepressants.

SNRIs work by blocking the reabsorption of both serotonin and norepinephrine, which allows more of these neurotransmitters to remain in the brain and enhance their effects. TCAs also work by blocking the reabsorption of norepinephrine and serotonin, but are not used as frequently as they have more side effects. Atypical antidepressants can also affect norepinephrine levels in the brain, but do not specifically target this neurotransmitter.

1. Dopamine: Dopamine is a neurotransmitter that is involved in regulating motivation, reward, and pleasure. Antidepressants that target dopamine include atypical antidepressants and monoamine oxidase inhibitors (MAOIs).

Atypical antidepressants can increase the availability of dopamine in the brain, which can help improve mood and motivation. MAOIs work by blocking an enzyme called monoamine oxidase, which breaks down neurotransmitters like dopamine, serotonin, and norepinephrine.

Antidepressants work by affecting the levels of certain neurotransmitters in the brain, including serotonin, norepinephrine, and dopamine. By enhancing the effects of these neurotransmitters, antidepressants can help improve mood, reduce anxiety, and manage other symptoms of mental health conditions. It is important to work with a healthcare provider to determine the right medication and dosage for you, as well as to monitor for potential side effects.

Medications for Focus

ADHD, or attention deficit hyperactivity disorder, is a neurodevelopmental disorder that affects both children and adults. It is characterized by symptoms such as difficulty concentrating, impulsivity, and hyperactivity. While behavioral therapy can be effective in managing these symptoms, medication is often prescribed as a first-line treatment for ADHD. The most commonly prescribed medications for ADHD are stimulants, which include medications like methylphenidate (Ritalin) and amphetamine (Adderall). Here’s how these medications work:

1. Stimulating the central nervous system: Stimulant medications work by increasing the levels of certain neurotransmitters in the brain, including dopamine and norepinephrine. These neurotransmitters are involved in regulating attention, motivation, and arousal. By increasing the levels of these neurotransmitters, stimulants can help improve concentration and reduce impulsivity and hyperactivity.

2. Improving brain function: ADHD is associated with lower levels of activity in certain parts of the brain that are involved in regulating attention and controlling impulses. Stimulant medications can help increase activity in these regions, which can improve cognitive function and help individuals with ADHD focus better.

3. Adjusting brain chemistry: While the exact mechanism of how stimulants work is not completely understood, it is thought that they may help adjust the balance of neurotransmitters in the brain. This can help individuals with ADHD feel more alert and focused, while also reducing their impulsivity and hyperactivity.

It is important to note that while stimulant medications can be effective in managing symptoms of ADHD, they do come with potential side effects. These can include appetite suppression, difficulty sleeping, and increased heart rate and blood pressure. Additionally, stimulants can be habit-forming, so it is important to work with a healthcare provider to determine the right medication and dosage for you, as well as to monitor for potential side effects. Non-stimulant medications are also available for ADHD, and work by affecting different neurotransmitters in the brain. These include medications like atomoxetine (Strattera) and guanfacine (Intuniv).

Medications for Mood Stabilization

Mood stabilizers are a class of medication commonly used to treat bipolar disorder, a mental health condition characterized by episodes of mania and depression. Mood stabilizers work by regulating the levels of certain chemicals in the brain, including neurotransmitters and ions, that play a role in mood regulation. Here are some of the ways in which mood stabilizers work:

1. Modulating neurotransmitters: Neurotransmitters are chemicals in the brain that transmit signals between nerve cells. Abnormalities in neurotransmitter levels have been linked to mood disorders, including bipolar disorder. Mood stabilizers work by modulating the levels of neurotransmitters such as serotonin, dopamine, and norepinephrine, which are involved in regulating mood, motivation, and pleasure.

2. Regulating ion channels: Mood stabilizers can also work by regulating ion channels in the brain, specifically those that control the flow of ions such as sodium, potassium, and calcium. This can help to stabilize the electrical activity in the brain, which can help to improve mood and reduce symptoms of mania and depression.

3. Protecting neurons: Mood stabilizers can also help to protect neurons in the brain from damage and cell death. This is thought to be due to their ability to increase the production of certain proteins that promote neuronal growth and survival.

4. Reducing inflammation: Inflammation has been linked to mood disorders such as bipolar disorder. Mood stabilizers can help to reduce inflammation in the brain, which may contribute to their ability to improve mood and reduce symptoms of mania and depression.

Examples of mood stabilizers include lithium, valproic acid, carbamazepine, and lamotrigine. These medications are often used in combination with other medications, such as antipsychotics or antidepressants, to help manage symptoms of bipolar disorder. It is important to work with a healthcare provider to determine the right medication and dosage for you, as well as to monitor for potential side effects.

Greg Roussett NP is a board certified psychiatric mental health nurse practitioner offering treatment for anxiety, depression, and mood disorders. He is a cognitive behavioral therapist, psychopharmacologist (prescribing practices similar to a psychiatrist ), and offers a combination of psychotherapy and medication management to individuals experiencing depression. His office is located in Rockridge in Oakland, CA and provides services across the bay area to those residing in cities inclusive of Piedmont, Lafayette, Walnut Creek, Berkeley, and San Francisco. One of his primary specialties is psychopharmacology. To book a free consultation, click here.

Common Myths Associated with Psychiatric Medications

Psychiatric medications have long been the subject of controversy and stigma. Some people are hesitant to take them due to fears of dependency, side effects, or the societal stigma that mental health challenges are not "real" illnesses. However, recent research has shown that psychiatric medications can be a valuable tool in treating mental health disorders, and that many of the fears associated with them are unfounded.

What are some common misconceptions about psychiatric medications?

• Myth 1 : Psychiatric medications are only for people with severe mental health disorders. Reality: Many people with mild to moderate mental health conditions can benefit from medications in efforts to reach their full potential.

• Myth 2: Psychiatric medications are addictive. Reality: While some medications may cause dependence or withdrawal symptoms, the risk of addiction is relatively low and not all categories of psychiatric medications have any risk associated with physiologic or psychological dependence.

• Myth 3: Psychiatric medications will change your personality or make you a different person. Reality: Medications work to alleviate symptoms of mental health disorders, but they do not fundamentally change who you are as a person.

So what are the benefits of psychiatric medications?

• Improved quality of life: For many people, medications can alleviate symptoms of mental health disorders, making it easier to manage daily activities, work, and relationships.

• Reduced risk of self-harm or suicide: Medications have been shown to reduce the risk of self-harm and suicide in people with major depressive disorder and for those who experience suicidal ideation.

• Better outcomes in therapy: Medications can make it easier to engage in therapy, which can lead to better outcomes in the effort you are putting forth in psychotherapy.

While it's true that some medications may have side effects, the benefits of properly prescribed and monitored medications may outweigh the risks. It's important to work with a psychiatric or psychiatric nurse practitioner you trust to determine the best course of treatment for you.

What are the Response Rates of Psychiatric Medications?

Depression:

• Approximately 50-60% of people with depression will respond to antidepressant medication.

• In cases where the first medication does not work, up to 30% of people will respond to a second medication.

• The effectiveness of medication can also vary depending on the severity of the depression.

Anxiety:

• Approximately 60-80% of people with anxiety will respond to medication.

Bipolar Disorder:

• Approximately 60-70% of people with bipolar disorder will respond to medication.

• However, finding the right medication and dosage can be more challenging than with other conditions.

Attention Deficit Hyperactivity Disorder (ADHD)

Approximately 70-80% of children and adults will have a significant improvement in ability to focus with a reduction in hyperactivity symptoms. Both stimulants and non-stimulants can be taken to treat ADHD.

Schizophrenia:

• Approximately 60-80% of people with schizophrenia will respond to medication.

• However, the effectiveness of medication can vary widely depending on the individual's symptoms and subtype of schizophrenia.

It's also worth noting that the stigma associated with mental health disorders and their treatment is gradually decreasing. More people are opening up about their experiences and advocating for better access to care, which will hopefully lead to more acceptance and understanding in the future.

The stigma associated with psychiatric medications is often unfounded, and recent research shows that they can be a valuable tool in treating mental health disorders. It's important to educate ourselves and others about the benefits and risks of medication, and to work with qualified professionals to determine the best course of treatment for each individual. For more resources on how to send stigma associated with mental health, you can visit the Carter Center.

Greg Roussett is a board certified psychiatric mental health nurse practitioner offering treatment for ADHD, panic disorder, depression, other mood disorders, and insomnia. He is a cognitive behavioral therapist, psychopharmacologist (prescribing practices similar to a psychiatrist ), and offers a combination of psychotherapy and medication management to individuals experiencing depression. His office is located in Rockridge in Oakland, CA and provides services across the bay area to those residing in cities inclusive of Piedmont, Lafayette, Walnut Creek, Berkeley, and San Francisco. One of his primary specialties is working with those looking for help with bipolar disorder, other mood disorders, insomnia, panic disorder, and depression. Book a complimentary consultation today here.