Psychiatry
You Should Be More Than Your Pill
Beyond the prescription: Your psychiatrist matters for your mental health.
Updated July 15, 2024 Reviewed by Lybi Ma
Key points
- Medication can have side effects. A psychiatrist can identify and adjust for medication-related problems.
- Tailored treatment with a psychiatrist and personalized care has significant benefits and can support healing.
- Check-ins ensure medication remains effective and safe, adapting to changes in the patient's condition.
- Psychiatric consultations offer a safe space for ongoing dialogue, aligning treatment with evolving needs.
Medication Can Be Life-Changing — Jane’s Story Part I
Imagine this: Jane, a successful advertising executive, is sitting in her well-furnished office, gazing at her computer screen. It's not the latest sales figures or the endless emails that's got her in a trance—it's a newfound sense of emptiness and overwhelming anxiety that she can't shake off. She might have taken an online self-assessment for anxiety. She remembers a friend mentioning how much an antidepressant helped them; Jane decides to ask her general practitioner for a prescription. Within days, she's on medication, expecting a swift return to her usual, vibrant self.
What Can Happen After Starting Medication — Jane’s Story Part II
Fast forward a few weeks, and Jane's life has taken a disconcerting turn. The medication has subdued her anxiety, but it's also numbed her creativity—her lifeline in the advertising world. She feels detached, and her work begins to suffer. Jane realizes that while her symptoms have been medicated, her soul feels adrift, unanchored by a treatment that doesn't consider the full spectrum of her mental health needs.
Not Just a Prescription Dispenser
This is where a psychiatrist's expertise becomes irreplaceable. A psychiatrist is not just a dispenser of medication but a steward of mental well-being, equipped with the tools and insights to tailor treatments to the nuanced tapestry of each individual’s life.
A psychiatrist often has access to specialist knowledge and training unavailable to your family doctor. He may, for example, have access to precision psychiatry tools, which allow him to provide accurate medication and dose recommendations for patients.
Psychiatrists are more likely to follow evidence-based guidelines for diagnosis and treatment. Getting an accurate psychiatric diagnosis is the first step to healing.
A psychiatrist can better understand the relationship between medication, psychotherapy, physical health, and other aspects of your life (stress, exercise, eating habits, time spent outdoors, and social support networks) — all of which affect your mental health.
Collaborative care for emotional health involves your psychiatrist, primary care physician, and therapist. Systematic collaboration has been shown to improve mental healthcare outcomes.
David’s Story
Take, for instance, David, an accomplished, educated young professional who had been grappling with severe depression after the loss of his father. Unlike Jane, David sought help directly from a psychiatrist. During their first meeting, the psychiatrist didn't just scribble out a prescription. Instead, he delved into David’s history, exploring his grief, fears, and aspirations. He considered his physical health, his family history, and his personal experiences with loss. The psychiatrist then carefully selected a medication, explaining its potential side effects and setting realistic expectations. They scheduled regular check-ins, ensuring the medication was effective and adjusting as needed.
Over time, David's depressive symptoms eased, but what truly made a difference was the continuous support and adjustments his psychiatrist provided. When the initial medication caused unwanted side effects, they explored alternatives together. When David experienced breakthroughs in therapy, they adjusted his medication accordingly. This dynamic, responsive approach ensured that David's treatment was always aligned with his evolving needs, helping him navigate his grief and reclaim his life.
Psychiatric Medications Are Not One Size Fits All
The importance of these regular check-ins cannot be overstated. Medications that affect the brain are powerful and complex. They can alter moods, perceptions, and even personality traits. What works wonders for one person might be detrimental to another. Continuous monitoring by a psychiatrist ensures that the treatment remains effective and safe, adapting to changes in the patient’s condition and life circumstances.
Psychiatric consultations provide a safe space for patients to discuss their experiences and concerns. This ongoing dialogue helps build trust, allowing patients to voice their struggles and successes. This relationship, grounded in understanding and expert guidance, can make all the difference.
Could Jane Have Had a Better Outcome?
Returning to Jane’s story, one can only wonder how different her experience might have been with the steady hand of a psychiatrist guiding her through the process. Instead of feeling like a shadow of her former self, Jane could have received a treatment plan that addressed her challenges while acknowledging her creativity and ambition, helping her find balance rather than suppression.
More Than Just Protocol
In essence, meeting with a psychiatrist before starting psychotropic medications—and maintaining regular check-ins—is not just a matter of medical protocol. It’s a profound commitment to personalized care, ensuring that each individual’s journey through mental health is navigated with expertise, compassion, and an unwavering dedication to their holistic well-being.
© 2024 Dr. Jim Dhyrmes. All rights reserved.
References
Kambeitz-Ilankovic, L., Koutsouleris, N., & Upthegrove, R. (2022). The potential of precision psychiatry: what is in reach? The British Journal of Psychiatry, 220, 175 - 178. https://doi.org/10.1192/bjp.2022.23.
Lin, E., Lin, C., & Lane, H. (2020). Precision Psychiatry Applications with Pharmacogenomics: Artificial Intelligence and Machine Learning Approaches. International Journal of Molecular Sciences, 21. https://doi.org/10.3390/ijms21030969.
Mojtabai, R., & Olfson, M. (2008). National patterns in antidepressant treatment by psychiatrists and general medical providers: results from the national comorbidity survey replication.. The Journal of clinical psychiatry, 69 7, 1064-74 . https://doi.org/10.4088/JCP.V69N0704.
Rhee, T., & Rosenheck, R. (2018). Initiation of new psychotropic prescriptions without a psychiatric diagnosis among US adults: Rates, correlates, and national trends from 2006 to 2015. Health Services Research, 54, 139–148. https://doi.org/10.1111/1475-6773.13072.
Setkowski, K., Boogert, K., Hoogendoorn, A., Gilissen, R., & Balkom, A. (2021). Guidelines improve patient outcomes in specialised mental health care: A systematic review and meta‐analysis. Acta Psychiatrica Scandinavica, 144, 246 - 258. https://doi.org/10.1111/acps.13332.