I take a frankly ridiculous amount of medication daily. And I am not going to lie and say I enjoy taking them, because I don’t. But each tablet I take was prescribed after careful research and consideration on the parts of both myself and my GP. I weighed up the risks and benefits of each medication, considered if I thought it was worth it (in terms of risk/ benefit), and considered what the next steps would be if this particular medication didn’t work. Both my and my doctor also took into account the fact that the more medications you take, the less predictable the interactions can be.
Medications, however, aren’t always- read usually- the ‘magic cures’ we believe and want them to be. Unfortunately there is no such thing as a magic pill that works for everyone all the time. That is why the decision to start on medications is such a huge one. It can be much more of a long-term commitment than people realise. Of course, there are plenty of lucky ones who find the perfect medicine first time, but for many people finding the right medication or mix of medications at the right dosage takes time. True, most medications we start we don’t need to take for long, but there are plenty that are a longer term commitment. It is also important to note that in terms of antidepressants and similar medications, sometimes you need to take them for a few months or even years before you are able to stop. But it would be a mistake to assume (except in rare cases like meds to stop you rejecting transplanted organs) that you will have to be on these medications for life. Antidepressants are there to help you regain control of your life and the aim is always to be able to live a healthy and productive life without them in the future.
For most people, there will be a medication, or combination of medications, that control and manage their symptoms. Getting to that point is well worth the wait… however it can sometimes be a relatively long journey that involves trying a number of different medications and doses while you are figuring out what works for you. Since some medications can have bad side effects it can be disheartening to discover yet another medication isn’t working for you. I can only urge that you continue looking. It is very important you are honest with your doctor. If the side effects to a medication are unbearable then let them know. It is worth remembering though that in a lot of cases the side effects lessen and eventually disappear once you have been on the medication a while. My personal recommendation (always to be discussed with your GP) is to give the meds 3/4 months before deciding to move on. Unless they make your symptoms worse or you are unable to cope with the side-effects, that is. For minor issues you may well find they disappear with time.
Medications, particularly for mental health issues, are not the only (or even the best) way to help yourself though. These medications are generally there to help you get into a better frame of mind so you can tackle the things that are behind the mental illnesses. This may include counselling or therapy. That, in combination with medications, can often mean a faster and more complete recovery.
For some people, medications are simply not the answer. There are a hundred reasons that could be the case, including simple patient preference. If you don’t want to start medication for whatever reason, please don’t feel like you are powerless. There are still plenty of things you can do to help yourself. Perhaps the most important (and most often overlooked) way to help heal your mind is to heal your body. And I realise that sounds counter intuitive. But doing what you can to eat a healthy diet with plenty of vitamins, minerals and micronutrients will help every aspect of your health, including your brain and mind. Getting exercise releases endorphins (or ‘happy hormones’) that make you feel happy, safe and secure. It is also an excellent way to reduce stress. Getting the proper amount of sleep is also vital to both good physical and mental health. Anyone with insomnia can attest to the fact that a lack of sleep affects everything from memory to stress levels, it slows healing and can lead to a myriad of health issues including heart problems.
This is something I struggle with immensely, but it is also worth remembering keeping a clean and tidy home will also help your mental health. The saying ‘tidy house, tidy mind’ is very true.
Here is the issue… having mental health problems can make doing those things a million times harder than usual- and they aren’t easy to start with. But it is not impossible. A lot of it involves getting the right support around you, so let your friends and family know what your goals are and what they can do to help you achieve them. Love yourself unconditionally. Accept there will be days where you fail or where you just can’t be bothered.. and that is perfectly okay so long as you get up the day after. Don’t give up on yourself, and others won’t give up on you. If you really want to help yourself, there are relatively easy ways in which you can do it, with little cost involved.
Ultimately, the decision about whether or not to take medication is entirely up to you. There is no right or wrong answer, and as much as I wish I could… I can’t make the decision for you. The only thing I will say is that if you go down that road then prepare yourself.. it may be a longer road than you want.. but when you get to the right mix you feel like you gained your life back and it is a little bit magical! All I can say is… look after yourselves!
I am not a doctor, and I don’t play one on the internet. As with any medication, it should be carefully discussed with your doctor, and you should do your own research to ensure it is right for you. You are your own advocate so if you don’t feel like something is right, let your doctor know. Trust me, they genuinely want you to feel better and will do whatever they can to make that happen. And just like you should never start a medication without talking to your doctor first, you should NEVER stop taking one without talking to your doctor either. I have seen it a million times where people feel fine so stop the medication that is helping them feel that way, and they have often gone back to square one pretty quickly. If you feel like it is time to come off a medication, particularly one you have been on for a while, it should be done slowly over a number of weeks under close supervision.