"We seldom get into trouble when we speak softly. It is only when we raise our voices that the sparks fly and tiny molehills become great mountains of contention."
The
magic question for the day is, "Which meds are you on?" I
swear I hear the question whenever I disclose I have an illness to a
person. You know what? I can't really blame you.
When
I was first diagnosed, I wanted to find out which medications were
working for people who had my illness. Why? I wanted to get on the
one that worked! I especially wanted to do that when meeting people
whom I perceived as successfully living with the same diagnosis.
However, after 14 years of experiencing symptoms of some sort, let me
share with you some things I've learned along the way.
Recommending
someone go on a particular medication that worked miracles for your
aunt is much like trying to fit a cast from someone else's broken leg
onto your own. I'm serious!
Recently
my eight-year-old niece broke her leg. She now has a cast from her
hip to her toes. If I broke my leg tomorrow, would her cast help me?
Even if we broke the same leg, in the same place, I still couldn't
use her cast. It's not tailored for me. If I tried to use it, it
could actually do me harm. Although this is a painfully obvious
comparison, many people still believe that if a certain medication
works for their neighbor, it will work for their son as well. It may
work, or it may not. Since there is a lot of chemistry involved,
medication that was completely ineffective for me might be the wonder
drug for you.
Psychiatric
medication is interesting. The majority of psychiatric meds do not
work instantaneously like an aspirin. Nor do they work like an
antibiotic where you can just take the drug diligently until the
bottle is empty. Psychiatric medication is in a completely separate
category from many other medications people are familiar with.
Unlike
many medications, most antipsychotics, mood stabilizers and some
antidepressants take six to eight weeks to become therapeutically
effective because your body has to metabolize the medication. That's
like eating a chocolate cake and not even tasting it for more than a
month — while still craving chocolate!
The
problem is, many people start taking medications but don't feel any
immediate difference so they give up medication. The psychiatric meds
take a long time to metabolize, so the effects are only gradual. One
day you're upset or experiencing symptoms and three weeks later you
realize, "Gee I'm feeling better." The change was so
gradual that it took some time to register.
Because
the medication takes longer to metabolize, it takes longer to adjust
to the side effects. Consequently if a medication knocks your socks
off and you end up sleeping 18 hours a day, not many people have the
patience to endure the 6-8 weeks of feeling like a slug when there
aren’t any perceived benefits. Not many people are willing to
watch their loved one metabolize a medication when they seem
over-drugged. Not many people have the patience to deal with a
formerly productive loved one who becomes a zombie while adjusting to
the medication.
The
truth of the matter is, you have to give the medication a chance. If
it's not working in 6-8 weeks, talk to your doctor and let him know.
He can adjust the medication up or down. If it still doesn’t
work, tell your doctor you want to try something else.
The
key? Don't
give up!
Some people are put on the right medication the first time. Other
people go through years of adjustments till something works. The good
news is that medications are being invented on a regular basis. Take
care of yourself. Keep the dialogue with your doctors open. They
can't adjust something if they don't know how the medication affects
you or your loved one.
If
you have a loved one who takes or needs to take medication, please be
as supportive as you can. You're loved one's willingness to take
medication is often dependent on the support he receives from you. If
you are upset with him for not getting out of bed and being lazy even
though sedation is a major side-effect of his medication, he might
stop taking his medication so that you won't be upset with him for
being lazy.
I
guess my point is that medication can work if you give it time, if
it's the right medication, if you have an open conversation with your
doctor and if
you have positive support. With those variables taken care of,
recovery is possible!
Sarah Price Hancock, a graduate of San Diego State University's rehabilitation
counseling Masters of Science program with a certificate psychiatric
rehabilitation.
Having embarked on her own journey with a mental health diagnosis, she is
passionate about psychiatric recovery. She enjoys working as a lector
for universities, training upcoming mental health professionals.
Sarah also enjoys sharing insights with peers working to strengthen
their "recovery toolbox." With proper support, Sarah
knows psychiatric recovery isn’t just possible — it’s
probable.
Born and raised in San Diego, California, Sarah served a Spanish-speaking
and ASL mission for the LDS Church in the Texas Dallas Mission. She
was graduated from Ricks College and BYU. Sarah currently resides in
San Diego and inherited four amazing children when she married the
man of her dreams in 2011. She loves writing, public speaking,
ceramics, jewelry-making and kite-flying — not necessarily in
that order.