According to the Canadian Community Health Survey, 1 in 3 Canadians experience some form of mental illness in their lifetime. These problems can range from mild anxiety to severe depression and can significantly impact everyday life.
A common tool that many people use for mental health is medication. However, deciding whether or not medication is right for you is a personal choice that should be made in consultation with a doctor or mental health professional. This blog post will explore the pros and cons of taking medication for mental health to help you make an informed decision.
Understanding how it works
Dopamine, serotonin, and norepinephrine are all neurotransmitters in the brain that play critical roles in mental and physical health. Imbalances in these chemicals can contribute to symptoms of mental illness. Common types of medication address a variety of mental health conditions by influencing neurotransmitters.
Antidepressants, like Selective Serotonin Reuptake Inhibitors (SSRIs), target imbalances in mood regulation. They work by preventing the reuptake of serotonin, which is the neurotransmitter associated with feelings of well-being and happiness. By keeping more serotonin in the brain, SSRIs can help improve mood and reduce symptoms of depression like fatigue, hopelessness, and difficulty concentrating.
Anti-anxiety medications like benzodiazepines provide temporary relief from anxiety symptoms. They work by enhancing the effects of another neurotransmitter, gamma-aminobutyric acid (GABA), which has calming properties. This helps calm down overactive neurons and reduces feelings of anxiety, tension, and restlessness.
Mood stabilizers help regulate extreme mood swings and are often used to treat bipolar disorder. These medications work in various ways depending on the type. Lithium, for example, a common mood stabilizer, influences multiple neurotransmitter systems helping to prevent manic episodes and depressive episodes associated with bipolar disorder.
The Pros of Taking Medication
One of the most significant benefits of medication is its ability to manage the symptoms of mental health conditions. Here are some additional benefits:
Improved Quality of Life:
Beyond helping manage symptoms, medication can significantly improve a person's quality of life. Medications can be highly effective in improving mood, reducing anxiety, and regulating sleep patterns. Research by Johann Hari highlights the effectiveness of antidepressants in managing symptoms of depression, although he also
encourages a broader view of treatment options beyond medication alone. When symptoms are under control, individuals may experience greater energy and motivation, leading to better performance at work, stronger relationships, and more participation in social activities.
Improved Cognitive Function:
Medications can improve focus, concentration, and memory, which are often significantly impaired by some mental health conditions. This can be especially helpful for individuals struggling with ADHD or depression-related brain fog.
Preventing Relapse:
Certain medications can help prevent future episodes of a mental health condition. For example, mood stabilizers can help prevent manic or depressive episodes in bipolar disorder.
Increased Ability to Participate in Therapy:
Sometimes, the symptoms of a mental health condition can make it difficult to engage fully in therapy. Medication can help manage these symptoms, allowing individuals to be more present and receptive during therapy sessions. It is important to remember that medication works best when used together with therapy, not instead of it. Therapy can address underlying causes of mental health struggles and equip individuals with tools for long-term management.
Improved Physical Health:
Mental and physical health are closely linked. By managing mental health symptoms, medication can indirectly improve physical health. For instance, better sleep due to medication can boost the immune system and overall energy levels.
The Cons of Taking Medication
While medication can be helpful, it's important to consider the potential downsides before making a decision.
Side Effects:
Side effects can be a major consideration when considering medication. These can vary depending on the specific medication, dosage, and individual body chemistry. Some common side effects include drowsiness, nausea, headaches, and changes in appetite that can lead to weight loss or gain.
Long-Term Effects:
Another important factor to consider is the potential for long-term effects. Johann Hari's research raises concerns about the long-term use of SSRIs, suggesting the potential for decreased libido and lower overall satisfaction. Certain medications, particularly antidepressants, can affect sexual desire, arousal, and orgasm. This can be a significant downside for some individuals and can negatively impact relationships.
Some medications, like benzodiazepines, for example, can be addictive and lead to dependence. This means you may need increasingly higher doses to achieve the same effect, and stopping abruptly can cause withdrawal symptoms.
While numbing negative emotions can be helpful in the short term, some medications can also dampen positive emotions. This can lead to a feeling of emotional detachment or a reduced ability to experience joy in the long run.
Cost:
Medications can be expensive, especially if you don't have extended health insurance coverage. The cost of the medication itself, as well as doctor visits and monitoring, can be a significant barrier to treatment for some people.
Interaction with Other Medications:
Some medications can interact with each other, leading to unwanted side effects or reduced effectiveness. It's important to disclose all medications you're taking to your doctor before starting a new medication for mental health.
Treatment Expectations and the Placebo Effect
Beyond the direct effects of medication, there's another important factor to consider: the power of your own mind. Johann Hari's research explores the placebo effect, a phenomenon where people experience improvement even when taking a non-active substance, because they expected it to work. Studies show that the placebo effect can be surprisingly significant for some mental health medications, particularly antidepressants.
Belief can be powerful. When you believe a medication will help, your brain can release chemicals that promote feelings of well-being, even if the medication itself has no direct effect. This positive expectation can contribute to actual symptom improvement.
Working with your doctor or therapist to set clear and achievable treatment goals can further strengthen your belief in recovery and the effectiveness of your chosen approach, medication or otherwise.
The mind and body are closely connected. A positive attitude and belief in recovery can have a significant impact on your overall well-being, enhancing the effectiveness of any treatment plan.
The placebo effect doesn't diminish the effectiveness of medication for everyone. Medication can have a clear biochemical impact. However, understanding the placebo effect emphasizes the importance of a holistic approach to mental health treatment.
Finally, it is important to remember that medication is not a cure for most mental health conditions. It manages symptoms but does not address the root cause of the issue. Before considering medication, it's crucial to speak to a qualified mental health professional. That being said, the decision of whether or not to take medication is a personal one and there is no right or wrong answer. By weighing the pros and cons and discussing your options with a professional, you can make an informed decision that supports your mental health journey.
Sources Used:
Bet, P. M., Hugtenburg, J. G., Penninx, B. W., & Hoogendijk, W. J. (2013). Side effects of antidepressants during long-term use in a naturalistic setting. European neuropsychopharmacology, 23(11), 1443-1451.
Canadian Community Health Survey – Mental Health (CCHS – MH), 2012. Percentage of the household population aged 12+ living in the 10 provinces that met criteria for at least one of six mental disorders (including mood disorders, generalized anxiety disorder, and substance use disorders).
Cassano, P., & Fava, M. (2004). Tolerability issues during long-term treatment with antidepressants. Annals of Clinical Psychiatry, 16(1), 15-25.
Happell, B., Manias, E., & Roper, C. (2004). Wanting to be heard: mental health consumers’ experiences of information about medication. International journal of mental health nursing, 13(4), 242-248.
Hari, J. (2018). Is everything you think you know about depression wrong. The guardian, 7. Kirsch, I. (2015). Antidepressants and the placebo effect. Zeitschrift für Psychologie.
Kirsch, I. (2019). Placebo effect in the treatment of depression and anxiety. Frontiers in Psychiatry, 10, 464277.
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