I am guessing you may have heard the reasons why people don’t like to take medications for psychiatric conditions. It all sounds so easy, “It’s just like taking a blood pressure pill.” “It’s no different than taking insulin for diabetes.” Well, the truth is it is very different and there are several reasons why. Here is the top 5 on my list.
#1 – They make you gain weight
There are few classes of psychiatric medications that do not cause weight gain. With the exception of some medications for anxiety, almost all the medications for depression, bipolar and schizophrenia cause weight gain. I managed to gain a slim 80 pounds! It seemed like every time I was put on a new medication I gained 20 pounds. I don’t know anyone who likes to gain weight. But the reality is medications made me feel better and if I have to work at losing weight that’s just the trade off. It is a valid concern for those of us with a mental illness.
#2 – Some make you feel like a “zombie” from the Walking Dead
Take a blood pressure pill and you rarely have a side effect. On the other hand, take some high powered psychotropic drugs and you might feel like a zombie. Usually this side effect goes away in time, but if it does not I encourage people to talk with their doctor to help adjust the medication or the dosage. No one wants to feel worse and sometimes that is what happens. Older medications are notorious for causing lethargy, work with your doctor there are many choices that might not make you feel as bad. Above anything – don’t stop taking your medication without talking with your doctor first. There can be some serious effects from stopping abruptly.
#3 – The Stigma of Mental Illness
It is the shame and misunderstanding that comes from stigma. No one wants to feel as if they are not “sane.” It is about credibility. Not being different from other people. We all want a sense of belonging, but not to a group that is discriminated against. This no longer effects me much but in the past this really bothered me.
#4 – The medical community does not know the long-term effects
Less funding for research means less understanding for the long-term effects of medications. Especially for a class of drugs called anti-psychotics. They are used for many off-label conditions and the long-term effects are truly unknown. What we do know is that people who have schizophrenia live on average 25 years less than other people. We don’t know if that is related to medications or a number of other factors. It’s hard to want to continue taking a medication without knowing what it will do to your body.
#5 – Branded products are expensive
The latest greatest products are extremely expensive. Some drugs can cost $1600 a month making it impossible for people without great insurance to afford the medications that may have less side effects. Generic drugs don’t cost much at all and some have been shown to be as effective as the newer products. If you take 3 or 4 prescriptions a month it gets a little pricey.
So these are my top 5 reasons why I don’t like psychiatric medications. But here is the disclaimer – I still take them because I know without them I can’t live a good life. They help my symptoms and make it possible for me to live a “normal” life. Without the medications I don’t know what would happen to me and I am unwilling to take the risk to find out. But there are a group of people who don’t believe in them, I am not one of them. Suffering is not worth going without a medication that is going to make you feel better in the long term. There are trade offs with everything in life.