Meet the Experts

We interviewed three experts that are diagnosed with ADHD themselves, and specialize in working with clients with ADHD:

• Davin Cobb: A licensed associate marriage and family therapist at an Ellie Buckhead location in Georgia.

• Christina Gonzalez: A licensed clinical social worker at Ellie Mental Health of Central Jersey.

• Joey Lisvardi: A physician assistant based in Minnesota, specializing in remote sessions.

Watch the Full Interview:

Read the full transcript of the interview here.

The Initial Steps for Therapists

When suspecting a client has ADHD, therapists often face the challenge of how to proceed. Miranda set the stage by asking, “What is our first step? You think you have ADHD—Now what?”

Christina recommends therapists do an initial inventory with clients: “I kind of like run it down with my clients of ‘What does that look like?’ and ‘How are you associating with it?’ Ok, you are having these symptoms, but is it isolated or is it kind of a constant thing?”

There’s not a simple internet “do I have ADHD quiz” you can take—but there is official testing that can give the diagnosis, tools, and suggestions. If they seem to be hitting a lot of the check boxes, you’ll want to recommend diagnostic confirmation testing.

Common Symptoms and ADHD Evaluation

Remember that ADHD looks different from person to person. Some common symptoms of ADHD include:

• Fidgeting and restlessness
• Being easily distracted
• Difficulty focusing
• Impatience or impulsivity
• Time management issues
• Forgetfulness and disorganization

The Role of Medication

Medication can be a helpful tool in dealing with the symptoms of ADHD, and there are a lot of different options! Joey discussed the importance of considering individual symptoms and comorbidities when prescribing: “For someone has a history of substance use problems, it’s important to prescribe something that’s not going to carry as much potential for being misused.”

Read our deep-dive blog post about ADHD medication here.

Joey highlights the importance of a collaborative approach, involving both therapists and prescribers: “I try and encourage patients to talk with a therapist to set themselves up for success with their environment or lifestyle.”

Tools for ADHD

The experts emphasized the importance of personalized strategies to manage ADHD. Davin shared her approach to creating a “toolbox of routines”: “I let them like create a story of their life, of what their experience is like, like through their lens. I often like to do that to understand what they’re actually experiencing.”

Christina highlighted the importance of parent education and self-regulation for kids: “Creating a toolbox for them of self-regulation…and for some, there is that stigma on medication. So a lot of parents don’t want to put the kids on medication.” She emphasized being able to teach tools and skills if they’re not ready for medications.

Here are some other ADHD tools that they recommended:

• Breaking down tasks into smaller actions: Here’s a “Focus Plan” worksheet we recommend!
• Calendar: Having an updated calendar to help with forgetfulness. Additionally, using a daily calendar that breaks down tasks by the hour (or at least in smaller increments) can be helpful for time blocking.
• Fidgets: If you’re feeling fidgety, have something to do keep your hands or body occupied can be helpful! Consider using an under-desk elliptical, kinetic sand to play with, taking physical notes, or having a coloring book on hand (here’s a funny ADHD-themed one).
• Body doubling: This is when you ask someone to work alongside with you… you’re not working together, but rather just working on different things in the same room. Having someone else that is focused can help you stay on task too.
• Set timers for how long you want to work on tasks for. For example, set a timer for ten minutes and get as many notes done as you can in that time (my personal favorite is to play “All Too Well (Ten Minute Version)” and try to get as much done during that song as possible. There are several other apps for this too.
• Visual aids like lists, whiteboards, or dry erase markers on glass doors can serve as good reminders: “I am a big proponent of lists and being able to physically cross things off.” – Christina

ADHD Tools for Therapists

The interview concluded with valuable tips for therapists who themselves have ADHD. Davin acknowledged the ongoing adjustment required: “It’s a forever evolving thing…I have to create a system that works for me and the way my brain operates.”

Optimizing your environment is key. Joey found great success working from home and avoiding office distractions: “I do so much better from home. I am less likely to wander around the office and talk to everyone.” He emphasized the importance of setting up a conducive environment by having a designated workspace to minimize distractions and using an under-the-desk elliptical to manage his energy and stay focused.

Christina added her long-standing strategy of writing things down on a physical piece of paper: “If it’s on a virtual calendar, nine times out of 10, it’s not gonna be remembered, even though I get 12 notifications on my phone.” There are all sorts of paper calendars out there that can help you stay organized and on top of your everyday tasks.

You Can Thrive with ADHD

ADHD can be a challenging at times to manage, but with the right strategies and support, it is possible to thrive. Whether you are a therapist helping clients cope with ADHD or managing your own ADHD symptoms, we wish you luck!

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Receiving a diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) can be both relieving and overwhelming. It’s a moment of clarity, finally understanding why you may have struggled with focus, organization, and impulsivity throughout your life. However, it’s also the beginning of a journey towards managing your condition effectively. Together, let’s explore the next steps you can take after an ADHD diagnosis, including medication options and insights for parents whose children have been diagnosed with ADHD.

Understanding ADHD

ADHD is characterized by core symptoms such as inattention, hyperactivity, and impulsivity. These symptoms can vary in severity from person to person and can significantly affect one’s quality of life. ADHD is not a one-size-fits-all condition, and it can manifest differently in children, adolescents, and adults.

After receiving an ADHD diagnosis, it’s crucial to consult with a healthcare professional who specializes in ADHD, such as a psychiatrist. They can help you develop a tailored treatment plan based on your unique needs and symptoms.

At Ellie, we’ve got a team of highly qualified psychiatrists for medication management. Click here to get started with one of our prescribers!

How Does ADHD Medication Work?

ADHD medications work by affecting two neurotransmitters: dopamine and norepinephrine. Norepinephrine is synthesized from dopamine so changes to one of these neurotransmitters often will affect the other one. The mechanism of action is slightly different between specific medications, but most medications will increase levels of one or both neurotransmitters in parts of the brain related to attention and motivation. By increasing activity in these important brain regions, people often have an easier time with motivation and staying focused.

Of course, like any medication, they don’t affect everyone the same way. Some people require higher or lower dosages of the medications to get the benefit they are looking for. Some people will get every side effect imaginable, and others will be on huge dosages with only benefit. When working with your provider to find a good choice for you, they will go over your past medical history, experience with other medications, and symptoms to determine a good medication to start with. You’ll work with them to figure out dosage based on how exactly you respond. Your dosage may need to be adjusted a few times to really see benefit and you will continue to work over time in case it needs further adjustment.

Types of ADHD Medications

Medication is one of the most effective treatment options for managing ADHD symptoms. Several different types of ADHD medications can be prescribed, including:

• Stimulants
• Non-Stimulants
• Antidepressants
• Anti-anxiety Medications

Stimulants

Stimulant medications are among the most-commonly prescribed treatments for ADHD. They are divided into two main categories: Methylphenidate-based medications: These include medications like Ritalin, Concerta, and Daytrana. Amphetamine-based medications: This category includes Adderall, Vyvanse, and Dexedrine.

Stimulants are believed to work by increasing the levels of certain neurotransmitters, like dopamine and norepinephrine, in the brain. This helps improve focus, attention, and impulse control.

Stimulant medications for ADHD are divided into two main classes: Methylphenidate-based medications such as Ritalin, Concerta, and Daytrana, and amphetamine-based medications such as Adderall, Vyvanse, and Dexedrine.

Stimulant medications are available in two different forms: immediate-release (short-acting) and extended-release (intermediate or long-acting). Different formulas work better for different people, depending on their metabolism, when they take the medication, side-effects they experience, or when they need the medication to work best.

Immediate-Release, Short Acting Medication

Immediate-release stimulants get absorbed and head to your brain quickly so you notice the benefits and any side effects rapidly after taking them. Because you get the full dose at once, these medications can come with more side effects and, for some people, a bigger drop in mood after the medication wears off. They also offer a bit more control over when exactly they are working. These medications should be taken during waking hours when you will have a few hours before you need to sleep next as they can cause insomnia if taken too late in the day. For most people, they’ll get around 4 hours of benefit from the medication though there are a lot of factors influencing how long they last.

Extended-Release, Intermediate or Long-Acting Medication

Extended-release stimulant medications have a few mechanisms of action that delay the full release of the medication. Some of them have a coating that dissolves slower in your body while others may be metabolized differently before they have effects. These usually last between 8 and 16 hours depending on the specific formulation of the medication so you should take them in the morning. Extended release stimulant medications are usually “smoother” in that they offer more consistent effects and have less of a hard landing when they wear off. They are also less likely to be misused compared to immediate release medications.

Non-Stimulants

Non-stimulant medications are typically prescribed when stimulants are ineffective, cause adverse side effects, or are not recommended for a specific individual.

Examples of non-stimulant medications include Strattera (atomoxetine), Intuniv (guanfacine), and Kapvay (clonidine). These medications work differently by targeting various neurotransmitters or brain functions.

Antidepressants & Anti Anxiety Medications

In some cases, other medications may be prescribed to address specific symptoms or comorbid conditions associated with ADHD. For example, antidepressants or anti-anxiety medications may be used alongside traditional ADHD treatments.

ADHD and mood disorders don’t exist in isolation as much as we’d like to neatly package them up into separate boxes. They can affect each other or, at times, even look like separate disorders. It’s a good idea to work with your provider to determine if your ADHD requires additional treatment in order to address your mood symptoms or if your mood symptoms may be impacting your ADHD.

Commonly Prescribed ADHD Medications

There are numerous different types of medications that can be helpful for people with ADHD. We talked with Joey Lusvardi, PA-C to learn more about all of this.

Common Stimulant Medications for ADHD

For more detailed information, visit here: Cleveland Clinic – Stimulant ADHD Medications.

Common Non-Stimulant Medications for ADHD

For more detailed information, visit here: Cleveland Clinic – Non-Stimulant ADHD Medications.

Common Antidepressant & Anti-Anxiety Medications for ADHD

For more detailed information, visit here: Cleveland Clinic – Antidepressants for ADHD.

Common Side Effects of ADHD Medications

With any medication, it’s not unusual to experience some negative side effects, but if that’s what’s holding you back, it’s important to note that not everyone experiences side effects either. 

Common side effects include:

• Decreased Appetite 
• Difficulty Sleeping
• Fatigue
• Headache
• Stomach Ache 
• Moodiness
• Weight Loss
• Increased Heart Rate
• Irritability
• Moodiness
• Anxiety
• Changes in Blood Pressure & Heart Rate

For most folks, medication side effects will lessen after a few days or few weeks of taking the medication. If they persist longer than that time frame, they’re more likely to be a concern the entire time you are on the medication. Talk with your provider about options for addressing the side effects. In some cases, they may be no big deal so you’ll decide that the benefit of the medication outweighs the side effects. In other cases, a dose adjustment, addition of another medication, or change in medication may help.

How Long Do ADHD Meds Take to Start Working?

The time it takes for a medication to kick in depends on the specific medication. Stimulants usually begin working within an hour, act for a few hours, then wear off. That said, there is a delayed release form of methylphenidate, Jornay, that takes effect about 10 hours after taking it. Some extended release medications like Vyvanse usually take a bit longer to kick in than other stimulants.

For non-stimulant medications, many of them take time to begin working as they need time to take effect. They can begin working within a few days for some people, but often will take about a month to really see benefits.

Benefits of Seeing a Psychiatrist for ADHD

Psychiatrists know their stuff when it comes to how the brain works, how people behave, and mental health. This helps them create treatment plans that work well and fit each person’s needs. When you work closely with a psychiatrist, it not only helps pinpoint ADHD accurately but also finds the right treatment, meds, therapies, or behavior tricks that can really make a difference. Plus, keeping in touch and ongoing management means they can tweak things if needed, making sure your symptoms are managed well and your life gets better with ADHD.

Personalized Treatment Plans

ADHD is a complex condition with a wide range of symptoms and individual variations. Working with a psychiatrist ensures that your treatment plan is tailored to your specific needs, taking into account your unique symptoms and any other underlying mental health conditions.

Monitoring and Adjustments

Finding the right medication and dosage can be a process of trial and error. A psychiatrist can manage your medications, closely monitor your progress, make necessary adjustments, and ensure that you are getting the maximum benefit from your treatment while minimizing side effects.

Comorbidity Consideration

Many individuals with ADHD also have coexisting conditions such as anxiety, depression, or learning disabilities. A psychiatrist can address these comorbidities and develop a comprehensive treatment plan that addresses all aspects of your mental health.

Education and Support

Psychiatrists are well-equipped to provide education and support to both individuals with ADHD and their families. They can offer coping strategies, behavioral therapy recommendations, and guidance on managing ADHD-related challenges.

Interested in learning about more tools and skills for ADHD? Check out our other blog post here.

If Your Child Is Diagnosed with ADHD

Parenting a child with ADHD can be challenging, but it’s important to remember that with the right support, your child can thrive. Here are some essential steps for parents:

Educate Yourself

Learn about ADHD, its symptoms, and how it affects your child’s behavior and learning. Understanding the condition is the first step towards effective parenting.

Seek Professional Help

Consult with a pediatrician or child psychiatrist experienced in ADHD. They can provide guidance on treatment options, which may include behavioral therapy, medication, or a combination of both. We have many prescribers who see children for medication management; fill out our form here to get matched with the right prescriber.

Create Structure and Routine

Children with ADHD benefit from a structured environment with consistent routines. Establish clear expectations and consequences to help them manage their behavior.

Be Patient and Supportive

Encourage your child and focus on their strengths rather than their challenges. Provide a supportive and loving environment to boost their self-esteem.

Children’s ADHD Medication

Most ADHD medications are used for both children and adults. That said, children generally are started on lower dosages of medications and their dosage may need to be adjust as they grow.

ADHD medications can be highly effective in managing the symptoms of this condition and improving the overall quality of life for those affected. However, it is crucial to recognize that there is no one-size-fits-all solution. Finding the right treatment plan requires collaboration with a psychiatrist who can provide personalized care, monitor progress, and ensure that the chosen medications are both effective and safe. By working together, individuals with ADHD and their psychiatrists can navigate the complexities of the condition and make informed decisions about the most suitable treatment options. Remember, there is hope and help available for those living with ADHD, and seeking professional guidance is the first step towards a brighter future.

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Ready to make changes for GOOD in 2024? Get started here

The Science Behind Change

Change triggers a cascade of psychological and physiological responses in our bodies. From a psychological perspective, change often disrupts our established routines and familiarity, leading to feelings of uncertainty and stress. Neurologically, the brain responds to change by activating the amygdala, the region associated with emotions, and the prefrontal cortex, responsible for decision-making and problem-solving.

These responses are deeply rooted in our evolutionary past when adapting to new environments was crucial for survival. However, in our modern, fast-paced world, these responses can sometimes lead to mental health challenges.

Impact of Change on Mental Health

• Stress and Anxiety: Change is a common stressor, and chronic stress can contribute to anxiety disorders. The uncertainty and unpredictability associated with change can trigger a heightened state of alertness, leading to persistent feelings of anxiety.
• Depression: Major life changes, especially negative ones, can be linked to depressive symptoms. The disruption of familiar patterns and the challenge of adapting to new circumstances can contribute to a sense of hopelessness and sadness.
• Insomnia: Change can disrupt sleep patterns, leading to insomnia. The stress and anxiety associated with change often manifest during the night, affecting the quality of sleep and exacerbating mental health issues.

Mental Health Medication as a Supportive Tool

Change can be quite challenging, and if traditional therapy alone isn’t quite cutting it, mental health medications can be valuable tools in managing its impact. Consider the following ways in which these medications can offer support:

• Improving Mood:  Life changes often bring emotional fluctuations, and for some individuals, these shifts can become overwhelmingly low. Depression reduces energy, makes everything seem negative, and can sap the enjoyment out of new things. Medications such as antidepressants can play a crucial role in improving mood and make life changes easier and more enjoyable.
• Managing Anxiety: The uncertainty and unpredictability inherent in change can trigger heightened levels of anxiety. Anti-anxiety medications, such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines,  can offer relief by calming the overactive responses in the brain associated with anxiety. This allows individuals to cope more effectively with the demands of change, fostering a greater sense of control and resilience.
• Supporting Sleep: Disruptions in sleep patterns are a common side effect of significant life changes. The stress and anxiety associated with upheaval can interfere with restful sleep, exacerbating mental health issues and creating a cycle that further impacts well-being. Some medications can be used to treat insomnia and are especially helpful in combination with cognitive behavioral therapy for insomnia (CBT-I). By promoting better sleep patterns, these medications contribute to an improved overall mental well-being.
• Complementary Therapies: While medications offer valuable support, they are often most effective when combined with other therapeutic interventions. Psychotherapy, counseling, and lifestyle adjustments complement the effects of medication, providing individuals with a holistic approach to managing their mental health during times of change. These complementary therapies empower individuals with coping strategies, self-awareness, and a support system, enhancing the overall effectiveness of the treatment plan.
• Regular Monitoring: Change is dynamic, and so are an individual’s mental health needs. Regular check-ins with mental health professionals are crucial during times of change. Adjustments to medication may be necessary based on the evolving needs of the individual.

It’s important to recognize that the response to mental health medications varies from person to person. What works for one individual may not be suitable for another. Therefore, an individualized approach to medication is crucial. Mental health professionals collaborate with individuals to understand their unique needs and circumstances, tailoring medication choices and dosages accordingly.

Mental health medications can serve as powerful allies in navigating the intricate landscape of change. By stabilizing mood, managing anxiety, supporting sleep, and complementing other therapeutic approaches, these medications empower individuals to face the challenges of change with greater resilience and well-being. It is essential, however, to approach medication with a nuanced understanding, considering individual needs and working collaboratively with mental health professionals to find the most effective and balanced treatment plan.

At Ellie, our team of highly qualified providers are ready to help you manage change for the better! Learn more and get started here

The post The Science of Change, Mental Health, and Meds appeared first on Ellie Mental Health, PLLP.

Saying #Stigmalater to Men’s Mental Health Stigma

This season, we’re not just talking about changing leaves; we’re aiming to transform lives. One of the primary challenges we’re addressing is the persistent stigma surrounding men and their mental health. Research shows that, while about 1 in 5 men face mental illness, only 40% receive treatment, and we know that these statistics are even more staggering for trans men, and men from other historically marginalized groups. There’s been an unspoken expectation that men should be strong and silent, never showing vulnerability. Seeking help or considering medication? Well, that’s often seen as a sign of weakness.

However, it’s imperative to understand that seeking assistance, whether through therapy or medication, is not a sign of weakness but a bold and responsible step towards better mental health. At Ellie, we’re committed to challenging these stereotypes and creating an environment where men feel comfortable discussing their mental well-being! Talk to one of our specialists to learn more.

Men and Therapy: Unleashing Emotions and Building Resilience

Therapy can serve as the training ground for the mind and emotions. It offers an open, safe space to express their emotions, gain insights into their thought patterns, and acquire valuable skills to manage stress, anxiety, and depression effectively, with a therapist of any gender.

But that’s not all. Therapy can significantly enhance relationship dynamics. It equips men with the tools for better communication, nurturing more fulfilling connections with partners, family, and friends, and facilitating personal and professional growth.

Men and Meds: The Reliable Mental Health Companion

Now, let’s discuss medications. When faced with challenging circumstances, medications can serve as reliable allies, as they can offer both rapid symptom relief, as well as long-term healing benefits. For some individuals, medication helps correct neurochemical imbalances in the brain, significantly impacting their overall well-being.

What’s noteworthy is that medications can provide stability and reduce the risk of severe relapses for individuals with complex conditions like bipolar disorder or schizophrenia. Additionally, they can enhance the effectiveness of therapy, particularly in cases where severe symptoms might hinder participation.

The Synergy of Medication and Therapy: A Powerful Combination

While therapy and medication both have their individual merits, it’s important to highlight the profound synergy they create when used in partnership. Combining medication with therapy often results in more lasting healing effects.

Here’s why:

Therapy can:

• Equip individuals with essential life skills to manage their mental health over the long term.Provide tools to recognize triggers, manage stress, and foster emotional resilience.

• Address the root causes of mental health issues and teach effective coping strategies, offering a holistic approach to well-being.

Medications can:

• Provide symptom relief more quickly, which can be essential in crisis situations.

• Stabilize mood, mitigate severe symptoms, and correct imbalances in brain chemistry.

However, medications may not address the underlying causes or teach individuals how to cope effectively once the medication is reduced or discontinued. When used in conjunction, medication can alleviate the intensity of symptoms, making it easier for individuals to engage actively in therapy. As therapy helps individuals build coping strategies and enhance their understanding of their mental health, the long-term healing effects become more profound.

Check out our other blog to learn more about medications for ADHD.

A New Paradigm for Men’s Mental Health

As we focus on men’s mental health this month, our objective is to dispel long-standing stigmas, foster open dialogues, and empower men to choose the mental health path that best suits their needs. Whether it’s therapy, medication, or a combination of both, the goal is to attain improved mental well-being, and help people of all genders  get out of their heads and into their lives.

The benefits of therapy and medications are significant, and they await those in need. So, let’s dismantle the barriers, challenge stereotypes, and usher in a new era of mental health where every type of man  can access the support and treatment he requires.  

At Ellie, we’ve got immediate psychiatry appointments available for individuals of all genders and ages. We understand that working with a provider of a certain gender or other demographic may be very important to you, and we are committed to matching each client with the provider they vibe with and can feel most comfortable with. Get started by filling out our online form.

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It is important to recognize that medications can cause side effects that are unique to any individual and it is most important that you listen to your body when starting any new medication. There have been a number of medications that have a low chance of causing suicidal ideation and some of those are the very ones we use to treat depression. However, most people who take these medications see a significant improvement in their mood and well-being. 

While this blog post begins to address the topic, it is one that is delicate and nuanced—there is no way to cover all the information or touch on individuals’ unique experiences in one article. Above all, we urge you to speak with your doctor to weigh the risk and benefits prior to starting medications, and about any changes or side-effects as you take the medications. Your provider is committed to helping you thrive, and we want to hear about any and all concerns you may have.   

If you are experiencing suicidal ideation, we urge you to reach out to your doctor. We also recommend calling or texting 988 Suicide & Crisis Lifeline if you need some additional support. However, if your thoughts of suicide feel out of control or you feel unable to keep yourself safe, please call 911 or go to a hospital emergency room right away. 

The Nuanced Connection 

Maybe you’ve heard or read about a potential correlation between mental health medications and suicidal thoughts. There are things that complicate our understanding of this connection. One is that there have been studies that have shown there is not a connection between antidepressants and suicidal thoughts, and that after the warning was issued by the FDA the utilization of antidepressants went down and suicide rates went up. Another is that there are over 200 medications that have been connected to suicidal thoughts including antacids, hormones (including birth control), blood pressure mediations, acne medications, pain medications, and allergy medications. This goes to show that this connection is complicated, and you know your body and brain the best.  

While some studies have suggested a potential association between mental health medications and suicidal thoughts, it’s essential to approach this topic with a balanced perspective, acknowledging that the relationship is nuanced. Mental health medications, including antidepressants, antipsychotics, and mood stabilizers, can be crucial tools in managing symptoms and providing relief for individuals grappling with severe mental health disorders. 

This subject can be difficult to talk about, and we don’t want to deter you from seeking out medications. Instead, by opening a dialogue about these possible side effects, we hope more people can recognize warning signs and get help.  

A Delicate Balance  

It’s crucial to recognize that every individual’s experience with mental health medications is unique. What works for one person may not work for another. In most cases people will find the medications helpful to reduce their symptoms and improve their mood. While rare, it is possible that individuals may experience an increase in suicidal thoughts or feelings. If this happens it is important to take it seriously and reach out for help. It is important to realize that depression and other mental illness may also cause suicidal thoughts or feelings and if that happens to take them seriously as well, regardless of taking medication or not.  Especially for invididuals who are new to mental health medications, it can be tempting to take anecdotal evidence from people in your life or online who have had adverse reactions to certain medications. We cannot urge you strongly enough to go to your provider with anything you may be concerned about. 

Monitoring and Communication 

One of the key components in managing mental health medications is close monitoring and open communication between patients and their healthcare providers. It’s imperative for individuals to work closely with their doctors to track any changes in mood, behavior, or side effects. Regular check-ins allow healthcare professionals to tailor treatment plans and adjust medications if needed. Patients should never hesitate to share their concerns or experiences, as this open dialogue is crucial in finding the right balance. 

You should always leave appointments with your provider with a plan on when to follow up next, but don’t wait for that next check-in to contact them if something is off! Reasons to reach out to your provider regarding side effects include:  

• You experience side effects that were not previously discussed with your provider 
• You experience side effects that are severe 
• You experience side effects that continue without relief  
• You experience side effects that keep getting worse  
• You experience side effects that are impairing to your ability to function  

We can’t stress it enough: when in doubt, reach out!  

Risk Factors and Warning Signs 

Certain risk factors may contribute to an individual’s susceptibility to experiencing thoughts of suicide while struggling with their mental health. These can include a history of suicide attempts (though individuals may experience suicidal thoughts on medications even without a history of them), the severity of the underlying mental health disorder, and the specific medication being used. Recognizing warning signs such as increased feelings of hopelessness, extreme mood swings, or isolation is vital for both individuals and their support networks. These are general considerations and may not apply to everyone. As you work with your medication management provider, they will discuss your mental health history and other potential risk factors and take them into account when prescribing a medication that may work for you.  

Holistic Approach to Mental Health 

It’s essential to remember that mental health treatment is rarely confined solely to medications. A comprehensive approach can include: 

• therapy 
• support groups  
• lifestyle changes 
• self-care practices  

A multi-faceted approach is often the most effective way to manage mental health challenges. Incorporating these elements into a treatment plan can provide a broader support system that complements the benefits of medication. 

Read more about the synergy of mental health medications and therapy in our blog post here!  

The correlation between mental health medications and suicidal thoughts is a sensitive and multifaceted topic that warrants careful consideration. While there may be instances where individuals experience an increase in these thoughts while on medication, it’s crucial to approach the subject with an open mind and an awareness of the unique experiences each person faces. By fostering open communication, closely monitoring side effects, and adopting a holistic approach to mental health, individuals and their healthcare providers can work together to navigate this complex journey and pave the way toward healing and hope. 

If you are experiencing suicidal ideation after a medication change, we urge you to reach out to your doctor. If a loved one is experiencing this, here is what to say to someone who is suicidal. We also recommend calling or texting 988 Suicide & Crisis Lifeline if you need some additional support. However, if your thoughts of suicide feel out of control or you feel unable to keep yourself safe, please call 911 or go to a hospital emergency room right away. 

At Ellie, we have a qualified team of psychiatrists with immediate appointments available for medication management. Fill out our referral form using the link below.

The post The Complex Relationship Between Mental Health Medications and Suicidal Thoughts appeared first on Ellie Mental Health, PLLP.

If you or a loved one is considering medication for your mental health, we’d love to speak with you. Ellie Mental Health has immediate openings for psychiatry and medication management. Fill out our quick and easy form using the link below and someone from our highly-qualified team will reach out to you.

The Power of Therapy

Therapy, also known as counseling or psychotherapy, is a collaborative process between an individual and a trained mental health professional. It provides a safe and supportive environment to explore thoughts, emotions, behaviors, and develop coping strategies. Here are some key benefits of therapy:

Insight and Self-Awareness

Therapy helps individuals gain a deeper understanding of themselves, their patterns of thinking, and their emotional responses. Through self-reflection and the guidance of a therapist, individuals can identify underlying issues, explore past experiences, and gain valuable insights into their mental health challenges.

Skill Development

Therapy equips individuals with the necessary tools and coping skills to manage their mental health challenges effectively. It fosters the development of healthy coping mechanisms, communication skills, problem-solving abilities, and resilience.

Behavior Modification

Therapy can help individuals identify and modify unhelpful or negative behaviors that contribute to their mental health difficulties. By addressing maladaptive patterns, therapy empowers individuals to make positive changes and adopt healthier behaviors.

Relationship Enhancement

Many mental health challenges can impact personal relationships. Therapy offers a space to work through relationship issues, improve communication skills, and develop healthier dynamics in both personal and professional contexts.

The Role of Medication

Mental health medication, prescribed and managed by a psychiatrist or other qualified healthcare professional, focuses on targeting neurochemical imbalances in the brain associated with mental health conditions. Here are some ways in which medication can be beneficial:

Symptom Management

Psychiatric medications can effectively alleviate and manage symptoms associated with various mental health conditions. For instance, antidepressants can reduce symptoms of depression, anti-anxiety medications can help manage anxiety disorders, antipsychotics can be used to address symptoms of schizophrenia, and mood stabilizers address the symptoms of bipolar disorder.

Optimizing Brain Function

Mental health conditions often involve disruptions in the normal functioning of neurotransmitters and other biochemical factors in the brain. Medication can help restore a healthy balance and optimize brain functioning, resulting in a reduction of symptoms and an overall improvement in well-being.

Stabilizing Mood and Functioning

Medication can stabilize mood, reducing the severity and frequency of mood swings, emotional fluctuations, or intrusive symptoms that disrupt daily functioning. This stability allows individuals to engage more effectively in therapy and implement the skills they learn.

Check out our other blog with insights for a deeper understanding of ADHD medications.

How Therapy and Medication Can Work Together

While therapy and medication offer distinct benefits, their combination can lead to enhanced treatment outcomes. Here’s how therapy and medication can work together synergistically:

Comprehensive Approach

Mental health conditions are complex and involve biological, psychological, and social factors. Therapy provides a space for individuals to address the psychological and behavioral aspects of their challenges, gain insights, and develop coping strategies. Meanwhile, medication complements therapy by targeting the biological aspects, alleviating symptoms, stabilizing brain chemistry, and addressing neurochemical imbalances. By combining therapy and medication, individuals benefit from a comprehensive treatment plan that considers all dimensions of mental health, addressing both the psychological and biological factors contributing to their condition. This integrated approach offers the best chance for long-term recovery, improved functioning, and overall well-being. Therapy empowers individuals to make positive changes, while medication provides relief from symptoms and optimizes brain chemistry, resulting in a holistic and comprehensive treatment approach.

Enhanced Therapy Outcomes

Medication can create a foundation of stability, enabling individuals to engage more effectively in therapy. By reducing severe symptoms, medication can create a conducive environment for therapy to be more productive. It allows individuals to implement the skills learned in therapy and gain a deeper understanding of themselves.

Personalized Treatment

The combination of therapy and medication allows for personalized treatment plans that consider the unique needs and circumstances of each individual. Healthcare providers collaborate, sharing information and insights, to develop a cohesive treatment approach that maximizes the benefits of both therapy and medication.

Check out our other blog for more information on mental health medication management.

Can Medication Alone Heal Mental Illness?

A common question that arises is whether medication alone can heal mental illness. While medication plays a crucial role in managing symptoms and improving overall well-being, it is generally not considered a standalone solution for healing mental illness completely. Here’s why:

Biological Factors

Mental illnesses often involve complex interactions between genetic, biological, psychological, and environmental factors. While medication can address the biological aspect by targeting neurochemical imbalances, it does not directly address other contributing factors. Healing mental illness requires a comprehensive approach that encompasses psychological, social, and environmental considerations.

Medications can also benefit those with PMS or PMDD. Check out our other blog to learn more about the difference between PMS and PMDD and how medications can help.

Understanding Underlying Causes

Mental health conditions are often rooted in underlying issues such as past trauma, unresolved conflicts, or maladaptive thought patterns. Therapy provides a safe and supportive environment to explore these underlying causes, gain insights, and develop strategies to address them effectively. Medication alone may provide symptom relief but does not address the underlying causes of the illness.

Developing Coping Skills

Therapy equips individuals with the necessary tools and coping skills to manage their mental health challenges effectively. Through therapy, individuals can learn strategies to regulate emotions, challenge negative thoughts, improve communication, and develop resilience. These skills are essential for long-term recovery and managing symptoms even after discontinuing medication.

Holistic Approach

Mental health treatment should be approached holistically, considering all aspects of an individual’s well-being. This includes addressing social support systems, lifestyle factors, self-care practices, and identifying and modifying negative behavioral patterns. Therapy plays a vital role in this holistic approach, helping individuals navigate these various dimensions of their mental health and create positive changes.

While medication can significantly improve symptoms and provide stability, it is often most effective when used in conjunction with therapy. The combination of medication and therapy allows for a comprehensive treatment approach that addresses the biological, psychological, and social factors contributing to mental illness.

It’s important to note that the decision to include medication as part of the treatment plan should be made in collaboration with a qualified healthcare professional. They can assess the individual’s specific needs, monitor medication effectiveness, manage potential side effects, and make adjustments as necessary.

Therapy and medication are powerful tools in the treatment of mental health conditions. While therapy focuses on insight, skill development, and behavior modification, medication targets neurochemical imbalances and symptom management. When used together, therapy and medication can provide a comprehensive and holistic approach to mental health treatment, addressing different aspects of the condition and enhancing overall outcomes. Remember, the decision to incorporate therapy, medication, or both should be made in collaboration with healthcare professionals who can assess individual needs and develop a personalized treatment plan that optimizes the benefits of both modalities. With the right support and a tailored treatment plan, individuals can embark on a path towards healing, growth, and improved well-being.

If you or a loved one is considering medication for your mental health, we’d love to speak with you. Ellie Mental Health has immediate openings for psychiatry and medication management. Fill out our quick and easy form using the link below and someone from our highly-qualified team will reach out to you.

The post The Synergy of Therapy and Medication: Enhancing Mental Health Treatment appeared first on Ellie Mental Health, PLLP.

When paired with a strong support system and mental health therapies, these medications can do a world of good for you or a loved one in need. But with any psychotropic prescription drug (meaning one that alters your mental state,) there are some undeniably important considerations to understand and discuss with your mental health care providers.

In this article, we’ll get you up to speed on the basics of antipsychotic medications, how they work, potential challenges associated with them, and more. We encourage you to speak with a psychiatrist for more details and to address all your options.

Do you need more information on antipsychotic medications? Reach out to Ellie Mental Health today to learn more.

Types of Antipsychotic Medications

While all antipsychotic medications aim to ease psychosis and closely-related symptoms, they go about doing it in slightly different ways. This has created sort of a dividing line among antipsychotic medications, with options falling into one of two groups–typical antipsychotics and atypical antipsychotics.

● Typical antipsychotics — sometimes called first-generation antipsychotics, these were the first medications used to treat bipolar disorder and generally function by blocking dopamine receptors in the brain. This category of antipsychotic medication includes haloperidol, chlorpromazine, and fluphenazine.

● Atypical antipsychotics represent second-generation antipsychotics that came to market in the 1990s. These medications also block dopamine receptors but have a more complex mechanism of action that also allows for the blocking/regulation of serotonin. This results in controlling a broader range of psychosis-related symptoms, and this dopamine blockade also significantly minimizes the impact of the medications’ effect on muscle stiffness and movement. Common examples of atypical antipsychotics include clozapine, risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole.

While atypical antipsychotic medications are more commonly prescribed today, typical antipsychotics are still used as a viable treatment option in some cases.

How Do Antipsychotic Medications Work?

As mentioned above, the mechanism for these medications is based on limiting the flow of neurotransmitters (dopamine and serotonin) to the brain. Neurotransmitters are essentially messengers to our brain, and some believe psychotic episodes are caused by an overproduction of dopamine. By limiting the “messages” received, our brains can better regulate and manage these inputs.

Talk therapy can also be coupled with antipsychotic medications to yield good results for patients. Ellie’s Senior Director of Adult Psychiatry, Dr. Suzanne Jasberg, MD, puts it this way: “Therapy is absolutely helpful for people experiencing psychotic symptoms. Multiple modalities are used (from CBTs to supportive therapy, motivational interviewing, and IOPs, to name a few). The old dogma that psychosis patients cannot participate in therapy is absolutely false.”

What are Some of the Pros and Cons of Antipsychotic Medications?

First and foremost, the biggest benefit to a regimen of antipsychotic drugs is the ability to get severe mental illness symptoms of psychosis in check. While it may take some fine-tuning with your healthcare provider to find the ideal dosage and medication for keeping symptoms manageable, the benefits of having a stable baseline are hard to overstate.

“Medication is used to regulate the dopamine system, and a shorter duration of psychosis is associated with a better prognosis. The goal is to eliminate symptoms and return people to their previous functioning and quality of life,” says Jasberg.

It’s important to note that, as with any medication, antipsychotics can come with some side effects. At Ellie, our doctors very carefully monitor the side effects of the medication. We take side effects very seriously and work with patients to maximize patients’ quality of life on a medication. We encourage you to be open and honest with your doctor about your concerns about side effects so they can use the information to make a treatment plan that works for you.

Considerations for Children and Antipsychotic Medications 

The decision to prescribe antipsychotics in a child’s treatment is a complex and often challenging situation for parents. One of the most common indications for the use of antipsychotic medications in children and adolescents is for agitation or aggression associated with autism, however, this is not the only use. It’s important to discuss this option thoroughly and honestly with their healthcare provider.

Another factor to be aware of is that, depending on the child’s age and specific diagnoses, not all antipsychotic medications may be FDA-approved and available. Medications are not studied as robustly in children as compared to adults and therefore fewer carry FDA indications. Your provider may recommend medications that are not FDA-approved but are still routinely and safely used in children with appropriate monitoring.

As in adults, there are potential side effects of these medications for children. For example, weight gain and menstrual irregularities are fairly common and can be particularly challenging for kids undergoing puberty to contend with. We encourage you to speak with your doctor about the options for your child.

How Long Does it Take for Antipsychotic Medications to Work?

Another important consideration with antipsychotic medications is the length of time it takes for patients to see results. While it’d be great to have a sustainable option that’s fully effective in minutes, the reality is most antipsychotics will require weeks or longer to reach their full effectiveness. More acute symptoms may see relief in a few days, but ultimately antipsychotic medications are a long-term effort.

How Long Do You Need to Be on Antipsychotic Medication?

There’s no universal answer to this question, as there are far too many variables from person to person. Your doctor will work with you to create an individualized plan as to how and when to reduce and even eliminate the need for medication.

Dr. Jasberg says, “The goal is to, overtime, reduce and possibly eliminate the medication. The likelihood of a patient being able to taper off of the medication is tied to their consistency in taking the medication early on in their symptom presentation.”

Can I Change Antipsychotic Medications if One isn’t Working?

The short answer is “yes, absolutely.” If your medication isn’t working, you should communicate the details with your doctor so that they can make changes to improve your experience. The more details your doctor has, the better they will be able to tailor your treatment plan to your needs. Depending on which medicines you are changing, your plan will be individualized based on a variety of factors. The goal is to treat and eliminate symptoms as quickly as possible.

Changing antipsychotic medications is a deliberate, individualized process that will need to be overseen by your healthcare provider to avoid triggering a relapse in psychosis symptoms.

Getting on Solid Ground

Psychosis symptoms are a challenging fact of life for many with serious mental health issues like schizophrenia and bipolar disorder, and conditions that may cause acute psychosis. Fortunately, these symptoms can be managed well with medication, and therapy can lead to meaningful progress. 

We encourage you to speak with a psychiatrist sooner rather than later to get you or your loved one back on track to an optimal quality of life! Here at Ellie, we have immediate appointments available for medication management! Connect with a provider.

The post Navigating Antipsychotic Medications: A Guide for Patients and Families appeared first on Ellie Mental Health, PLLP.

Have you ever been sitting in a meeting when all of a sudden you get an overwhelming feeling that something is off? You can feel it deep down and you can’t identify what’s wrong – but you know it’s there. Sound familiar?

Everyone gets anxious. This is because anxiety is a key component of our brain’s safety system in perceiving danger, or in telling us that something needs to be done with a sense of urgency. As such, anxiety is vital in our general function as human beings. However, when this system malfunctions, it’s probably time to reach out for help.

Despite how isolating and scary having anxiety can be, you should know that you are not alone. In fact, anxiety disorders are the most common mental health condition in the United States, affecting approximately 40 million adults.

With that in mind, we also believe that knowledge is king. If medication is decided to be a viable path for your recovery, perhaps breaking the ice on this idea is a good place to start. Below, we will discuss common medications used to treat symptoms of anxiety and how they might play a role in your psychiatric treatment.

Is anxiety impeding your everyday life? Contact Ellie Mental Health today and get matched with one of our compassionate providers. Let us help you get on the path toward better mental health.

What Medications are Used to Treat the Symptoms of Anxiety?

Mental health medications used to treat the symptoms of anxiety can be described as anxiolytics. These medications work through neurotransmitters in the brain such as serotonin, a common neurotransmitter that can help with both anxiety and depression.

First-line treatment of anxiety disorders usually includes Selective Serotonin Reuptake Inhibitors (SSRIs), which have been shown to be safe and effective in the treatment of anxiety disorders. Other medications shown to be effective in treating anxiety include Serotonin-norepinephrine reuptake inhibitors (SNRIs) as well as medication that might be used on an as-needed basis, such as benzodiazepines or beta-blockers.

It’s important to remember that anxiety disorders are common and treatable. If medications are right for you, your provider will work with you and recommend the best possible path forward to help you manage your anxiety. Generally, there are two ways medications may be used, either every day or as needed. If you find your level of anxiety to be impairing more than a few times a week, taking daily medication to address the symptoms may be helpful. Alternatively, if you struggle with occasional symptoms, an as-needed medication may work. Occasionally, both daily and as-needed meds are used in combination with each other to keep anxiety at bay.

Daily Medications

Daily medications work best when taken every day and may take a few weeks to a month to notice the most benefit, but may prevent symptoms before they happen. Here, we’ll outline a common variety of daily medications.

SSRIs & SNRIs (also known as Antidepressants)

Antidepressants are commonly prescribed as anxiolytics as they assist in the regulation of the levels of neurotransmitters in the brain, including serotonin and norepinephrine. Because of their safety and benefits, these are the first medications used to treat anxiety disorders.

Some commonly prescribed antidepressants for anxiety include selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil), as well as serotonin-norepinephrine reuptake inhibitors (SNRIs) such as venlafaxine (Effexor) and duloxetine (Cymbalta).

SSRIs and SNRIs are usually taken once a day, and it may take several weeks before the medication takes effect. These medications are generally well-tolerated but have been known to cause some side effects, such as nausea, headache, insomnia, and sexual dysfunction. It is important to talk with your provider about any potential risks involved in your treatment.

Buspirone

Buspirone is a medication specifically designed to treat anxiety disorders. It works on the same chemical as SSRIs—serotonin–but in a different capacity. Buspirone is often used as a booster to a SSRI or SNRI to increase efficacy.

As Needed Medication

As the name suggests, “as needed” medication is taken when symptoms arise, and is commonly used to quickly combat symptoms associated with anxiety. The following medications typically work best when used only as symptoms or stressful situations arise – and they work quickly.

Benzodiazepines

Benzodiazepines are a class of medications that are commonly used to treat anxiety disorders. They work by enhancing the effects of GABA, a neurotransmitter that helps to reduce anxiety and promote relaxation. Benzodiazepines are fast-acting and can provide near-immediate relief for anxiety symptoms. Some of the most commonly prescribed benzodiazepines include diazepam (Valium), clonazepam (Klonopin) lorazepam (Ativan), and alprazolam (Xanax).

While benzodiazepines can be effective in treating anxiety disorders, it is important to note that they are associated with a risk of dependence and tolerance which could cause addiction. For this reason, they are often only used for brief periods of time.

Beta Blockers

Beta-blockers are a class of medications primarily used to treat hypertension (high blood pressure) and work by reducing heart rate and blood pressure. They act on the sympathetic system in your body, which is also known as the fight or flight system. Because they reduce the fight or flight response, Beta-blockers can also be used to manage anxiety symptoms. They have been particularly helpful with performance-specific social anxiety disorder. If your anxiety results in a rapid heartbeat or trembling, these may be helpful.

Beta-blockers are typically prescribed on an as-needed basis rather than as a daily medication. In many cases, they are often taken before a performance or other anxiety-provoking situations, such as a public speaking engagement or a job interview. The medication itself is generally well-tolerated, but, like all medications, they can have side effects. These include fatigue, dizziness, and nausea.

How Do I Know If I Need Anxiety Medication?

Starting a conversation about mental health is never easy. But these conversations are necessary in order to move forward in life and begin the healing process. That’s why we’re here!

Now that you have some insight into many factors in your treatment for anxiety, what’s the next step? At Ellie, we will never push you toward any solution you are not comfortable pursuing. This is your health journey; we are only here to support you along the way.

Diagnosing an anxiety disorder begins with an initial consultation, either with a therapist or prescriber. Many of our clients find that through counseling and talk therapy–along with implementing a few stress-relieving techniques–their anxiety can be pacified. However, if your anxiety remains, or medication seems like a good avenue to get you on the path to feeling better, you will want to work with our qualified experts.

Ellie has the best medical professionals in the country, and we will use that knowledge to get you turned toward clearer skies. Remember, these are all just steps along the path to living a full life once again.

At Ellie, we are here for you.

Is anxiety becoming a consistent problem in your life? Reach out to Ellie Mental Health today and get matched with a health professional to help guide you in your mental health journey.

The post Anxiety Medication: Psychiatric Treatment for Anxiety Disorders  appeared first on Ellie Mental Health, PLLP.

Many people with depression have trouble describing the particulars of how they are experiencing it. Often, depression is described as a cloud hanging over you. But for some people, it manifests as numbness and apathy. Others can have extreme and overwhelming negative emotions. Depression can even present itself as a persistently malevolent voice in your head, causing everything from mild anxiety to sheer terror.

No matter the nature of the monster, we have the tools to fight back. We will work with you to get a firm grasp on your condition, understanding the why and the how of your symptoms. Whether you end up on medication, therapy, or both, getting your foot through the door is the first step in removing this weight from your shoulders.

But, what types of medication are used to fight depression? How do they work? And what results can you expect if you’ve been considering taking medication? These questions are more than appropriate. We want you to be asking them! Here at Ellie, we will work to remove any barriers between our providers and their clients.

Are you looking for a welcoming environment to get help with depression? Learn more about medication management services or find an Ellie Mental Health clinic near you.

How Can Medication Help My Depression?

The experience of being depressed is as individual as the person suffering from it. Correspondingly, the mind is an infinitely complex dance of chemical and electrical signals and, as such, we truly do feel and experience things differently. Symptoms of depression can range from mild to severe and can be caused by numerous factors, and everyone reacts to these disparate conditions in their own specific way.

Medications add another layer to this puzzle, as each person reacts to medication differently. This is why it is vital to be in communication with your provider throughout treatment. We want you to ask questions! Being engaged, aware, and able to report changes you may notice in your disposition and general health is crucial for effective medical care.

Terminology You Should Know

Before we deep dive into the potential benefits of depression medication, let’s start things off by getting a few things out of the way.

• Antidepressant is a term used to describe medications that treat symptoms of depression. These medications often work on the neurotransmitters serotonin, norepinephrine, or dopamine.
• Neurotransmitters are the chemical vehicles in your nervous system that send messages from one nerve cell to the next cell. Basically, these are foundational blocks in how your body talks to itself, and how you respond to stimuli.
• Serotonin, Norepinephrine & Dopamine are (for simplicity’s sake) neurotransmitters involved in a variety of ways with your body function, including emotional regulation. They are often targeted to relieve symptoms of depression.

Benefits of Antidepressants

The goal of antidepressants is to reduce the core symptoms of depression, including a down mood, low interest, changes in appetite, weight, or sleep, restlessness or slowness, fatigue, feeling worthless, lack of concentration, or thoughts of death. The aim of reducing your symptoms of depression is to improve your overall quality of life.

It is imperative to have a qualified professional — such as a psychiatrist (someone whose practice is mental health) — help you choose which medication may be best for the best chance at a successful outcome. Here at Ellie, we’re not beholden to any pharmaceutical company or specific treatment. We believe in solutions, not pushing pills.

While there are many benefits to taking antidepressants, keep in mind that it may take several days or weeks for the medication to become effective.

Risks of Antidepressants

About one in five people experience nausea or indigestion when taking fluoxetine (Prozac) for depression. In less than 1:100 patients, taking fluoxetine increases suicidal thoughts or behaviors.

it is important to understand the risks of taking medication and to discuss them with your provider before starting any new medication. We will work with you to ensure you know of and are able to differentiate between common side effects and those that are rare but severe. We will also help you develop warning signs of serious side effects early on so you can identify them and communicate with your provider.

A few potential risks associated with antidepressants include:

• Lowered libido
• Sexual dysfunction
• Loss of appetite
• Insomnia
• Suicidal thoughts
• Drowsiness
• Indigestion
• Diarrhea
• Agitation
• Anxiety

As mentioned, medications affect each person differently. Where one antidepressant may make your symptoms subside, another may cause you unwanted side effects. If the latter occurs, it is time to speak with your mental health provider about different treatment options.

Check out our other blog to learn more about how medication can help premenstrual syndrome and premenstrual dysmorphic disorder.

Combining Therapy with Medication

In the past, it wasn’t nearly as common for those suffering from depression to undergo psychotherapy alongside taking medication. The stigma behind mental illness often prevented or discouraged many people suffering from depression to seek out treatment or even talk about what they were experiencing openly – even in a safe environment. But here at Ellie, we’re changing all that.

Combining treatments, such as talk therapy or counseling, with a medication management regimen can not only produce better and faster short-term results, but it can also help to generate better results in the long run as well. Also of note, some studies suggest that the rate of relapse is reduced when undergoing a combined treatment program. With a safe space to talk through your depression, this may be all you need to feel that glimmer of hope that so many with depression find elusive.

Many times, those who have treatment-resistant depression benefit from the combination of psychotherapy methods and medications. Some folks simply need a person to confide in when they’re going through a tough time. Having a lifeline can make all the difference in the world. This is why we are here.

How Long Do You Need To Be on Medication to Treat Depression?

Perhaps the most common question we get regarding taking medication for depression is: “How long should I take it?” As with everything with depression, it’s complicated. The answer is dependent on a variety of factors, including the following:

• Type of medication
• Prescribed dosage
• Your medical history
• Length of your treatment
• Your risk of relapse
• The type of depression you have

You and your mental health provider need to work together on whether you should stop taking medication or not, and how. It is important to keep in mind that stopping medications such as antidepressants, abruptly can result in withdrawal, unwanted side effects, or a total relapse.

We cannot rush treatment. Healing takes time. Keep in mind that some medications can take up to two months to begin working and as long as six months for your symptoms to improve. A general rule is that you should continue taking medication for four to six months after your symptoms stop. After you reach the point where feel that you’d like to get off medication, it is important to discuss your options with your mental health provider.

In addition, getting off medication may also involve several other factors as well, including:

• Underlying health issues
• Lifestyle choices
• Stressors present in your daily life (relationship problems)
• Your family’s history of mental illness

Working with your provider to come up with a plan for reducing your dosage over time is usually the best solution. Just keep in mind, it’s best not to go it alone for your own safety.

For treatment resistant depression, transcranial magnetic stimulation (TMS) might be the solution you need! Check out our other blog for more information on Transcranial Magnetic Stimulation.

Psychiatric Treatment and Medication at Ellie Mental Health

Here at Ellie, we know how tough life can be at times. Social media, relationships, the news – sometimes you just need to unplug, right? Even something as simple as missing a green light on your way to work can start your day off on the wrong foot. Dealing with depression on top of everything else life is constantly throwing at you can be overwhelming and exhausting. This is why we take a personalized approach to mental health care.

The success rate for those with depression who undergo psychiatric treatment alongside medication is reason enough to give combined therapy a try. And we’re here to walk you through the entire process. If you have questions about your medication, ask us! If you have questions about how treatment works, we’d love to answer.

We’re here for you – the real you. So, let’s walk this path together.

Want to learn more about how psychiatric treatment and therapy can help with depression? Find an Ellie location in your state and get matched with a provider.

The post Depression Medication: How Psychiatric Treatment Can Help appeared first on Ellie Mental Health, PLLP.

The stigma around psychiatric medication certainly doesn’t help the situation. Maybe you come from a family who thought mental health was something to be dealt with in private. You might be anxious about people finding out you are taking meds and being judged. Maybe your only conception of a psychiatric clinic is based around those revolting, fetid padded rooms portrayed in Hollywood films. While those depictions couldn’t be further from reality, the images endure.

Unfortunately, many clinics can be uninviting. Cold. Austere. Clinical. Sterile. White brick and linoleum, with those dull, greenish, flickering fluorescent bulbs buzzing like mosquitos in your ears. We can’t deny it, there are establishments designed as intermediaries, places to stop and go before shoving you off to be treated by another set of people in another building. Don’t forget to fill out that paperwork you’ve completed twice already.

Ellie does it differently. Our clinics are warm and inviting.

Our staff—from clinicians to the frontline—are not only some of the most talented people working in their chosen field, but they are unabashedly kind and welcoming. These are passionate individuals who have dedicated their lives to helping people.

Ellie has a full suite of services in-house working in tandem to provide you with truly comprehensive care. Therapy, Medication Management, Transcranial magnetic stimulation, Psychedelic Assisted Psychotherapy, you name it, we do it under our roof. All of our services work in concert with therapy to help you thrive.

Are you ready to connect with a mental health provider to begin your healing path? Find an Ellie Clinic near you today to speak with one of our experts.

About Psychiatric Medications

The field of psychiatry is vast and can easily get overwhelming. This a branch of medicine where there are five brand name formulations of methylphenidate alone, and what even is methylphenidate?! Terminology in psychiatry can become a barrier, and Ellie has a wide range of innovative and effective treatments that can be utilized. We will make sure at each step of this process you have a full understanding of the what and why of your treatment.

There are numerous medications that have been used for many years to reduce people’s symptoms and help them cope with their condition. When it comes to treating mental illness, some of the more common medication categories used by mental health providers include:

• Antidepressants (including SSRIs)
• Anti-anxiety medication or anxiolytics
• Stimulants
• Antipsychotic drugs
• Mood stabilizers

We should also note that multiple medications may be prescribed to treat a specific condition. For example, while antidepressants are largely used to treat various types of depression, antipsychotic medications are mainly used to treat bipolar disorder, or in some cases to enhance other meds used for the treatment of depression.

Check out or other blog to learn more about psychiatric medication management.

Mental Health Medications by Condition

The term “mental health condition” encompasses a multitude of mental disorders, illnesses, and specific conditions, ranging from minimal effect to severely debilitating. Each condition has specific medications that are used for treatment.

Depression

The perpetual cloud. The dark stranger behind your back. You don’t want to get out of bed and feel like nothing will get better. Depression can feel inescapable. We are here to provide you with a door.

Medication used to treat the symptoms of depression include a variety of drugs, each used for delivering a specific response during treatment. Commonly used names for types of drugs to treat depression include:

• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Selective Serotonin Norepinephrine Inhibitors (SNRIs)
• Serotonergic Drugs
• Tricyclic Antidepressants (TCAs)
• Monoamine Oxidase Inhibitors (MAOIs)
• Atypical Antidepressants (Wellbutrin)

What If My Depression Doesn’t Go Away?

There are so many tools we can utilize to treat depression, don’t give up hope! We fully understand the frustration that can come along with going through treatment with little results. For those who have been unsuccessful in the clinical treatment of depression, a combination of medications and Transcranial Magnetic Stimulation (TMS) may be a great solution for treatment-resistant depression.

Check out our other blog to learn more about TMS for treatment resistant depression.

Anxiety

Though anxiety and depression are often associated with each other, they are not the same. However, many antidepressants can be effective in alleviating symptoms of anxiety, such as SSRI medications. Additionally, other medications that affect the neurotransmitter serotonin, such as Buspar, are often used to treat general anxiety disorder.

Perhaps the more widely known medications used for anxiety belong to the family of benzodiazepines, which include medications such as Xanax, Valium, and Ativan. Unfortunately, benzodiazepines can be highly addictive and can have side effects that may prevent you from driving or being able to concentrate at work.

Psychotic Disorder

Psychotic disorders can be intensely isolating, debilitating forms of mental illness involving a loss of connection with reality via delusions, hallucinations, or disorganized thinking. That said, there are tens of thousands of people living successful, healthy lives with psychotic disorders. Psychotic disorders include schizophrenia, schizoaffective disorder, and delusional disorder.

Medications for psychotic disorders are generally used to treat severe conditions that cause delusions or hallucinations, and sometimes to treat severe mood disorders. The trouble with most anti-psychotic medications is that they often produce unwanted and sometimes severe side effects associated with long-term use.

Antipsychotic drugs that may be prescribed include:

• Aripiprazole
• Risperidone
• Quetiapine
• Asenapine
• Cariprazine
• Clozapine
• Lurasidone
• Olanzapine
• Risperidone
• Quetiapine

ADHD

Do you struggle to pay attention, get off task, or find yourself being impulsive and running in circles? You are not alone. Millions of people struggle with ADHD. Attention Deficit Hyperactivity Disorder is one of the most common struggles children may experience. We will work with you to steady the buzz.

Though stimulants are often used to treat ADHD, non-stimulant medications, such as Alpha Antagonists like clonidine or guanfacine, may also be used. Stimulant medications are typically classified into amphetamines and methylphenidates, and these drugs include Adderall, Dexedrine, Concerta, and Ritalin. These medications can affect appetite, heart rate, and blood pressure, but have been found to be extremely effective.

Postpartum Depression

Postpartum depression, otherwise known as the “baby blues,” often occurs right after childbirth or up to a year later. And this condition is treated much like depression which includes psychotherapy techniques such as talk therapy or mental health counseling. However, certain medications may not be prescribed if a mother is breastfeeding.

Typically treated with antidepressants, postpartum depression may also be accompanied by severe anxiety and insomnia, in which case an anti-anxiety medication may be prescribed.

Medications for postpartum depression may include:

• Antidepressants
• Brexanolone (Zulresso)
• Benzodiazepines
• Mood stabilizers
• Anti-psychotics

Check out our other blog for more information on how medications can help PMS or PMDD.

Children’s Mental Health

Many of the same medications used to treat mental illness in adults are the same used to treat children’s mental health. These medications may be prescribed with different doses or have risks and benefits unique to children.

Can Medication Alone Treat Mental Illness?

Medications can help alleviate the symptoms of many mental health conditions and to many people are invaluable. That said, long psychotherapy is essential for long-term wellness. Often both medication and therapy are used in tandem for optimal benefit.

Who Can Prescribe Medication for Mental Illness?

Not all mental health professionals are qualified or licensed to prescribe medication. The following are able to diagnose and treat mental health and prescribe medication:

• Psychiatrist
• Primary Care Physician
• Physician’s Assistants (PAs) with specialized training in psychiatry
• Nurse Practitioner with specialized training in psychiatry

What is Psychedelic Therapy and Can It Be Used as an Alternative?

Psychedelic Assisted Therapy is the process of using psychedelic drugs that may include ketamine, psilocybin, LSD, MDMA, or others usually at a low dose (or high dose in controlled settings). This form of therapy is often used alongside talk therapy and may allow patients to combat addiction, depression, anxiety, PTSD, and other mental health issues.

Patients who engage in psychedelic therapy are often looking for other alternatives away from conventional medications that may have been ineffective. Many have described the experience as a “mental reset” that allowed them to explore their consciousness in other ways.

What Can I Do for Treatment-Resistant Depression?

It’s not uncommon for some treatments to be ineffective for some patients. And this can include both conventional therapy and medications. For treatment-resistant depression, Transcranial Magnetic Stimulation (TMS) can be used as an alternative.

What is Psychiatric Medication Management?

Psychiatric medication management is a process by which your providers guide you toward long-term solutions for treating your mental health using medications. This process includes periodic evaluations of the medication you’ve been prescribed to examine their effectiveness. Thus, if a medication is not working over a period of time, your medications will be adjusted accordingly.

What Are the Dangers of Mental Health Medication Drug Interactions?

Drug interactions can be very serious, but with proper medication management interactions can be avoided. This is why working with a professional mental health provider is essential for managing your medication. For example, for those taking birth control or medications for other conditions, your treatment plan will be tailored to ensure that you don’t experience any adverse drug interactions.

When Should I Consider Medication?

• Clients who are unable to fully engage in therapy due to the severity of their symptoms.
• Clients who have not fully benefited from an adequate therapy trial.
• Clients who may benefit from the combination of medication and therapy.
• Clients with specific diagnoses whom may be more likely to require long-term medication (i.e., ADHD, BPAD, Schizophrenia).

Can You Get Mental Health Medication Online?

Telemedicine is one of the great benefits of living in the age of the internet. Many people who suffer from mental illness suffer in silence, afraid of admitting that something may be wrong, or out of fear of being judged as “crazy.” Telemedicine offers you the option of being diagnosed from the comfort of your home, or your car, even if you’re out for a walk. Anywhere! As long as you have an Internet connection, and are in a secure, private.

Psychiatric Treatment With Ellie Mental Health

At Ellie Mental Health, we take a personal approach to mental health. We want you to feel comfortable and all of our methods and treatments to be approachable, removing any stigma along the way. While you may have a long road ahead of you, allow us to shorten it and ensure you have the best experience possible.

With access to a professional and personable team to guide your treatment and your medication management, you’ll have your own tribe of mental health providers who treat you like the unique individual you are – not like another face in the waiting room.

Ellie Mental Health provides a variety of treatment options including medication management services at many of our locations across the United States. Find your Ellie location to get matched with a therapist and begin treatment that makes a difference.

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