{"id":4308,"date":"2019-06-04T09:00:50","date_gmt":"2019-06-04T13:00:50","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=4308"},"modified":"2020-09-16T14:49:34","modified_gmt":"2020-09-16T18:49:34","slug":"finding-right-medication-doctor-mental-health","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/finding-right-medication-doctor-mental-health\/","title":{"rendered":"Finding the right medication for your mental health starts with finding the right doctor"},"content":{"rendered":"

When people dance together, there is a leader and a follower\u2014but both are equally important to the smoothness and flow of the dance. The partners need to be aware of one another and respond to one another. Being in sync is pivotal if the dance is to be successful.<\/span><\/p>\n

Finding the right mental health professional\u2014especially when dealing with physical or mental health conditions\u2014can be like finding the right dance partner. While the provider takes the lead in diagnosis and treatment, the patient brings their medical history and lived experience to the partnership. When both practitioner and patient listen to and understand one another, this successful communication can lead to a more positive outcome.\u00a0<\/span><\/p>\n

Living with bipolar disorder and how I found help\u00a0<\/span><\/h2>\n

I was diagnosed with bipolar disorder in 2006, after a year of many hypomanic episodes and times of deep depression. On my initial visit with a psychiatrist, I was prescribed <\/span>Lithium<\/span><\/a>, which is often the first medication given to people with a bipolar diagnosis. Many patients respond well to Lithium; I was not one of them. I was constantly thirsty, but otherwise unchanged. I continued to struggle with extended periods of hypomania, alternating with uncontrollable sadness.\u00a0<\/span><\/p>\n

After a few months of regular blood work and frustration, I asked for a change of medications, and the doctor prescribed <\/span>Seroquel<\/span><\/a>. At the time, the antipsychotic drug had been recently approved to <\/span>treat bipolar disorder<\/span><\/a>\u2014now it is very commonly prescribed. But Seroquel, for me, had disastrous side effects, including a significant uptick in my manic feelings.<\/span>\u00a0<\/span><\/p>\n

When I explained all this to my psychiatrist, she merely increased the dosage and said I would likely improve when I reached the correct level of drug in my system. I was terrified of taking more Seroquel, and told her so, but her lack of empathy left me very discouraged. I began to despair of ever feeling like myself again.<\/span><\/p>\n

On a friend\u2019s recommendation, I made an appointment with another psychiatrist. This time, when I described my reaction to the first two medications, I was heard. I started on daily doses of <\/span>Abilify<\/span><\/a> and <\/span>Wellbutrin<\/span><\/a>. Within weeks I was starting to feel better. It took a bit of tweaking, but that combination of the two drugs worked beautifully. It\u2019s been 13 years since I made the change, and it\u2019s still what I take now. It might not be a combination that works for everyone\u2014but it does for me. I have remained stable for well over a decade, with no manic episodes and no depression. I ask questions during my appointments so that I understand what is going on with my brain. And my psychiatrist treats me with respect and gives me clear answers without oversimplification.<\/span><\/p>\n

RELATED: <\/b>Depression treatment and medications<\/b><\/a><\/p>\n

Finding the right mental health doctor\u00a0<\/span><\/h2>\n

Over the past decade, I have found through research and conversations with other people with bipolar disorder, that my experience is not unique. I have learned that there is a wide variety of reactions to psych meds\u2014some people do extremely well on Lithium or Seroquel, and may respond quite poorly to the meds that work so well for me\u2014and that more than anything, working with the right mental health doctor is key.<\/span><\/p>\n

1. Understand the types of mental health professionals.\u00a0<\/span><\/h3>\n

The first step in treating mental illness is \u2026 well, seeking treatment. A combination of talk therapy and medication has proven very effective, according to the National Alliance on Mental Illness. Some practitioners can provide both mental health services, and in other cases you might want to see a psychiatrist or psychiatric mental health nurse practitioner for medication and a different professional for talk therapy.\u00a0<\/span><\/p>\n

2. Ask for recommendations.<\/span><\/h3>\n

If you don\u2019t know where to turn, you can ask family, friends, or your primary care provider for recommendations. You can also call your insurance company for a list of in-network providers. And if those options aren\u2019t available to you, you can find listings of local mental healthcare providers online at <\/span>psychologytoday.com<\/span><\/a>.\u00a0<\/span><\/p>\n

3. Consider practical matters.<\/span><\/h3>\n

Does the doctor accept your insurance? Is there parking? Would you be comfortable being treated at the hospital where the physician has privileges?<\/span><\/p>\n

These are all important parts of establishing a relationship that involves several visits. You want to make sure it\u2019s a mental healthcare provider you can get to easily, and can afford.<\/span><\/p>\n

4. Make the first appointment.<\/span><\/h3>\n

Once you find a mental health professional, you should focus on your first appointment. Philadelphia area psychotherapist Laurie Kennedy says a therapist must make it immediately clear that you are in a safe space.\u00a0<\/span><\/p>\n

\u201cIt is of utmost importance that the therapist communicates that the therapy room is a nonjudgmental place and a place that has firm ethical boundaries and is confidential,\u201d Kennedy says. \u201cClinical work will only be effective if and only if boundaries, respect, and a spirit of optimism are initially and directly communicated to the patient.\u201d\u00a0<\/span><\/p>\n

Through therapy, patients with a mental health disorder are recalling and recounting incidents that often cause shame and emotional pain. By creating and maintaining a safe, judgment-free zone, the doctor makes sharing possible\u2014and even comfortable. If you don\u2019t feel comfortable, it might not be the right mental health doctor for you.<\/span><\/p>\n

Finding the right mental health treatment plan<\/span><\/h2>\n

So once you have found a doctor you feel comfortable with, how do you maximize the potential for a successful \u201cdance\u201d to make sure you end up on the right treatment path?\u00a0<\/span><\/p>\n

Dr. Christopher Martin, a psychiatrist at the University of Michigan, says the first step is always being open with your doctor: \u201cThe exam given when we meet a patient means a lot, but \u2026 a patient, being as open and honest as possible\u2014including providing contacts and permission to gather history from loved ones or prior psychiatrists and hospitals\u2014can make all the difference in the world in terms of getting an accurate diagnosis and appropriate treatment.\u201d<\/span><\/p>\n

Giving that thorough life story at the first visit is key to getting the right medication and treatment, Dr. Martin explains. \u201cWe rarely have tests, imaging, or studies that provide an unequivocal diagnosis,\u201d he says. \u201cWhile medications can often help with symptoms, they can be ineffective or catastrophic if the doctor doesn\u2019t have the full story.\u201d<\/span><\/p>\n

Sometimes, as in my case, the relationship stops working. As with medications, a medical doctor may be effective for one person, but a poor fit for another. When patients sense that their questions and concerns are not being heard, or if they get the feeling that they are being judged for their behavior\u2014it is time to find a new doctor. Difficult as a switch may be, the patient\u2019s mental health is too important to be compromised.\u00a0<\/span><\/p>\n

The reality is that 20% of adults in America live with some kind of mental health issue, but with medication management and cognitive behavioral therapy, it\u2019s possible for many to live full, productive\u2014and happy\u2014lives. The key is finding the right doctors to help you get there, and that starts with being\u00a0 informed and communicative patients. The dance can be tricky to navigate, but when the dancers have a solid partnership, it can be a wonderful one. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

When people dance together, there is a leader and a follower\u2014but both are equally important to the smoothness and flow of the dance. The partners need to be aware of one another and respond to one another. Being in sync is pivotal if the dance is to be successful. Finding the right mental health professional\u2014especially […]<\/p>\n","protected":false},"author":15,"featured_media":11714,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[729,450],"coauthors":[8370],"class_list":["post-4308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellness","tag-doctor-visits","tag-mental-health","wpautop"],"acf":[],"yoast_head":"\nThe importance of finding the right mental health doctor<\/title>\n<meta name=\"description\" content=\"Finding the right medication for your mental health is important, but your treatment plan starts with finding the best possible mental health doctor.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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