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   Medication therapy is useful in treating many mental illnesses.  A majority of mental illnesses can be treated with prescription drugs, but it is common to see combined treatments of counseling (talk therapy) and medication.

   There are also homeopathic and natural remedies that are suggested for mental illness (improved diet, increased exercise, better sleep hygiene, and even clinical hypnosis are just some examples of “natural” approaches to treatment).  Supplements are increasingly being marketed as “healthy alternatives” to prescription drugs.  Most supplements are not regulated by the federal government in the same way that medications are.  That doesn’t mean that natural alternatives should not be considered, it is just a word of caution.   

   Drugs are not all legally prescribed and some prescribed drugs are abused (used other than the way a medical doctor has prescribed them).  The affect of drug abuse on the brain is known in the neuroscience literature (click here for an interesting tour of how the brain “high” occurs).

   Medical Doctors, Psychiatrists and Advanced Nurse Practitioner’s can prescribe medications.  Clinical Social Workers, Mental  Health Counselors, Psychologists, Art, Music, and Play Therapists, as well as Marriage & Family Therapists do not prescribe (for more information on each type of professional go to “Who Should I See?”).  Both kinds of professionals (prescribers and non-prescribers) can be effective in treating mental disorders.

   What is important to consider in deciding who you will see, is that nearly all prescribers who can prescribe a drug, will likely do so to alleviate your reported symptoms; counselors provide other methods of therapy that do not include medications. 

   It is common for prescribers and non-prescribers to make referrals to each other, in instances where combined therapies are indicated.  Sometimes mental health offices are staffed by both kinds of professionals—and when the prescriber and non-prescriber are housed in the same facility records and treatment outcomes are easily monitored.  The are reports showing effectiveness when the medical model (where prescriptions are primary) and the bio-psycho-socio-spiritual model (where talk therapy methods are primary) work in partnership (a clinic case example can be found here).

   Regardless of your treatment preference, you alone should not attempt to determine whether or not medications are needed for what may seem like the symptoms of a mental disorder.  Consulting a mental health professional should be your first step.  Getting a full clinical assessment is a good way to determine what variables are impacting mental well being. 

   If you are unsure if your treatment plan should include prescription drugs—and you think prescriptions would be the best place to begin, consider making an appointment with a medical doctor, psychiatrist or ARNP.  For more information on the most commonly prescribed medications, click here.

   If you prefer treatment that does not center around prescription drugs, then a Clinical Social Worker is probably a good place to begin.  Why a Clinical Social Worker?


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. District of Columbia Licensed Independent Clinical Social Worker . DC License #LC50081569 .

. Florida Licensed Clinical Social Worker, Clinical Hypnotherapist and CSW Qualified Supervisor  . Florida License # SW9297 .

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