Myths about psychiatric medicines fuel misunderstandings

Clearing misconceptions about psychiatric medications and their role in mental health recovery.

- DR SHAILESH UMATE

Rohit was a middle-aged man and a senior officer at a bank. He experienced significant mental stress stemming from work-related pressures and domestic conflicts. Although he had scheduled multiple appointments with a psychiatrist, he did not attend any. After three months, he finally summoned the courage to visit the psychiatrist. Upon evaluation, he exhibited symptoms indicative of depression and urgently required medication for recovery. However, before proceeding, he requested, "Doctor, please do not prescribe any medication. Provide me with some alternative guidance."

It is not uncommon for a psychiatrist to recommend alternative approaches such as exercise, yoga, dietary changes, or counseling to address a patient's condition. Many patients seek validation of these solutions from their doctors. The psychiatrist treating Rohit, possessing considerable expertise, was familiar with such suggestions. However, he was taken aback when Rohit expressed reluctance about medication. He responded thoughtfully, "I understand your perspective. However, I would like to know your reasons for avoiding medication."

Rohit's response was unexpected. Regaining his composure, he replied, "I simply prefer not to take medication." Unsure of how to articulate his feelings further, he added, "Let's discuss counseling instead. Alternatively, if you prefer, we can schedule a follow-up appointment for a more in-depth conversation." Rohit appreciated this suggestion and resolved to return for further discussion.