One of the most common questions after the psychological evaluation and diagnosis is about medication. “Does my child need medication?” “Is there something else we can do besides medication?” For some parents, the idea of putting their child on medication is frightening. They’ll often feel afraid that meds will change a child’s personality or it would feel like a punishment to the child. Or possibly the parent themselves have had bad experiences with meds in the past, or they may prefer holistic options.
It’s worth talking to a prescriber.
When considering the idea of medication following a new psychological evaluation, that discussion is best to be had with a medical or psychiatric prescriber. (In some states, psychologists with specialized training can prescribe medication, but this is rare, and this article will distinguish between psychologists and other prescribing professionals.)
Before completely shutting the door to medication support, it’s a good idea to discuss your concerns with a licensed prescriber who can answer questions with more authority. Similarly, licensed prescribers have a wider range of knowledge of available options and their benefits and drawbacks. The right prescriber will take the time to listen to your concerns and be open to discussing all options, rather than pushing one specific med or rushing your appointment.
Weighing the medication options.
Research has shown that the combination of medication use and treatment is the most effective intervention for many diagnoses; including depression, bipolar disorder, and Attention-Deficit/Hyperactivity Disorder (ADHD). Many conditions have both mental (cognitive and/or emotional) and behavioral symptoms, comprehensive treatment has the best outcomes. Many medications address the feelings and symptoms that occur in the brain (which can influence behaviors) but do not always fully stop them. For example, an anti-anxiety med may help someone feel calmer and have less worry, but it may not stop them from engaging in the avoidance behaviors they use to cope with their anxiety. As such, therapy to help build coping skills and reduce maladaptive behaviors is important. Simultaneously, therapy can be more effective if a client has their anxiety better managed and can participate more meaningfully. Another example is ADHD treatment. Accommodations and skills-training can support the student in school, but without adequate focus, they continue to be at risk for missing critical learning content.
Treatment options beyond medication.
For some diagnoses, other non-medication options have been developed, such as neurofeedback, transcranial magnetic stimulation (TMS), and naturopathic options, such as acupuncture or supplements. Sometimes, this can be a preferred choice for families and clients uncomfortable with pharmaceuticals. Should these options be considered after the psychological evaluation, it is very important to do extensive research and talk with other providers (like your therapist or doctor) about these treatments, as some can be less effective than advertised or misused. If possible, it would be valuable to speak to another person who has used these treatment methods to learn about their experience. Importantly, some services may not be covered by a client’s insurance plan and may be very expensive. Having a clear understanding of medication treatment effectiveness, cost, duration, risks and benefits is highly recommended before your child starts medication.
A person is not a diagnosis.
Finally, a person, and your child, is not a diagnosis. Research and clinical knowledge form the basis of what is recommended following a psychological evaluation and (new) diagnosis. This is a starting point and not the final answer, and recommendations should never be given without consideration of the client, their specific presentation, and their circumstances.
Some clients are not the best candidates for medication, such as young children or those who have had a limited response in the past. Additionally, the evaluator is most often not qualified to give specific medication advice, so take heed in these situations. A good clinician of any sort (evaluator, therapist, physician, etc.) should also never be forceful in insisting on a treatment approach, especially for a person who may be in a vulnerable place and still processing their new diagnosis. Possibly a client’s immediate reaction or belief coming into testing is that they absolutely do not want to pursue medication. Or, maybe they have done one or more medication trials and want to take a pause before trying again later, and that’s okay, too.
What is important to remember is that you—the client—have personal agency and will ultimately make treatment decisions, but it is also wise to consider clinical advice.
Written by Stephanie Fox, PsyD. Dr. Fox is a licensed psychologist and owner of Four Corners Psychological Services, a private practice in Lakewood, CO, that offers psychological and educational testing for children, teens, and adults. https://fourcorners-ps.com
If your child, teen or young adult is struggling, finding the right therapeutic approach can make a lasting difference. As a therapeutic consultant, I help families identify the best programs and treatment providers for all things mental health. Schedule a no-cost discovery call with Rae Guyer, your therapeutic consultant to discuss options.
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