IIAT Philosophy on Medication and Mental Health

Medications play a pivotal role in helping address mental health concerns. Studies show that when appropriately prescribed and combined with therapy, medication helps significantly improve outcomes.

IIAT has a board certified psychiatrist in the practice. Dr. Anand offers advice about and prescribes medications for various mental health conditions ranging from anxiety to anger problems, as well as problem drinking.

Dr. Anand is part of the team at IIAT that collaborates in order to best meet your needs. This includes talking with you and your therapist to ensure that everyone is on the same page when it comes to what medications you are being prescribed and why.

Given recent media publicity about prescription drug abuse along with increasing concerns about unsafe prescribing practices, our philosophy at IIAT will always be to ensure that you are prescribed the appropriate medications and that your response is carefully monitored on a regular basis. You will receive a full hour evaluation and a half hour medication management appointment.

Medications for Anxiety and Depression

Anxiety and Depressive Disorders can respond well to several medications. The most commonly prescribed are the SSRIs, SNRIs, and serotonin antagonists. Collectively, these classes of medications have provided symptomatic relief to millions for conditions such as panic disorder, generalized anxiety disorder, and social anxiety disorder. The eventual choice of medication will always be the result of a careful discussion between you and Dr. Anand, in order to ensure the most favorable response. Everyone’s genetic make-up is different, so a medication that works well for one person may not work well for another.

When medications are prescribed appropriately, many people report significant improvements in symptoms such as worrying, depressed mood, restlessness, fatigue, as well as motivation/interest and zest for life. With the help of our prescribing psychiatrist, you can mutually decide how long you will need to remain on your medication.

Next are the benzodiazepines. These medications are only recommended for very short-term relief of extreme anxiety, never as a long-term treatment option. They require a specially written prescription because they are known to be addictive and have been overused and sometimes abused. Research indicates that many people have been inappropriately continued on these medications for years, and that they are now likely both physically as well as psychologically dependent on them. Unfortunately, they do nothing to improve the long-term outcome of chronic anxiety.

IIAT’s philosophy is to avoid prescribing benzodiazepines altogether. We believe in using the appropriate, non- addictive medications that have proven themselves for long-term treatment. If you happen to be on a benzodiazepine, Dr. Anand can work with you to slowly taper you off such a medication and find other options that are more appropriate for you in the long run.

Anger Problems

Anger problems are increasingly receiving attention. Current diagnostic classifications have proven inadequate to describe this increasingly common behavioral problem.

While there is no specific medication designed for anger, getting to the root cause can help guide the choice of medications. For example, if a depressive or anxiety disorder is severe enough it can make some people very irritable, and even explosive. SSRI’s can help dampen down such irritable and reactive moods.

For those who are not depressed, anger usually arises when some sort of trigger “presses the buttons.” In that case, a combination of therapy and mood stabilizing agents can prove to be quite effective. In general, no “magic bullet” exists for anger disorders. However, if the goals of treatment are realistic, such as to reduce the frequency as well as intensity of anger outbursts, then significant improvement can be expected when medication is added to regular therapy.

Problem Drinking

While the term alcoholic remains vague and even stigmatizing, many people have to difficulty in controlling the amounts they drink. They may also drink more days per week than they want, even if they do not drink daily. Such patterns are now classified under the terms alcohol use disorder. Medications along with therapy can again play a crucial role in decreasing cravings as well as helping to reduce the amount of alcohol consumed in one sitting.

Of these, Naltrexone (Vivitrol®) is known to blunt the pleasurable sensations that lead to wanting to drink more once a person has begun drinking alcohol. It has been proven effective in helping people to moderate their alcohol use in one sitting.

For those who have had a known dependent pattern of drinking, and who now intend to maintain complete sobriety, Acamprosate (Campral®) has been proven to delay the number of days to relapse into dependent drinking, as well as to limit the severity of a relapse, if it occurs. Medications when properly chosen, dosed, and monitored play a crucial role in helping people make a recovery from their psychiatric or psychological problems. As has been repeatedly shown, the best results are always likely when medication is combined with effective therapy.

A last word: for many, medications are seen as a panacea or “magic bullet.” Most psychiatrists will tell you that these are unrealistic, though understandably human, expectations. At IIAT we will take the time to explain what to expect from medications and what not to expect, so that realistic treatment goals can be achieved. In addition, we use medication combinations with the safest but most effective doses in mind so that you get the maximum possible benefit.

Read more about Dr. Sumit Anand