In practice, we are often asked by clients what is the best way to treat the issues they are dealing with? The short answer (of course) is that it depends. The recommendations that we provide to clients are based on professional training, clinical experience, and most importantly research findings. Let’s try to discuss some of the important variables that go into making what is a very personal decision.
Probably the most important factor to determining how to treat issues, is the issue itself. The diagnosis typically drives the treatment recommendation, however sometimes the severity (mild, moderate, severe) also changes the recommendation for medication, therapy, or both. Let’s talk about a few of the more common issues that people are often familiar with and often have a clearer recommendation. ADHD, once diagnosed after appropriate testing, is a condition that is often treated most effectively with medication. This is particularly true for moderate to severe forms. Some mild cases can be effectively treated with therapy or ADHD coaching that helps clients to implement certain tools and tricks to make their symptoms more manageable.
Medication is almost always recommended for bipolar disorder and schizophrenia. Most rread more
What is Bipolar Disorder?
Bipolar disorder consists of cyclical changes from depressive states to manic states and is more than the usual ups and downs or mood swings that people experience. These recurring episodes of depression and mania cause extreme shifts in mood, energy, and behavior that interfere with normal functioning. These shifts in mood are caused by chemical imbalances in the brain as opposed to environmental events.
What are the Symptoms?
A thorough mental health diagnostic evaluation should be sought immediately if you suspect you are cycling between depression and mania. Depressive symptoms include: 1) depressed (sad or empty) mood most of the day, 2) loss of interest or pleasure in usually enjoyable activities, 3) appetite/weight gain or loss, 4) disturbed sleep (insomnia or excess sleep), 5) lowered energy level/fatigue, 6) Restlessness or feeling slowed down 7) feelings of worthlessness or excessive guilt, 8) indecisiveness or lack of concentration, 9) suicidal thoughts or feelings. Manic symptoms include: 1) inflated self-esteem or grandiosity, 2) decreased need for sleep (ability to go with little or no sleep for days without tiring), 3) pressured speech or being very talkative, 4) racing thoughts, 5) distractibility, 6) increased goal-directed activity (being very productive), 7) engaging in risky behavior or excessive plea read more