In recent weeks, the American Psychological Association has
produced some wonderful material to help the general public
understand what psychotherapy is, how it works, and why
it is so effective in the treatment of anxiety, depression,
obsessive compulsive disorder and other mental health issues.
Few Mental Health Diagnoses Require Medication
The APA presented information suggesting that there are
certain psychological disorders which can be effectively helped
with the addition of psychotropic medication…such as severe
depression, bipolar disorder, and schizophrenia.
If you suffer from any of those 3 conditions,
research has shown medication to be a beneficial
component of treatment.
But the most important thing you need to know is that
most other diagnoses may not benefit from the addition of medication.
Given that the most often-prescribed psychotropic medications are
anti-depressants, evidence was presented which discussed the research
on the effectiveness of anti-depressant medication in particular.
Non-Severe Depression: Meds No More Effective Than Placebo
“In a 2010 study in the Journal of the American Medical Association,
for instance, researchers reviewed previous research on the effectiveness
of anti-depressants. They found that antidepressants did help people with
severe cases of depression. For mild to moderate depression, however,
the medication wasn’t any more effective than a placebo.”
What Psychotherapy CAN do:
According to the APA, although helpful for providing symptom
management for very severe disorders,
medication does not help individuals to
“develop the skills they need to deal with life’s problems.”
As opposed to psychotherapy,
which teaches you skills and strategies that you get
to take with you and use effectively for a lifetime.
Sometimes You Need to Start With Meds
Medication may be helpful, even necesssary, to allow
someone to function at work or to begin the process of
engaging in therapy.
Even so, for most emotional problems,
medication cannot give you what you really need:
tools to think differently,
skills to behave differently,
and strategies to live differently.
Psychotherapy: A Wise Investment in Resources
If you have limited resources (most people do), then investing
in medication that you have to take for an undetermined amount
of time, and that will cease to provide you with benefits beyond
the time you are taking it VERSUS investing in psychotherapy
sessions which will provide you with life-long coping skills to
help you get through the next crisis…and the next one…and
the next one….what makes the most investment sense?
To use a favorite analogy, we can either give you a fish today
…actually, you are going to have to buy that fish
…and that fish isn’t going to be cheap even with insurance
…and then you’re going to have to keep buying fish
in order to keep from going hungry.
You can buy a fishing pole and your psychotherapist can
teach you how to fish…and you won’t go hungry again,
because you can fish for yourself!
Something Is Missing
The evidence shows that psychotherapy works.
It works for the vast majority of people who use it,
it works for most of the mental health conditions,
and it works better than or as well as medication.
As a psychotherapist, I was so pleased to be able to
point people towards research-based materials on
treatment…but there was something missing for me.
There wasn’t much presented on what psychotherapy
CAN’T do, so I felt the need to balance it out a little.
What Psychotherapy CAN’T Do
Psychotherapy CAN’T cause the following side-effects:
(this list was compiled from published side-effects of the
top-5 most often prescribed anti-depressants)
-Nausea and vomiting
-Decreased sex drive
-Sleepiness or fatigue
-Potentially increased chance of suicide
-Potentially harmful effects on medical conditions
-Potentially interacts with other medications you take
For more information about how psychotherapy works : Understanding Psychotherapy