LinkedinTwitterThe DetailsConnectBlog Facebook Meet the TherapistHome For Writers

Monday, August 20, 2012

To Medicate or Not, That is the Question

I feel the need to call out a double-standard which many times finds its way (or doesn't, I should say) in fiction.

It's no big deal for a character to pop a pill to improve a failing kidney, pancreas, or heart or reduce headache or blood pressure or regain cartilage. Should they not take these pills, they might even be considered foolish or foolhardy with their health.

It's a bit more risque to have a character take drugs to improve fertility or decrease mental deterioration. Or what about a non-Christian person taking the morning-after pill, which so many deem a simple medical procedure these days?

But it seems that no character takes psychotropic drugs near so freely as the others. By this, I mean, anti-anxiety, anti-depressant, or anti-psychotic drugs.

Why is this the case? 

If you have a chemical imbalance in the pancreas, you have diabetes. It's no different for the brain, but people don't accept this.

When I'm with a client, ethically I'm bound to explain to them that research shows that clients can achieve more lasting change with therapy and medication. I usually refer them to a psychiatrist for a med evaluation.

Many times, clients can be reluctant for a variety of reasons to seek medication for a mental condition. The roots of this vary, but below are three common reasons I've come across:

1) Stigma associated with medication - only truly ill people need meds. To take meds would be openly admitting (to at least yourself if not to family and friends) that you couldn't conquer the problem on your own.

2) Staunch Christian background - hate to say it, but many Christian people believe that if they only pray harder or gave more to charity that God will heal them of their affliction. Not to say He can't, but this shouldn't exclude medication.

3) Bad medication experience for self/other loved one - people are far less likely to want to take medications if they know of one who took psychotropic meds and had a bad experience. Many meds come with serious side effects, or the dosage isn't right at first, and their loved one was "zombie-fied."

As a counselor, I try to take the stigma away from medication as much as possible. I believe fiction should do the same!

Let's Analyze

Have do you feel about medication for mental illness? What about having a character take meds in fiction?

Comments (19)

Loading... Logging you in...
  • Logged in as
I completely agree that meds are okay for Christians! A family member of mine felt like she wasn't trusting God to take care of her needs if she used her medication so she quit. And about a week later tried to take her life. Her chemicals were imbalanced and God USED the meds to even them out.

Christians say God sometimes heals through His divine hand and sometimes He uses doctors to help--through surgery, wisdom to diagnose etc...Same for chemical imbalances, in my opinion! :) Thanks for this post!
1 reply · active 657 weeks ago
thanks for posting this, jessica. i believe that God gave us the intelligence to create this type of medication, and that to not use it when it's available is foolhardy. His glory can be found in all nature....it tells us that in Romans 1. i think it could simply be another revelation of a higher power...how intricate our brains are and what they are capable of.
It depends...I'm very uncomfortable with giving kids ADHD medicine. Also, I'm wary of doctors who just throw a prescription out there. I have a very close family member who was on one med, they gave her another, and the mix caused her to have a...I wouldn't even know what it's medically called, but maybe a psychotic episode that put her kids in danger and landed her in the hospital. But for things like schizophrenia, and other very established diseases, I see absolutely nothing wrong with it. The point is that the medicine helps, you know? And I'm actually wary of meds in general because of the many side effects. LOL I'm just a suspicious person (and I can totally see you eyeing me right now, wondering...teeeheee!)
1 reply · active 657 weeks ago
ultimately it is to each his own. i'm certainly not condemning your discomfort about ADHD meds. my husband took them and would not have graduated without them, he feels sure. in my book, ADHD is established as a diagnosis, but for others, it simply means a kid is more enthusiastic and on the move than others. i'm not eyeing you funny right now, promise!
My siblings take ADHD medicine. Let's say you can tell when they forgot to. It helps with school.

Meanwhile, I only take ache pills. Genes work against me. On the other hand, there was one time years ago when Mom gave me my brother's medicine to see if it would help with me. That didn't end well.

Thinking about it, I'm yet to really medicate any of my characters.
1 reply · active 657 weeks ago
well, this post was just food for thought....so you might find some of your characters needing medication after reading this. :)
I had to chime in here. I honestly believe that knowledge and wisdom comes from God. He allows us to know what He wants us to know and it's up to use to make a decision as to whether to use it for good or bad purposes. That said, I believe that the knowledge our doctors and those in the labs who make medications have is God given.

This post was near and dear ot my heart because in my January 2013 release, Double Identity, one of the twins suffers from bipolar disorder. When she goes off her meds, there are huge consequences. Also, in my job as a crisis worker, I see the results of being going off their meds often. It's not pretty.
1 reply · active 657 weeks ago
thanks for chiming in, kim. for sure...meds have their place in the world. the effects of not being on them can be heartbreaking to watch. thanks for what you do! (and what you write to bring this to light!!)
I don't write contemporary, but if I did it would most certainly include my own struggles with chemical based depression. I'm 29 and I have pill boxes, thanks to depression and fibromyalgia.

I take an anti-depressant every night. Have for six years and I've no intention of ever stopping it if I can help it. Without it I don't sleep. A lot of people would feel much better if they were willing to take meds for awhile to get everything balanced out again.
1 reply · active 657 weeks ago
thanks for stopping in, Rachel. I love it when you do....i have a good friend whose name is Rachel Wild, and it just makes me smile every time you comment.
I think the problem with fiction is that characters aren't nearly as interesting on anti-psychotics! I mean, take your favorite somewhat messed up character and prescribe for them, and whoops, there goes the majority of the conflict as their mental state evens out and they sit down for regular therapy sessions. Instead, for example, hopping into a helicopter and flying down into the apocalypse zone to save the world in hand-to-hand combat fueled by two parts testosterone and one part unbalanced.

The vicarious excitement is just not there.
1 reply · active 657 weeks ago
this is a very true statement. they are far less exciting and tension-filled when on meds. however, bu the END of the book...perhaps they can see the light? :)
Let me add to which, in real life, I would much rather deal with somebody who stayed on their meds and went to therapy.
I do think that there are times when medication is necessary. I don't, however, think that it should be the "go-to" thing to solve every psychological problem with every person. I think that medication should only be used if there isn't an alternative and only ever in conjunction with other methods, like therapy.

There's a fundamental difference in the treatment of "diabetes" and "psychological disorders." Insulin (in correct amounts) isn't likely to cause horrible side effects like psychotropic drugs can. Diabetes is also managed with a combination of things, like diet and exercise. Whereas, I think there's a stigma between psychotropic drugs and psychological disorders (judging by commercials all over TV) where people believe all they need to do is take a pill and won't really have to work at anything.
What great insights--both in your thoughtful post, Jeannie, and via the honest and personal responses of others. As you know, I'm dealing with this situation in my current work-in-progress. And I have experienced this in my own family. I have seen the combination of counseling, medication, lifestyle modification, and deep faith make a huge difference in peoples' lives. It's my goal that this new book reflect that blessing . . .
I was raised to shove things under the rug, no matter how serious, and I've carried that with me to adulthood. However, there is no doubt in my mind that medication can help those with mental illness when used properly and not taken advantage of.
Lex Keating's avatar

Lex Keating · 656 weeks ago

I have to say, this is a hard one. Not so much because I'm a Christian and am anti-drug (though that's sometimes an element), but because I lived for years with a mentally unbalanced parent. After years of neglect and abuse towards every other member of the family, therapy and medication were introduced. This parent continues to have struggles, which include changing the medication every so often. The problem, for me, is not the meds. I firmly believe my parent is hiding information and has been misdiagnosed. The drugs do exactly what they're supposed to--the patient taking them does not. It's more than a lack of improvement--it's a habit of rejecting anything that approaches the rotted root of the actual problem. New therapists, and therefore new drugs, are introduced every time someone hits a live nerve.
In this case, the drugs haven't helped. And, given the high doses of recreational pharmaceuticals in this parent's past, there's a strong suspicion of any drug's ability to correct the chemical imbalance. Without a spiritual balance, how much reasonable hope can be held out for real mental health?
Great post.
Psychology is the study of human behavior, and when you have individuals who are medicated,you need to comprehend the components and activities of the medication and how it influences behavior.@Amy Pearson.

Post a new comment

Comments by