04
Nov 24

Are Vitamins Better than Psychotropic Medicines?

Teenager“…adding a vitamin where there is no deficiency will not cure a disease that has a different source.”

Sooner or later, it seems like many parents of mentally ill teens ask themselves this question. When the medicine seems to bring only miserable side effects, it’s natural to ask ourselves if maybe we’ve missed the obvious. Even if the medicine has brought your teen relief, you may be dissatisfied that it hasn’t brought greater improvement.

A couple of summers ago, I browsed through a book on holistic medicine while I was visiting my mom. It said that people with bipolar disorder don’t absorb sufficient B vitamins, especially B12.  Since my son has bipolar disorder and I was always looking for new answers, I went to the health the food store and bought some vitamin B. After all, how could it hurt?

The B-complex I bought was called something like “Stress Tabs.” The irony of the name was lost on me until about a month later when my son complained that his anxiety was worsening. After a month of no improvement, I became suspicious of the vitamins and removed them. Within a couple of weeks, his anxiety had come back down. I’m glad I didn’t buy him a B12 shot as the book had suggested! The following summer, I had all of my son’s vitamin B levels checked during his blood work. To my surprise, they were all on the high side–including the B12. Lesson learned. I should have started with blood work and gotten some real information before rushing to buy something that seemed harmless.

Severe vitamin deficiencies can cause all sorts of symptoms. But adding a vitamin where there is no deficiency will not cure a disease that has a different source. If you suspect a deficiency, ask your doctor to test for it during blood work.

 


11
Oct 24

Easing Antidepressant Withdrawal

Teenager“Do not be afraid to spend an extra week or even month titrating if it makes it easier on you.”

Antidepressants are famous for producing flu-like symptoms when you stop taking it.  If you miss a dose, or come off of it too quickly, you can get a headache, nausea, or dizziness. This is especially true of antidepressants with a short half-life, such as Effexor, Lexapro, and Paxil.  These medicines are often accused of being “addicting” because a poorly-handled withdrawal regimen can cause such misery that the patient goes back on a drug they were trying to quit.

If you want to stop your antidepressant, the psychiatrist will recommend a titration schedule. If you get withdrawal symptoms, you will need to slow down the titration. Often, things go pretty well for the first half of the dosage and then cause problems near the end. Do not be afraid to spend an extra week or even month titrating if it makes it easier on you.

Still, sometimes even the mildest cut will trigger severe withdrawal symptoms. Sometimes, the psychiatrist will replace the offending drug with Prozac. This removes the withdrawal symptoms and once the previous antidepressant is gone, the patient can easily remove the Prozac, which has a long half-life and is much more forgiving.  Your psychiatrist will tell you if such a regimen is appropriate for your teen.