13
Mar 25

Dealing With Side Effects of Psychotropic Medicines

Teenager“A new drug trial requires that you and your teen be watchful about any change in symptoms, especially during the first two weeks.”

I remember being given a list of side effects for an antipsychotic drug my son’s psychiatrist was recommending. With bone-chilling horror, I read about the possibility of movement disorders, suicide, tachycardia, diabetes, and neuroleptic malignant syndrome. I asked myself, “Why would any parent give this drug to their child?” But two weeks later, I did. My son was was deeply depressed and suicidal, and nothing else had helped. My husband and I decided that we had no choice. That drug ultimately saved him.

But how do you know, going in, that a drug experiment won’t end in disaster? You don’t. A new drug trial requires that you and your teen be watchful about any change in symptoms, especially during the first two weeks. Talk to your teen. Explain that the medicine is supposed to bring improvement but that occasionally it can lead to worse symptoms. Let your teen know that if he or she begins to feel more depressed or hopeless that it is probably the medicine and to tell you.

Meanwhile, I do think it’s worth the discomfort of knowing about all the potential side effects. That way, you will know what to expect, and if a side effect appears or the symptoms worsen, you can call the doctor. When I read the list of potential side effects on my son’s prescription, I was new to medication. I didn’t realize that by being watchful and communicating with the doctor you can prevent serious problems. Keep in mind that an undesirable side effect is not necessarily a deal-breaker. Your teen’s psychiatrist may be able to adjust the dosage, the dosing time, or he may temporarily add another medicine to eliminate the side effect until your teen has adjusted to the new medicine.

Being informed and watchful pays big dividends at the outset of a new drug trial. It can minimize the apprehension and help you, your teen, and your doctor establish greater communication and trust as a team. Never give up. A failed drug trial does not mean failure.Think of it as additional information about what works or does not work for your teen. Record it in your teen’s medicine log and move on.


06
Mar 25

Factors That Can Delay a Teen’s Emotional Recovery

Teenager“Keeping your depressed teen busy will energize them and stimulate their interest in life.”

Parents often feel that their teen has not returned to normal even after treatment for depression. It may seem like your teen can’t put the illness behind them and move on with life. For example, they may continue to sit in their bedroom playing video games, refusing to go out with friends or join school clubs. You may find yourself asking, “Shouldn’t he be better by now?”

Medically, he may be. But there are some factors that can keep a teen “stuck” even after depression has cleared up. This article explains some of these factors and provides ideas to help push your teen toward a more productive state.

Identifying With the Illness

If your teen was depressed for a long time, that state may have come to feel normal. Keep in mind that the illness was probably building for some time before you or they became aware of it. Two years may not seem long to you, but to the sixteen-year-old, it represents an eighth of their life. They may not even remember what life was like before the illness. Going through old photographs, family videos, or revisiting a special place can help stir up the way that normal used to feel for your teen.

Do not be afraid to gently confront your teen with the fact that they are not showing the signs of recovery you expected. Say something like, “I’ve noticed that you’re still doing similar things to those you did when you were ill, like playing video games and avoiding friends. We had talked about you joining the chess team or calling some of your old friends. Do you feel like it’s been difficult to get back into the swing of things?”

The question may take your teen by surprise. They may have never noticed that they are stuck. If so, remain gentle. Realizing that there is a problem is the first step forward. They may not run out to join a club or pick up the phone to call friends right away, but give it time. This is going to be a process. Be patient and, above all, encouraging.

If your teen disagrees that there is a problem, ask them to think about it and say you’ll bring it up again in one week. They clearly are not going to do anything about it on their own, so you must push them. The next time they see the therapist, go in with them and bring it up briefly, then let them talk about it. If your teen has stopped therapy, it’s possible that they told the therapist they feel better. It will be up to you to let her know that things are not okay.

When your teen is ready to admit that they need to move forward, have them tackle one thing at a time. They can attend a chess club meeting just to see if they like it, not necessarily to make a commitment to join. Change can be stressful, but a single weekly goal is manageable. Over time, you can remind them how uncomfortable they were walking into that first chess club meeting and how now they think nothing of it. Reassure them that today’s challenge will become a matter of ease before long too.

Lack of a Goal

Even if your teen had not experienced depression or another illness, they may have lost interest in their former friends or activities. Teens do change, but without a new interest or goal, they may remain stuck. Now might be the time to ask them about a career goal or other plan for their life. Enroll them in a class or buy books on their subject of interest. If they have no immediate interests, fill their schedule as much as possible with low-stress activities, such as volunteering at an animal shelter. Keeping your depressed teen busy will energize them and stimulate their interest in life.

Fear of Recovery

Some teens resist giving up their illness for deeper reasons. Maybe the illness has earned them special treatment in the family and they no longer have to do as many chores. Maybe it has brought you and your ex-husband together and they do not want to see that cease. If you have learned through therapy to relate to them better, they may worry that you’ll revert to your old ways if they let go of the illness. If you suspect something like this, you can bring it up on your own, but presenting it in a family therapy session or with their individual therapist has some advantages. The therapist can take note of it and incorporate it into her treatment plan.

Your own Resistance

If you find yourself balking at pushing your teen to move forward, either of two things may be occurring. You may be afraid of getting into a conflict with them, especially if they were angry with you in the past. Remember that you are still their parent and therefore responsible for speaking up in their best interests. When they were three they may not have wanted to brush their teeth either, but you insisted because it is your job to promote their well-being.

Your own comfort level may be keeping you from pushing your teen. Some parents find that they become closer to their teen when they are depressed or otherwise mentally ill and may not want to give that up. When my son started feeling better and going out with friends, I was surprised to hear my daughter say that she missed the depressed version of her brother because he was closer to her when he was ill. She felt guilty for feeling that way because she did not want him to be depressed, but her feelings were understandable. It can be hard for everyone to move on, even when it’s for the best.