20
Mar 24

Your Teen’s Medicine Log

Medication log“In addition to providing an important history, the medicine log can also give you insight.”

If your teen takes medicine,I highly recommend keeping a medicine log. It’s easy to forget that a particular medicine was used for four or five days and produced an unbearable side effect. Why waste time on the wrong medicine down the road? The medicine log is like gold to the next psychiatrist who treats your child. Even if your teen’s current condition proves to be a blip, it could recur in ten or twenty years. You think you will always remember the names of the medicines used, but it’s so easy to forget.

Keeping track of medicines on the computer has the advantage that you can easily print it and bring a copy to a new psychiatrist or to the hospital if your child is being admitted. But anything is better than nothing, even if it consists of nothing more than a loose-leaf sheet of paper scribbled with dates, names of medicines, and reactions to them. I actually maintain two types of logs: one is written in paragraphs and includes events and details about my teen’s condition; the other is a simple list of the facts. I keep the first log for myself and the second to hand to the doctor or hospital. I also keep a file folder into which I stuff any pertinent papers such as blood work reports or hospital discharge directions. You will be amazed at how important a seemingly useless piece of paper will be in the future. Keep everything.

In addition to providing an important history, the medicine log can also give you insight. For example, you may notice that your teen is most likely to experience a side effect eight days into a new drug trial. Or you may see that most of your teen’s hospitalizations for depression occur in the spring.


13
Mar 24

If Your Teen Refuses Treatment

I am not Sick by Dr Amador“In his book, Dr. Amador recommends a method called LEAP.”

It can be frustrating to try and convince a teen with a serious mental illness to accept treatment. Some teens find the idea of taking medicine unnatural and some hope that the symptoms will go away without medicine. Often, the teen is unconvinced that he or she is sick. Forty percent of individuals with bipolar disorder and sixty percent of individuals with schizophrenia have an accompanying symptom called anosognosia. It means that they do not recognize that they are ill. It looks like denial, but it is actually a part of the disease.This can be extremely disheartening and frustrating for a parent because it greatly impairs treatment. Not surprisingly, family members often focus on trying to convince their relative that they have the illness, which only makes the patient feel misunderstood.

Fortunately, being on medicine removes this symptom. But how to get there? You can work around your teen’s disbelief, using a strategy described in the excellent book, I am Not Sick I Don’t Need Help, by Dr. Xavier Amador. This book has helped many families with recalcitrant loved ones, using a method called LEAP. I summarize Dr. Amador’s LEAP method below:

L is for listen:  Listen to your teen’s concerns about medicine. Don’t interrupt, but feel free to ask for clarification if you think you are misunderstanding them. Don’t argue or try to dispute what they say.

E is for empathize:  Forget about your own frustrations and fears for the moment and let your teen know that you understand how they feel. Offer sympathy for what they are going through.

A is for agree:  Try to agree upon something, even if it’s something as simple as the fact that your teen is depressed and wants to feel better.

P is for partner:  Tell your teen you want to help them achieve their goal. If they don’t want to take medicine, what will they agree to do? If the two of you can agree to a plan—any plan—at least you’re working together.

LEAP won’t give you the immediate outcome you’re looking for, but it’s a start. It’s also an improvement over arguing. Sometimes a first step leads to another. The book explains the steps in detail and will give you ideas for how to be effective with each one. It has helped many families get their loved ones into treatment.