What? Whozzah? Medication? It’s such a rare thing. I never talk about it! Nope, not me.
Ah ha ha. I am joking, obviously.
As I have previously said, psychiatric medication is the high heels to my drag outfit of functionality. I prance around in them, adjust them, occasionally change them, but above all, need them. (Have ye, O great wanderer of life, seen a drag Queen barefoot? I has not.)
Now what do I mean when I say ‘Medication First (with an exclamation mark, no less)? I mean just that. Medication First. (!)
Now, this is where I draw the line between my fabulous self and the so many other viewpoints blazing out there across the Wiccan and neo-pagan and polytheist frameworks. You see, most of Wicca and neo-paganism and polytheist movements are what I would call ‘Medication Second’. In that they will often spout their views in this way.
- Mental illness may or may not exist, really.
- Why take psychiatric medication? It has (gasp!) side effects! One ought first to try exercise, eating ‘healthy’, de-toxing, eating special diets, doing special exercises, practicing yoga, meditating, walking in nature, practicing spirituality, spirit-journeying, re-adjusting their kundalini, consulting shamans across the globe, and maybe even breathing underwater while they’re at it. (Note how therapy with a licensed professional is usually not part of this list? Strange, right?)
- If and ONLY IF the person has tried all the above suggestions (probably even including breathing underwater for some) then the person could, they suppose, try psychiatric medication. But beware of those nasty nasty side effects! Oh, and have you tried the other remedies already?
Note how everything else under the sun (and maybe under the earth) comes first before psychiatric medication. This means psychiatric medication comes second as a final and last resort for the ‘real’ crazies.
Now, I used to be like this. It led me down a truly crazy path and led me into great psychiatric distress. But now the little caterpillar has become a butterfly, so to speak, and I’ve become a Medication First kind of person.
What do I mean by that? It means my train of thought goes like this:
- Is there a significant problem?
- If yes, seek medical help. Take the psychiatric medication.
- Then, once a sense of betterness has been achieved thanks to psychiatric medication, get therapy and try other stuff like exercise and whatnot.
But Why Why WHY? Pagans and so-called ‘spiritual’ people will gnash their teeth and foam at the mouth. We must try all the so-called ‘healthy’ alternatives first! We must avoid the medication at all costs!
Well, I firmly disagree now.
First of all, for someone to be seeking relief, they probably have a sizeable problem. Chances are, it’s worse than what they (or others around them) think it is. It certainly was for me. No one ever thinks they’re ‘crazy’ or ‘really that bad’. They always think they’re ‘just in a slump’ or ‘just having a bad day’.
Second of all, there is a never-ending source of so-called ‘alternatives’. One can waste years seeking them all out, and they can be blazingly expensive. And finally, no matter the amount of them that one has tried, one will never have tried enough. There will always be one more guru, one more supplement, one more yoga sequence that people will pressure you into trying or, worse, you will pressure yourself into trying. This will delay treatment indefinitely.
Third –and really, I think this is my point – there is no harm in trying psychiatric medication first.
It’s not like the world will fucking blow up.
Because here’s how it happens.
You take the medication → you feel better (somewhat) → you use this ‘feel good’ energy as momentum to propel yourself further with therapy, lifestyle changes, etc.
This might sound like drivel, but I swear it’s how it works for me and how I’ve seen it treated by the good doctors I’ve met. I could try all the lifestyle changes, but without my medication there to help me, I was just swamped. Once I felt better thanks to medication, I could clean my house, go jogging, and feel even better!
It’s basically like giving a sick person medication. You give it to them to help re-establish the normal flow, so that the body can get back on track.
Ohhhhhhmyyyyygodzzzz. Does this… does this mean psychiatric medication is… medication? *sarcasm*
So, medication comes first in the sequence of treatment. At least it did for me.
What’s my point? Where am I going with this? I’m going here → we need to change our narrative surrounding mental illness to be medication first.
I know, I know, it sounds like I want everyone to just echo my viewpoints. It’s not that. I want people to stop leaving medication ‘second’ as a choice that you only go to if you are ‘that bad’ or ‘really crazy’ or ‘desperate’. I want people to realize that medication is not dangerous or toxic, and that it can be the start of therapy and of a whole lot of changes in one’s life.
What would a ‘medication first’ discussion sound like? Like this:
Person a) hey, i’m feeling shitty.
Person b) ok, I trust your judgement. Have you consulted a doctor and taken the requisite medication?
OH MAH GAWDS. Doesn’t that sound the same as when someone has the flu, cold, diarrhea, or whathave you?
Trust me, we can do this. We’ve got this. We do it for broken legs, asthma, and everything else. Yes, for a very mild cold, we may stick to alternative solutions. But let’s revisit my first point in this discussion one more time.
Chances are, it’s worse than what they (or others around them) think it is. Now, I don’t want to be a drama queen. But people tend to overlook their mental health. It’s been my experience that those who finally realized they needed help (especially those who are so-called ‘spiritual’ people) were in dire straits when they finally turned to a doctor.
So what this means is that by the time someone realizes they’re having a problem, it is no longer time for the alternatives. It’s time for the doctor.
And guess what? Here’s the kicker. If you’re at that point… just how much of a dosage of alternative stuff do you think you would need? It’s like taking alternatives that would treat a cold, to treat… pneumonia? Ebola?
Because psychiatric medication can be very strong. It can be easily jacked up to high doses. Not so with alternative ‘treatment’. In a recent video I watched, someone compared the efficacity of zoloft to smelling saffron for 20 minutes, and said they were on equal footing. They neglected to mention the dosage of zoloft it was equal to. Was it a small, itty bitty tiny dosage of zoloft? Was it a high dosage? Was it a stable dosage that the person was accustomed to? What if the twenty minutes of saffron was not enough? How long a day would the person have to smell it for? Similarly, they mentioned cloves as being helpful (I think it was to boost serotonin). Just how many cloves a day would someone need to take in a case of severe depression?!
Personally, I think this is ridiculous. Yes, these alternatives can help someone with the mental health equivalent of a small cold. Yes, they can help someone maintain positive mental health much like they help boost physical health.
But! Mental illness is just that. A fucking illness. It is un-health to the point of distress. It is a serious situation that we, by leaving the life-saving medication thereof as only a second and ultimately ‘only take last’, we are neglecting to treat the illness or take it seriously.
Because take it from someone who tried all the alternatives first. It didn’t work. It hasn’t worked for anyone I’ve known, either (and now I know a lot of people with mental illnesses). And yes, most of the people I know have had it go to the point of critical conditions, ergo their life and functioning was in danger. It is that common that it becomes that critical and yet we suggest treating it as if it was a common cold.