David replied: "ok, you are your own psychiatrist. the patient states that even though he/she doesn't feel any better, the pills gotta go. the diagnosis is that he/she is borderline. you are looking for indications of suicide or dangerous and risky behaviors.
patient refuses medicine [could be interpreted as risk-taking]
he/she has history of suicidal thoughts and continues in this vein
patient is looking for a way out of the treatment and may need to be forced...
what do you do now?
ok, doctor, now the ball is in your court. your patient is not improving [so speak as if you are improving, say stuff that makes you feel better] and the meds you prescribed are not working [say you are taking the stuff and wow, doesn't it make you feel great!] so make sure to be extra careful to determine whether or not the patient needs intervention for the cure! [if you don't want to go to the hospital then actually get well enough not to need it, man]"
M Fox replied: "If the medications you were taking were working and you weren't having bad side effects, you should seriously consider taking them again (remember to titrate up to your dosage if that's how you began taking them).
Every day, people rely on pills to control high blood pressure, inhalers to treat asthma, and insulin for diabetes. Taking medication for mental health issues is no different. You have a medical problem and a treatment is available.
I am speaking from experience. I have Major Depression Disorder, and over the past 10 years have worked with my doctor to find what available meds help me best. Usually it has been a combination of antidepressants and benzos. There have also been times when I have gone off my meds, to see if my brain chemistry has changed. I've always gone back to the meds, and my doctor lets me 'tweak' the dosages until I find the amount that works.
There are still times when I have suicide ideation, and I should call my doctor, but I don't want to go to the psych ward again, either. I have told my doctor about them (after they've passed) and he wanted to know how I got through it. My coping method is to take an extra dose of a benzo along with an extra pain pill (I also have Fibromyalgia) and sleep it off; if I can go to sleep the ideation tends to pass. (the amount of medication I take in these instances is still within the prescribed limits set by my doctors - do not take extra doses without discussing this with your doctor!).
Please restart your meds, the return of your symptoms shows that you do benefit from taking them. I know it's inconvenient to have to take meds every day, but I did it for many years with birth control pills, so it's still a pill, just a different function. Nowadays mental health issues are being treated just as any other health condition would be. There's nothing wrong about taking medication that makes you feel better and able to function - and keep you out of the psych ward.
If you really have a problem with just taking the pills, you may want to see a psychologist who may be able to figure out why and/or how to get you to where you feel comfortable doing so.
{{{HUGS}}} Good luck!"
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