What to expect when considering psychiatric medications
- Chad Cottrell, PMHNP-BC

- Sep 2
- 2 min read
Deciding to explore psychiatric medications can feel very overwhelming. The good news about this process is that it is not something that must be done alone. You can collaborate with a psychiatric medication prescriber who can help you decide what medication or supplements might be right for you.
Here is what I tell people who come to me and ask about the process:

Start By Being Evaluated By A Mental Health Professional
Schedule an appointment with a psychiatrist, psychiatric nurse practitioner, or a psychiatric physician's assistant who can assess your symptoms. Want to schedule an appointment with me? Click here. These professionals are trained to evaluate if a medication is appropriate and which type might be best. It is of the utmost importance to be honest during these conversations about symptoms, medical history, and any substances that you use because these factors can influence treatment decisions.
This Will Not Be A Quick Fix

Medications in psychiatry often take time to be fully effective. Some medications such as SSRI’s (antidepressants) require 4-6weeks to begin to reduce your symptoms. During this time period of onboarding the medication, you will make several visits to the provider to adjust the dosage or attempt different medications and get the right fit for you.
Side Effects Are Real But Manageable

I always tell people there is no such thing as a biological free ride. That simply means everything that you take into your body has an effect. Some side effects are mild and others more intense. There is much variation in how people experience these side effects. Some common side effects are: nausea, fatigue, and changes in appetite. The key here is open communication with your provider so that adjustments and changes can be made to help the benefits outweigh the side effects.
Medication often works Best with Therapy

During my time as a psychiatric nurse practitioner, I have seen the best outcomes when patients combine medication with therapy. I always describe a person struggling with mental concerns as being in a river. You are cold, wet, and tired. The medication is like a boat. It will keep you dry and offer a sense of protection from those elements. You often need a therapist to give you rowing oars and show you how to use them so that you may chart your way to a better place. It is the combination of the three parts that will give you the best results and deliver you safely to shore.




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