In the treatment of psychiatric disorders, medication is only one part of a treatment plan. Medications can be very helpful in reducing symptoms of depression and anxiety as well as bipolar disorders and psychotic disorders. Medications that are appropriately prescribed and monitored by a psychiatric mental health provider provide an important role but psychotherapy as well as mind body practices i.e meditation, mindfulness practice and relaxation work  complete the treatment picture.

Often, patients ask me if I can only prescribe anti-anxiety medication such as Xanax, Klonopin and/or Ativan. These medications are benzodiazepines.  They should only be used for panic attacks or extreme stress as an adjunct medication The use of benzodiazapines can cause a patient to develop dependency on the medication since they are very effective in diminishing anxiety. However, a skilled practitioner will limit the use of these medications and use them only as an adjunct to other treatment.   In general, antidepressants do a much better job and are far safer  in the treatment anxiety and depression.

It is important that psychiatric medications be prescribed and monitored by a psychiatrist or a psychiatric nurse practitioner since adjustments in dosage will invariably need to be made. A general practitioner, although well meaning, may not adjust medication as needed.

Okay, so we are all ( i hope) sequestered in our homes.  We are privileged to be homebound – and we need to remember that when we forget.  Long walks are doing wonders for me – yes, I have a dog and that helps but it restores my soul every time I venture out into nature. Allow yourself to walk mindfully- fully present in your surroundings – paying full attention to life happening around you – the new buds, the music coming from the birds – the spring sun on your face – and here in Santa Fe, the blissful silence.  Put your phone away – forgot the emails and the texting – Enjoy the day that was given to you – never promised.  Breathe in and breathe out-  The present moment is all any of us have – be in it

Today’s teens are faced with many stresses that other generations have not experienced. Often, the demands on teens can be overwhelming. Social media posts can lead to feelings of inadequacy or low self esteem. It may seem as if everyone else is doing better than the teen who’s reading the post.  It’s well known that bullying occurs on social media and tragically, teens who are bullied can become desperate and even lead to suicidal thoughts.

Other issues facing a teen today include substance abuse, transgender issues or gender dysphoria, vaping, school pressures, excessive use of texting, Twitter and Instagram, dating or “hook-up” apps and peer pressures.

Anxiety disorders in teens have been on the rise along with depression. It’s important to recognize when your teenager would benefit from professional help. Symptoms, like fatigue and moodiness can be misinterpreted as normal when they may be an indication of depression, Panic disorder and social anxiety have also increased in teens. Self destructive behaviors such as cutting are a sign of anguish and anxiety.

The good news is that individual and group counseling can help. If it is appropriate, medications i.e., antidepressants can significantly improve mood disorders and lessen anxiety.

Teenage years have always been turbulent but today’s teen has more challenges than other generations. There is no substitute for listening, support and understanding.