Psychotherapy is often accompanied by treatment with drugs to help reduce psychological symptoms. This requires supervision by a psychiatrist or physician, as the other mental health disciplines cannot prescribe drugs.
Drugs may reduce the need for psychotherapy. Effective psychotherapy may reduce the need for drugs, or may make lower doses, and hence fewer side effects, possible.
Drugs may interfere with the effectiveness of psychotherapy if mental functioning is impaired as a side effect of the drug. This applies to both psychiatric medications and medications for medical conditions.
Some forms of medication for medical conditions (prescription and over-the-counter) have psychological or emotional side effects such as anxiety, depression, impaired cognitive functioning, or impaired sleep. These problems may be better treated by modification of dosage of the medication rather than psychotherapy. Patients should speak with a doctor about side effects of medications and adjusting dosage to reduce side effects if possible.
Interactions with Herbs and Dietary Supplements
Certain herbs are reputed to be beneficial for mental health conditions (e.g., St. John's wort/hypericum for depression). When used properly, these may reduce the need for psychotherapy. However, herbs and prescription medications can interact and have adverse effects, including exaggerating or interfering with each other's effects. They should not be mixed without consultation with a qualified healthcare professional.
Like drugs, some herbs may also have psychological or emotional side effects. These may be better treated by reducing use of the herb rather than pursuing psychotherapy.
People interested in using herbs with psychotherapy should inform the therapist of this. Depending on the seriousness of the condition, referral to a psychiatrist may be recommended to monitor the use and effects of herbs and determine whether medication may be more appropriate.
This information is based on a professional level monograph edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com): William Collinge, PhD (Collinge & Associates); Dawn Costa, BA, BS (Natural Standard Research Collaboration); Nicole Giese, MS (Natural Standard Research Collaboration); Lisa Scully, PharmD (Massachusetts College of Pharmacy); Shaina Tanguay-Colucci, BS (Natural Standard Research Collaboration); Catherine Ulbricht, PharmD (Massachusetts General Hospital); Wendy Weissner, BA (Natural Standard Research Collaboration).
Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.
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Remember, keep this and all other medicines out of the reach of children,
never share your medicines with others, and use this medication only for the indication prescribed.