A mental health advocate, speaker, and author, Julie Hersh often relays the story of why she rejected medication against her psychiatrist’s direction. Despite a life-threatening episode with depression in 2001 that required electroconvulsive therapy(ECT)for treatment, four years of good health convinced her she no longer needed an antidepressant. Hersh, like so many who suffer from chronic illness, did not want to think in terms of lifelong depression management, but rather in terms of a cure. Furthermore, she thought she had modified her behavior and conquered the disease. Unfortunately, Ms. Hersh relapsed two years later, in such an intense manner that she required hospitalization.
Too often, individuals reject medication because they see mental illness as a defect of character as opposed to an functional issue with the brain. Various forms of psychotherapy can assist people in overcoming depression, but there will be a segment of the population who can reach the optimum level of health with the assistance of medication as well. Instead of condemning those who take medication as weak in character, we should think of medication as a tool to create the best mental environment. Think of plants: some need a dry, sunny climate, while others grow best in a rich, rainy environment. These plants are neither superior or inferior, they are simply different. Just as some of the most beautiful blossoms require the right type of fertilizer or soil, some brains require medication to reach their full potential.