Don’t skip your meds – even if you are sick!
One of the biggest problems in maintaining a level mood state or semblance of “normalcy” in people with mental disorders is the failure to take medications consistently. In a lot of instances, mentally ill persons will stop taking the medication on purpose because they are “better” and “don’t need it”.
As mentioned many times before – this is, usually, done in secret. Without consultation with professionals, friends or family members who do not find out until someone with a mental disorder has gone “off-track” and had an “episode”.
But, another cause of medication non-adherence is forgetfulness. Forgetfulness wouldn’t seem to be a big deal as many medications are “forgotten” one day and resumed the next – blood pressure medicine, birth control pills, and antibiotics etc. All with each of their own ramifications. In the case of the forgotten anti-depressant, anti-manic agent, anti-psychotic, a different set of events comes into play.
Mentally ill people may “forget” the first day but by the second day, the thoughts of “I am OK” start to intrude. This may lead back to the first case of non-adherence where the patient then decides to quit purposefully taking their medication – obviously without telling anyone.
With your illness, you may not feel like getting up. You may not feel like eating. You may not feel like taking your medicine – but you should. You must. Even when your mental illness seems secondary to a physical illness, the medicine that keeps you functioning on a semi-even level is vital. Allowing yourself to skip, even one day can ultimately cause a “relapse”.
If you skip today because you don’t feel good, you may skip tomorrow. If you skip today and tomorrow, because you didn’t feel good, you will probably hear the voice that always says, “I am doing OK,” because you are OK – for today. A week or two, maybe a month or two – you won’t be OK. You haven’t been in the past and likely you won’t in the future.
No matter why you skip your meds – don’t.
There are legitimate medical reasons not to quit without supervision – such as drug withdrawal and increases in seizure potential which are real, unpleasant, and possibly dangerous. But the biggest reason is the same as it has always been. Eventually, it will lead you back down the path, and you won’t know until you are already out of balance.
One of the biggest challenges for a bipolar or schizophrenic (or many other) patient is to ignore the impulse to give in to “See, I’m OK and I don’t need this”. In your rational mind, you know that you do. You may resent it, but you know.
You may have to remind yourself of how far you have come – and remind yourself that this wasn’t the first time that you had to dig yourself out of a mess.
Remember how it was, how awful it was, and how hard it will be the next time to recover.