Psychiatry & Medication! w/Dr. Barry Lieberman & Kati Morton



hey everybody I'm sitting down with my friend Barry Lieberman who's a psychiatrist in Beverly Hills and we're gonna talk about medication so stay tuned without further ado well because I'm a person who will see anybody who walks in my door as I've told you before I'll do psychotherapy for almost everybody but about half the people that I see really need medications and that need will vary from dramatically when they're severely depressed or having severe panic attacks or if they have a major mental illness such as bipolar one disorder manic depressive disorder or schizophrenia most people don't have that you know schizophrenia is about two percent of population bipolar is about the same kind of percentage people with major depression major anxiety syndromes are more frequent but with them you are might only use medications for a chunk of time but it it is really important to see that the medication is part of the combination of psychotherapy and medication because even if it's almost essential that they take medication as in they're going to do very badly without it they still need to address other issues in their life and how it's affecting them and so on so yeah because nothing happens in a bubble like we don't especially if we have bipolar one disorder mania can cause a lot of strife in our relationships and a lot of other issues even financial issues I have had a client who used to when she was manic go on shopping sprees that's work and so there are a lot of things and like I said before to many many of you and in many videos like the two together with therapy and medication gives the best outcome we know that through every research that's ever been done on that subject but that makes the point that of course that medication is one of the tools of treatment yeah and with some people it's essential and other people it's helpful and some people that doesn't help yeah and finding out that it doesn't help is also very interesting thing to discuss so if you were starting someone you decided that they did medication would you how would you go about picking it Oh how long I guess well that's actually one of the toughest deciding how long that I like because well the point of that is you decide on how long it only if it's worked and so if it's work then you welcome that decision and but it is not necessarily a lifetime thing it depends on the condition there are people there are sometimes there's things called situational stress disorder yeah where something has happened that person's life the breakup of a relationship with the death of a loved one the loss of an important job and people will not only have a grief reaction but that grief reaction may be prolonged enough to really cause them to go to a lower level of functioning then we'll call it depression or anxiety disorder or whatever and medications really help that but they're usually your intention to do a short term medication use three months four months six months whatever it is I'll always tell people that if it's worked for them I'm going to try to get them to take it for six months at least yeah that's what I've heard too many my clients have said the same coming back that six months is like a fair trial because we want to make sure that we're taking the right amount which sometimes it takes a while to titrate up well but that's six months as if it's working for them because the newer medications are the newer and better medications whether they're antidepressant or anti-anxiety anti-anxiety medications work right away they're drugs you know xanax klonopin Aliana Sarah they either work that day or not or even stimulants and when you're using those though they work that day antidepressants antipsychotics or the low dose antipsychotics which we'll use to augment antidepressants which are an extremely effective thing and scare the hell out of people when when they see you see the ads for the antipsychotics I always tell people either it used to joke stop reading or now stop watching television because of the the small print especially when you hear it recited on TeleNav scares you think I'm going to die and that's a it's a major problem for me because I'll say there's a wide range of these different medications from minimal side effects to maximum and they have to report everything in that category so so a lot of times part of my use of medications explain to people that we're going to do is not going to kill them yeah never had in 43 years of practice I've never had anybody have anything really bad happen to them a lot of my medication work is to reassure people about what medications are and aren't yeah and I think it's important to ask those questions when you see a psychiatrist if they aren't educating you enough about it or you still have concerns because that's I feel like that's a really important part of what Barry does is letting you know what the potential side effects are what to let him know about and by the way philosophically I don't think any patient should take any medication that they don't understand why they're taking it what it will do and what it will not do yeah and so if someone comes to see you you said only half are on medication yeah what is I don't that's because I like to do therapy yeah and I don't know if you actually have the answer to this but is there a deciding factor or something that you is it like severity of the issues that decide whether they're on medication or not well good question a severity certainly plays a role if somebody's coming with mild symptoms ology obviously I'm less likely to use medication and if they're really suffering terribly I'm unlikely to do that but I still see people who are suffering from very severe depressions very severe anxiety syndromes or the secondary send that simple symptoms of those syndromes are all kinds of compulsive behaviors alcoholism drug abuse food abuse etc and and and relationship abuse yeah and that's of course if it gets very interesting and very subtle because in fact I've had patients who have given medication for one targeted symptom that I haven't even heard about the other difficulties they were having in their life and they'll say you know I was really surprised I also find myself and much more able to be in traffic without getting into road rage or whatever else and I don't know they're having that yeah and so so the and there are people who I intended to take off of medications and talk about antidepressants after a few months and when as they're doing better I don't want stop yeah because my quality of life is so improved and with antidepressants there's no evidence of any problem on long-term use and that's important to remember that depending on how you're doing depending on the things that are going on in your life you may come off you may restart medication or there's no shame associated with doing any of that it's like I've always said like recovery is a process it's not perfection and it's having a team of people and professionals behind you to help you know if you're doing poorly it's okay to go back on or to continue on if you feel like you've really improved because of the medication like my video I put out with Paul Gilmartin last a couple weeks ago maybe a month ago where he said that he thought he was doing so well on this antidepressant and he felt so much better he stopped taking it and then he got really suicidal and so it's important to know that if you're feeling better and you think it has something to do with the medication maybe you stay on it that's right so there is so much we can talk about when it comes to medication but this is just an intro for all of you so that you know kind of what to expect that not everybody has to be on medication you don't just an it forever but it's something that you should really talk with your doctor about and educate yourself so that you know how to better get the treatment that you deserve thank you so much very for sitting down you're taking time and thank you all for tuning in if you haven't seen the other videos I've done with Barry make sure you click here to check out another one and don't forget to subscribe and I'll see you next time bye

22 comments

  1. I was on risperidone an I was not properly educated about the medication and after five months I tappered off too quickly and had severe withdrawal symtomps make sure to reduce those kind of meds slowly they can harm u.

  2. middle of the road babble.profitting on peoples ignorance do some genuine research. This women while possibly well intended is a dilettante. ANOTHER LIKE TRUMP WHO THINKS ANYONE WITHOUT EXPERTISE CAN step ON THE STAGE AND DO THE JOB

  3. The psychiatric drugs are unproven, and it is pretty clear on autopsy they destroy brain tissue. For example, Abilify lawsuits and FDA warnings prove the drugs cause impulse control issues. Introducing a chemical imbalance in the body/brain with a drug is never the answer. Loving human relationships are the answer. Mental Illness is a multi-billion dollar business. Huge business. Buyer beware.

  4. "my friend, he got off it and he felt suicidal." oh.. you mean when he was withdrawing from the chemicals in his brain brought on by the medication? THAT PROVES HES DEPRESSED OBVIOUSLY

  5. "situational adjustment will lead people to a low level of functioning and we will call it depression or anxiety disorder." oh… okay, so if they are being abused or gaslighted it's cause they're mentally ill right?

  6. "therapy and medication lead to the best outcome. we know that from every research about the subject." then why do most people don't leave and go onto develop schizophrenia and bipolar?

  7. I didn’t believe in medication until last year , I had so much anxiety that I had to take meds and they saved my life . I took them for 3 months!

  8. Kati, what's your take on Robert Whitaker's books? Watching his talks made me realize that psychiatry is simply evil.

  9. Gee….2 whose lives depend on therapy and prescribing trumpeting their wonders. There is nothing scientific about behavioral "disorders". They are made up be doctors. Everyone is different. Drugs are not the answer. And – as such, they figured out crap like narcissistic personality disorder etc that can only be helped by "therapy". Its all a crock, to benefit therapists and drug companies

  10. please if you or any one reading this know any connections of a treatment team you would recommend in middle Tennessee, specifically nashville. Let me know..I am in process to better my mental health and seeking out the best I can find.

  11. If you're bipolar, you get to be medicated for life. Especially if it's mixed with ptsd and generalized anxiety.

  12. I have this foamy saliva spitting cup when I eat drink spitting foamies should I go to psychiatric or gastrologist how many psychiatric appointment last

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