A rough patch might mean minimal medication modifications (oh, holy alliteration, Batman), but since Christmas: one medication has doubled, another has quadrupled and another has been changed altogether. It’s definitely a crisis.
A crisis, of course, isn’t the only time medications can be changed. Mr. Juniper’s medication is reviewed every time he sees his psychiatrist because his condition is constantly fluctuating. Sometimes those changes will be minimal and there’s no need to alter what he’s taking. At other times his condition will change to a degree that a medication may need increased or reduced. Then there’s a crisis and there is one primary objective for everyone involved: stabilisation.
The tough part of a crisis is that it usually arrives without so much as the decency to phone ahead. Certainly there can be times where Mr. Juniper’s condition worsens and it isn’t a crisis, but for us, there is a difference between the slow burning approach of difficult times and the crisis which turns up on the doorstep unexpectedly and comes in before you’ve had a chance to ask what it’s doing there.
With a slow burn, everyone can prepare; there can be medication changes, but more importantly, Mr. Juniper’s mental health team as a whole can increase support so that there is help through every step of the difficult period.
With a crisis, there is little-to-no warning, and medication is the fastest way to stabilise Mr. Juniper. Therapy (in its various forms) is of course important, but when a crisis hits, a person needs stabilising, like, yesterday. Movies and television often show that therapy can bring earth-shattering results in the space of sixty minutes. Including commercials. Truth is (for us, anyway) that therapy, in a crisis, is only comparable to medication when a person is about this close to doing something detrimental. Otherwise, it’s medication. In the space of twenty minutes, medication can throw a lifebelt to someone going through a crisis. It’s not a cure and it doesn’t leave Mr. Juniper with thoughts of Batman riding unicorns, but it affords him a little breathing space.
Outside of a crisis, medication is still an important part of Mr. Juniper’s treatment. There are some schools of thought which consider medication to be unnecessary and harmful. For Mr. Juniper, medication is what enables him to partake in therapy, and so make progress. Medication is also tailored to every patient and something done in confidence between a patient and the professionals caring for them. So while there may be people in the world who denounce medication, that is their decision. Mr. Juniper’s decision is to allow medication to be part of his treatment as a whole.
Medication does come with risks, there is no doubt about it. But for many people who live with (physical and mental) conditions, the risks that come with a medication are often outweighed by the benefits. This is where it’s important to do research and discuss medications. Mr. Juniper and I have several resources we go to when a new medication comes up, and more often than not, Wikipedia is a good place to start. Anecdote time: Mr. Juniper went onto a new medication, so we looked it up and perhaps fueled by the dire status of our sex life at the time, I saw the risk of priapism noted among others and promptly started howling with laughter. Yes, I am ever the supportive wife. At least we were informed. The risks that are posed by medication are another situation where Mr. Juniper’s “regular” doctors are so important in his care, as they monitor his general health. There are then also the more day-to-day (though still significant) side-effects that come with medication. These can be everything from a hangover effect that medication can cause, to things like sickness and change in sex drive.
There are then the more subtle effects of medication. Which in hindsight seem about as subtle as a unicorn riding Batman. I wrote in the first Caregiving article about medication and one in particular which had, in effect, turned Mr. Juniper into a zombie. It was a horrible period of time, even more so because medication has to be given an opportunity to work and that takes more than a couple of days. The difficult period with the zombie medication never passed, but at least we knew, and it paved the way for a different medication which did work. Unfortunately, those difficult periods are rarely limited to one drug and many, including Mr. Juniper, go through years of trial and error, in an attempt to find medication which is right for them.
Medication is about balance, choice and knowledge. It’s also a personal choice that needs careful consideration, with the guidance, support and care of good professionals. For Mr. Juniper, medication has enabled him to reap the benefits of therapy, and given rise to the occasional laugh when I open our medicine cabinet. Medication has, in a nutshell, been good and bad, but the good has outweighed the bad and for that, we are grateful every day.