The decision to take medication for depression, anxiety, attention difficulties or other mental health problems can be a challenging one. The media overwhelms us with ads that suggest medications are a sure way out of misery and then horror stories questioning safety and efficacy. Making the decision to take medication or allow medication to be given to a child becomes as daunting as the problem we are trying to cure.

Over our many years as psychotherapists, we have seen medication help, do nothing and at times make things worse. Unfortunately there is virtually no way of knowing how medications will work with any individual before a prescription is written and a dose, or several doses, are taken. The reasons for a medication recommendation vary depending on the professional and the professional’s background. Many physicians recommend medication as the first line of treatment for a variety of mental health problems because it is more in line with their training. On the contrary, psychotherapists may actually resist making recommendations for a medication evaluation because it is not in line with their training. Remember, somebody who has only a hammer as a tool may treat everything like a nail.

It would be impossible to address all of the complexities of the decision to use medication, or not, in a brief column like this one. However, we would like to offer a few suggestions that may assist you in the decision-making process.

1. When professionals recommend medication, make sure they give you a detailed explanation for the recommendation.

2. Consider getting a second opinion for the use of medication.

3. Thoroughly go over potential side effects with the prescribing physician. Include in the discussion any possible side effects of coming off the medication.

4. Many of the benefits of medication can be gained with changes in diet, and the addition of exercise, yoga, meditation and other lifestyle changes. Discuss these options as symptom reduction techniques with a professional.

5. Ask your referring professional or the prescribing physician if there are any alternatives, like herbs, biofeedback or other modality that may work. If your referring professional or prescribing physician doesn’t have the information, seek out a licensed naturopath or other alternative medicine provider.

6. Try not to let someone else’s experience with medication guide you to a hasty decision. It may be helpful to talk with others about their experience; however, remember that your situation and what you may need at this time is unique to you.

7. Beware of Internet chatter. Much of the information out there is misleading. And as with listening to friends and family, listening to the diverse opinions on the Web may sway you to make a decision that is not in your best interest.