Medication for young people self-harming

When a young person who self-harms also has a mental health problem, such as depression, they may be prescribed medication. Some of the parents and carers we spoke to talked about how the young people had reacted to this.

Some were pleased with the effects of the tablets they were prescribed. Charles’s son thought his increased dose of antidepressants was helpful. Audrey’s husband became much calmer after taking mood stabilisers and ‘could see everything from a different perspective’. Jane S said that when her daughter was on her medication ‘She’s lively, she’s bubbly, she’s just normal.’

Mood stabilisers helped Audrey’s husband cope with his feelings before he started CBT (cognitive behaviour therapy).

Age at interview 30

Gender Female

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Often it takes time for people to get used to medication and doctors have to try out different doses. Ann’s daughter had some side effects. ‘Once she started on medication things actually got a lot worse,’ Ann told us. ‘I think her medication had a lot to do with her behaviours at that particular episode and she was put in the psychiatric intensive care unit’. Jo noticed that her daughter’s behaviour was becoming more ‘erratic’ after her GP reduced the dose. She didn’t know if the reduction was because the GP thought it appropriate or whether her daughter was ‘pushing to get it reduced’. Gwendoline’s daughter was put on some medication which affected her badly: ‘She was going stir crazy and she just felt like she was going to explode’.

Erica’s daughter had problems with different medications but is now taking one which suits her.

Age at interview 48

Gender Female

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Annettes son reacted badly to the medicine he was given. She thought doctors should have got to know him better before they prescribed the tablets.

Age at interview 54

Gender Female

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Jo-Ann’s daughter has epilepsy and obsessive compulsive disorder so it was difficult to get her medication right.

Gender Female

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Sometimes the young person decided not to take their medication. Sandra’s daughter tried medication to help her moods for nine months, but decided it wasn’t helping and ‘weaned herself off’. Joanne’s daughter refused to take antidepressants but did take antipsychotic drugs. ‘The meds she really needs, she refuses to take’, said Joanne. ‘Don’t know if that’s another form of self-harm or whether she just physically can’t allow herself to get better. I don’t know. Nightmare.’ Jane S’s daughter told her mother something similar: ‘I’m not sure whether sometimes I purposely don’t order my medication because it’s another form of self-harming.’

Sandra’s daughter didn’t want her system to be a medicine trolley. Now she only takes sleeping pills occasionally and is coping well.

Age at interview 49

Gender Female

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Medication helped reduce stress for Jane S’s daughter but when she felt normal’ she sometimes didn’t take it. She had problems getting prescriptions.

Age at interview 54

Gender Female

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Jane S (see clip above) and Ann talked about difficulties in getting prescriptions. Ann told us that when her daughter was an outpatient, ‘There seems to be a communications gap between the hospital and the GP as regards medication, but that message never gets across when there’s been a change in the medication.’ Ann had to ring the GP’s secretary to ask for the new prescription.