Mental Health Medications: An Interview with Dr. Verga

Dr. Verga has been a practicing psychologist in NC since 1981 and Associates’ Director since 1991.  He shares his thoughts from his clinical experience on the use of
mental health medications.

--In your 30 years of practice, how have you seen the use of medication change?
In two ways—first, the medications are more refined and targeted to specific areas and second, the public’s awareness and acceptance of the value of these medications has come a long way.

--When are you likely to refer someone for medication?
Whenever a client’s distress reaches the level of interfering with their normal functioning, medication may be part of the treatment plan.  It can relieve symptoms, stabilize mood and open the way for meaningful psychotherapy or counseling.  This could include mood disorders, life transitions or significant losses.

--Where do you refer your clients when they have this need?
Over the years we have established referral relationships with professionals that we know and trust and who recognize that counseling and personal growth go hand in hand with the use of medication.  Research also supports the combination as the most effective means of treatment for many disorders, especially depression.

--Is there an average length of time someone might take a prescribed medication?
This depends on the presenting problem, symptoms and overall level of distress.  Since many of the medications take 4-6 weeks to reach a therapeutic level, they usually need to be taken for at least a few months.  Just as important as the duration is the careful management of the dosage by the prescribing physician and communication with the therapist.

--Some people feel that medication should not be necessary to deal with an emotional issue because of their faith.  How would you address that?
This line of thinking reflects a long-standing stigma about mental health treatment.  Many of those same people would not hesitate to fill a prescription for a physical ailment or a chronic condition such as diabetes.  We need to continue our efforts to educate the public about mental health treatment and the appropriate use of medication.  In the counseling process there is ample opportunity to consider all the contributing factors and to also welcome a wide range of solutions including faith and prayer.  In this regard a Christian client may bring richer resources to the recovery process.

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