You don’t need permission to not medicate. You can very much have an opinion about drugs. I think that’s one of the biggest shortcomings of psychologists and therapists is that they don’t take a more active stance on the medication issue. They feel that well I’m not an M.D. and I shouldn't say anything about it. That’s absolutely not true. If your client came in to you and said, 'hey I'm thinking about snorting some lines of cocaine because I've been feeling sad and depressed and I feel suicidal', I can guarantee you that therapist will say, 'wait a minute, I don’t think that’s going to be helpful and this is why I don’t think its going to be helpful'.
I think that therapists have an obligation, now at least a minimim say, hey you may want to take an antidepressant but here’s what you may not know and really just support their decision making. I take a very neutral approach, not pro med not against, recognize that taking med can lower a thought, feeling, or behavior that you don’t want but it also comes with a huge price and I know it comes with a huge price because the research is overwhelming.
The moment that you start being a policing agent or the moment that you start covering your butt, you’ve stopped doing good therapy and you’ve increased the risk of that person committing suicide. The way to reduce suicide is to provide good therapy. The moment you start referring for meds you immediately are starting down a path where you are trying to control your patient and you are saying there is something wrong with you. There’s basically just a couple ways of getting forced into hospital, you either scare your therapist or you frustrate your therapist. If you frustrate your therapist, they will say there’s something wrong with you. You hear them say you are the problem. You never hear a therapist say, what am I missing.If the clients not getting better, you don’t look at them, you look at yourself.Maybe you are trying to control them and that is the problem.
The only thing that’s going to restore an injury to somebody’s humanity is being humane to them.