MENTAL HEALTH MYTHS & FACTS

Written by Dr. Sakshi (MBBS, MD Psychiatry) Psychiatrist | Mental Health Expert As a practicing psychiatrist, I’ve often been asked — “Are we overprescribing psychiatric medications to Gen Z?” It’s a question that comes from a place of concern, confusion, and sometimes even fear. In the age of rising mental health awareness, we’re seeing more teens and young adults seeking psychiatric help than ever before. While that’s a positive shift, it has also sparked conversations around whether medications — particularly anxiety medication, ADHD medication, and other mental health medications — are being recommended too often and too quickly. Let’s explore this topic with evidence, empathy, and honesty. Gen Z: A Generation More Open About Mental Health Born between 1997 and 2012, Gen Z is the first generation that speaks about anxiety, depression, ADHD, and burnout without shame. They are digital natives, but also emotionally overloaded. With 24/7 exposure to academic pressure, climate dread, online validation, and hustle culture — it’s no surprise that they’re experiencing unprecedented psychological stress. This mental load has brought Gen Z into therapy rooms, psychiatric clinics, and wellness spaces. That’s a huge step forward. But it has also increased the prescription rates for mental health medications. The question is: are these medications being given too liberally? The Short Answer? It’s Complicated. In my experience, psychiatric medications are not the first solution I reach for. Every treatment begins with an in-depth evaluation, listening to the patient’s story, understanding their environment, and exploring non-pharmacological interventions. But there are times when anxiety medication, ADHD medication, or antidepressants are necessary — not because we’re trying to “quick fix” emotions, but because the neurochemical imbalance is real. The Truth About “over prescription” in Gen Z There are valid concerns about over prescription, but they must be unpacked in a balanced and contextual way: 1. More Diagnoses, More Awareness We’re diagnosing mental health conditions earlier because awareness and access have improved — not because Gen Z is “weaker.” 2. Lack of Access to Therapy A major reason medication is prescribed more often is the lack of affordable therapy. This raises the question, is therapy better than medication? Ideally, both works best together, but if therapy isn’t accessible, doctors may rely on medication for urgent stabilization. 3. The Rise of Self-Diagnosis Social media has led many Gen Z individuals to self-diagnose anxiety, ADHD, or mood disorders, and demand specific medications. This creates pressure on physicians and leads to confusion about proper treatment. 4. Time Constraints in Psychiatry Overloaded systems mean many professionals don’t have the luxury of 40-minute evaluations. In rushed settings, medications are sometimes prescribed without exploring alternatives to medication — something we must actively reform. What Counts as Over prescription? Over prescription doesn’t mean “more people are getting meds.” It means: The diagnosis was unclear Medication was given without full evaluation There was no follow-up or review It wasn’t paired with therapy or lifestyle intervention When these errors occur, yes — we risk overmedicating. But when a prescription follows clinical standards, it’s not overuse — it’s appropriate care. Anxiety Medication & ADHD Medication: When Are They Necessary? Anxiety medication (like SSRIs or benzodiazepines) and ADHD medication (such as methylphenidate or atomoxetine) are often misunderstood. These aren’t “happy pills” or “study enhancers.” They’re medications that address brain chemistry, reduce intrusive thoughts, and improve functioning — especially when symptoms are severe and persistent. I’ve worked with young patients who couldn’t attend school due to panic attacks or who felt chronically distracted and ashamed due to undiagnosed ADHD. For them, medication brought relief, clarity, and functionality. Mental Health Medications: Support, Not Substitution The goal of any mental health medication is not to dull emotions — it’s to help the brain stabilize so the patient can actually benefit from therapy, lifestyle changes, and social support. Think of medication as a bridge — not the destination. However, blind reliance on pills, without addressing root causes like trauma, unhealthy environments, or lack of emotional regulation, does no good. Are There Alternatives to Medication? Yes, Absolutely. For mild to moderate cases, or for those who are hesitant to begin with medications, I always offer alternatives to medication. These include: Cognitive Behavioral Therapy (CBT) Regular physical activity (especially aerobic exercise) Sleep hygiene and circadian rhythm stabilization Nutritional psychiatry (e.g., gut-brain health) Journaling and mindfulness Community support and structured routines These interventions, especially when personalized, can offer sustainable long-term benefits. Is Therapy Better Than Medication? Or Do They Work Together? It’s not a competition. The real question isn’t “is therapy better than medication?” but rather, “what combination works best for this unique individual?” In many cases: Medication treats the neurobiology (brain chemistry) Therapy treats the psychology (thought patterns, emotional triggers) For example, someone with major depression may need medication initially to reduce symptoms enough to even engage with therapy. So, no — therapy isn’t “better” than medication. And medication isn’t a “crutch.” Together, they can transform lives. How I Prescribe Medication Ethically: My Approach Before recommending any medication, here’s what I personally evaluate: Detailed psychological and medical assessment Understanding family, social, and academic context Identifying stressors and sleep patterns Screening for trauma and lifestyle factors Open conversation with the patient (and parents, if minor) Discussing alternatives to medication Setting clear expectations and follow-up plans No one should ever feel pushed or rushed into medication. It’s a shared, informed decision. Gen Z Deserves Empathy, Not Assumptions Labeling Gen Z as “overmedicated” overlooks the systemic challenges, social changes, and mental health revolution this generation is navigating. Let’s not shame young people for seeking help. Instead, let’s build a system where: Therapy is affordable Medication is ethical Recovery is holistic and human Final Thoughts from Dr. Sakshi Are psychiatric medications overprescribed in Gen Z? In some cases, yes — especially where diagnosis is rushed or therapy isn’t offered. But more often, medication is helping Gen Z regain control, clarity, and calm in a chaotic world. Let’s not stigmatize those who take medication. Let’s ask better questions, build integrated solutions, and hold space