Are Psychiatric Medications Overprescribed in Gen Z?
Written by Dr. Sakshi (MBBS, MD Psychiatry)
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 for every healing journey — with or without a prescription.
Need Professional Guidance?
You’re not alone. Whether you’re Gen Z, a concerned parent, or an educator—mental health is a valid conversation.
Book an appointment with me and let’s understand your journey—together.
📍 Dr. Sakshi
MBBS, MD (Psychiatry)
Practicing at: Diagnomind Clinic, BLK Max Hospital, Indian Spine Institute, and Primus Super Speciality Hospital
Online Consultations Available
DM @drsakshi_psychiatrist or call to book your session
As a psychiatrist who works closely with young adults, I can tell you — labeling Gen Z as “lazy workers” is an oversimplification. What many perceive as laziness is often a response to burnout, unrealistic expectations, and outdated workplace systems. Gen Z prioritizes mental health, work-life balance, and meaningful work, which may appear passive to older generations. But this generation is redefining productivity by seeking purpose over pressure.
Some of the most commonly discussed overprescribed drugs in psychiatry include:
Benzodiazepines (e.g., Alprazolam, Clonazepam) — typically prescribed for anxiety and insomnia.
Stimulants (e.g., Methylphenidate, commonly used for ADHD medication) — often debated due to rising ADHD diagnoses in young people.
SSRIs (Selective Serotonin Reuptake Inhibitors like Fluoxetine or Sertraline) — used for depression and anxiety disorders.
That said, the issue isn’t with the medications themselves, but with rushed diagnoses, lack of follow-up, and minimal access to therapy. When used responsibly and in combination with psychological interventions, these medications are safe and effective.
Yes, when prescribed by a qualified mental health professional and monitored closely, antidepressants can be safe and beneficial for young adults.
Medications like SSRIs (e.g., Fluoxetine) are approved for use in adolescents by regulatory bodies like the FDA and are commonly used to treat depression, anxiety, and OCD in young populations. However, close monitoring is essential, especially in the early weeks of treatment, as some individuals may experience increased agitation or mood changes.
As a psychiatrist, I take great care in choosing the right antidepressant, adjusting the dosage gently, and always combining it with psychotherapy and lifestyle adjustments to ensure holistic healing. Mental health medications are not a one-size-fits-all solution — they require expert supervision and compassionate care.
This is a question I hear often: “Is therapy better than medication?” The honest answer is — it depends on the individual.
For some, therapy alone is highly effective, especially in mild to moderate cases. For others, a combination of therapy and medication provides the best outcomes. Antidepressants or anxiety medications may offer short-term stability, allowing individuals to engage better in therapy.
The most effective treatment plans are customized, not standardized. I encourage every patient to explore both pharmacological and non-pharmacological options — including alternatives to medication like CBT, mindfulness, or behavioral coaching — to find the best path forward.
While psychiatric medications can be life-changing for many, there are also science-backed alternatives that support mental health without medication — particularly for those with mild symptoms or those starting their wellness journey. These alternatives to medication include:
Cognitive Behavioral Therapy (CBT)
Mindfulness-based practices (meditation, breathing exercises)
Regular physical activity (especially aerobic workouts)
Improved sleep hygiene and digital detox routines
Balanced nutrition focused on brain health
Journaling, creative expression, and community support
As a psychiatrist, I advocate for a multidimensional healing approach. Medications are just one tool — not the only one. Let’s create a plan that respects your preferences and long-term goals.
