Medication Management Therapists in Dundee, MI

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Photo of Sumeyah Chaudhry, Clinical Social Work/Therapist in Dundee, MI
Sumeyah Chaudhry
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Milan, MI 48160
Making the decision to meet with a therapist and finding the one that is right for you is often a very difficult and overwhelming. It is my hope that this page will ease some of those worries and provide you with a sense of hope. As a therapist, I strive to be real & down to earth when working with someone. My goal is to help you reach your goals, while providing a supportive & an unbiased perspective.
Making the decision to meet with a therapist and finding the one that is right for you is often a very difficult and overwhelming. It is my hope that this page will ease some of those worries and provide you with a sense of hope. As a therapist, I strive to be real & down to earth when working with someone. My goal is to help you reach your goals, while providing a supportive & an unbiased perspective.
(734) 224-3822 x109 View (734) 224-3822 x109

Online Therapists

Photo of Beyond The Surface Counseling & Consulting, Clinical Social Work/Therapist in Dundee, MI
Beyond The Surface Counseling & Consulting
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Clemens, MI 48043
Our naturopathic doctor works with you to address imbalances more naturally or via medication management.
Experienced licensed therapists specializing in finding peace within the storm. Turning challenges to triumph. Our therapists help you develop skills, coping mechanisms, positive affirmations and identify triggers, strengths and weaknesses to live more abundantly. On your journey, we help you unpack emotional luggage, explore self-limiting beliefs, release old habits not serving you and identify emotional masking to help you heal more deeply. Our aim is to provide therapeutic insight so that you understand self more.
Our naturopathic doctor works with you to address imbalances more naturally or via medication management.
Experienced licensed therapists specializing in finding peace within the storm. Turning challenges to triumph. Our therapists help you develop skills, coping mechanisms, positive affirmations and identify triggers, strengths and weaknesses to live more abundantly. On your journey, we help you unpack emotional luggage, explore self-limiting beliefs, release old habits not serving you and identify emotional masking to help you heal more deeply. Our aim is to provide therapeutic insight so that you understand self more.
(586) 271-0321 View (586) 271-0321
Photo of Cognitive Care Center PC, Limited Licensed Psychologist in Dundee, MI
Cognitive Care Center PC
Limited Licensed Psychologist, MS, LLP
Verified Verified
Novi, MI 48375
We provide medication management, counselling and psychological services.
Are you stressed ? looking for a relief ? We provide professional, confidential mental health services for children, adolescents, adults, couples, and families. Our practice has psychiatrist, psychologist, therapists who specialize in various areas such as anxiety, depression, grief/loss, self-esteem, stress, bipolar, mood disorders, trauma, stress, school issues, substance abuse issues and behavioral issues. Our clinicians are trained to walk with you through the struggle to find a solution that would work best for you. We provide with psychiatric diagnosis and medication management for adults and 18 year and older.
We provide medication management, counselling and psychological services.
Are you stressed ? looking for a relief ? We provide professional, confidential mental health services for children, adolescents, adults, couples, and families. Our practice has psychiatrist, psychologist, therapists who specialize in various areas such as anxiety, depression, grief/loss, self-esteem, stress, bipolar, mood disorders, trauma, stress, school issues, substance abuse issues and behavioral issues. Our clinicians are trained to walk with you through the struggle to find a solution that would work best for you. We provide with psychiatric diagnosis and medication management for adults and 18 year and older.
(734) 868-5607 View (734) 868-5607
Photo of Murray Center for Behavioral Wellness, Psychologist in Dundee, MI
Murray Center for Behavioral Wellness
Psychologist, PhD
Verified Verified
1 Endorsed
Southfield, MI 48076
We are a full service clinic offering neuropsychological testing, therapy, medication management, parent coaching & tutoring services. Our mission is to provide caring, in-depth treatment and assessment services, with each individual’s needs in mind. Our staff includes licensed psychologists, psychiatric providers, and certified teachers and tutors. We provide consultation & follow-up services, focusing on collaborative treatment in a warm and inviting atmosphere. We offer services to children and adults. The aim in treatment is to help identify & foster your strengths while working with you to manage distressing areas of your life.
We are a full service clinic offering neuropsychological testing, therapy, medication management, parent coaching & tutoring services. Our mission is to provide caring, in-depth treatment and assessment services, with each individual’s needs in mind. Our staff includes licensed psychologists, psychiatric providers, and certified teachers and tutors. We provide consultation & follow-up services, focusing on collaborative treatment in a warm and inviting atmosphere. We offer services to children and adults. The aim in treatment is to help identify & foster your strengths while working with you to manage distressing areas of your life.
(248) 765-1795 View (248) 765-1795
Photo of Kendal Clinic, Marriage & Family Therapist in Dundee, MI
Kendal Clinic
Marriage & Family Therapist, PhD, LMFT
Verified Verified
6 Endorsed
Bloomfield Hills, MI 48302
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
(248) 716-5392 View (248) 716-5392
Photo of Wellspring Therapeutic Partners, Licensed Professional Counselor in Dundee, MI
Wellspring Therapeutic Partners
Licensed Professional Counselor, PhD, LMSW, LPC, DNP
Verified Verified
1 Endorsed
Clinton Township, MI 48038
Therapy and Medication Management appointments now available. Our trauma informed and culturally competent staff and providers offer evidence based, personal mental health treatment for you and your loved ones. Our services include counseling/therapy, behavioral assessments, medication management consultations, as well as pharmacogenomic testing for children (ages 6+), adolescents, and adults. (Select insurances accepted for medication evaluation and management, Blue Cross Blue Shield, Blue Care Network, Aetna, McLaren, and Priority Health)
Therapy and Medication Management appointments now available. Our trauma informed and culturally competent staff and providers offer evidence based, personal mental health treatment for you and your loved ones. Our services include counseling/therapy, behavioral assessments, medication management consultations, as well as pharmacogenomic testing for children (ages 6+), adolescents, and adults. (Select insurances accepted for medication evaluation and management, Blue Cross Blue Shield, Blue Care Network, Aetna, McLaren, and Priority Health)
(586) 846-4835 View (586) 846-4835
Photo of Mae Lambert Thompkins Accepting New Clients-No Waiting List, Licensed Professional Counselor in Dundee, MI
Mae Lambert Thompkins Accepting New Clients-No Waiting List
Licensed Professional Counselor, MA, LPC, IGDC
Verified Verified
Warren, MI 48089  (Online Only)
My Clinical Practice also offers Medication Management with a Psychiatric Nurse Practitioner.
I Am Accepting New Clients Now! I look forward to working with clients from any background As a counselor, I believe that all people deserve to be heard. I am dedicated to assisting with emotional needs. I want to eradicate the social economic discrepancy across all levels. My Practice Offers Telehealth Sessions All Across The State Of Oregon!
My Clinical Practice also offers Medication Management with a Psychiatric Nurse Practitioner.
I Am Accepting New Clients Now! I look forward to working with clients from any background As a counselor, I believe that all people deserve to be heard. I am dedicated to assisting with emotional needs. I want to eradicate the social economic discrepancy across all levels. My Practice Offers Telehealth Sessions All Across The State Of Oregon!
(971) 272-8450 View (971) 272-8450
Photo of Charles Kennedy, Clinical Social Work/Therapist in Dundee, MI
Charles Kennedy
Clinical Social Work/Therapist, LMSW
Verified Verified
Flint, MI 48532  (Online Only)
Waitlist for new clients
I specialize in teaching anger management skills, helping overcome anxiety/depression, encouraging medication management, and helping individuals develop a more positive self-image.
I have had the opportunity for the last 20 years of working with children, teens, adults, and families around the country in various roles along my career. I have been a practicing clinician since 2013, having obtained my graduate degree and training from Michigan State University, School of Social Work. I have been successful in helping individuals in identifying strengths and weaknesses to aid in addressing the presenting set of problems.
I specialize in teaching anger management skills, helping overcome anxiety/depression, encouraging medication management, and helping individuals develop a more positive self-image.
I have had the opportunity for the last 20 years of working with children, teens, adults, and families around the country in various roles along my career. I have been a practicing clinician since 2013, having obtained my graduate degree and training from Michigan State University, School of Social Work. I have been successful in helping individuals in identifying strengths and weaknesses to aid in addressing the presenting set of problems.
(810) 479-5256 View (810) 479-5256
Photo of Innovatel Medical, Clinical Social Work/Therapist in Dundee, MI
Innovatel Medical
Clinical Social Work/Therapist
Verified Verified
Detroit, MI 48243  (Online Only)
Our multidisciplinary team of highly skilled psychiatrists, nurse practitioners, therapists, care coordinators and care managers offer compassionate, personalized care including therapy and medication management to meet the unique needs of individuals including stress, anxiety, depression, bipolar disorder, sleep difficulties, trauma, PTSD and many more.
At Innovatel Medical our expert team of providers bring tailored mental wellness right to your home via telehealth. Your behavioral health needs are specific to you, and your care should be, too. From therapy services to medication assistance and prescribing, our accessible virtual services are your passport to a happier, healthier you – all from the comfort of your home. Don't let your mental health struggles hold you back; let us help guide you through your own unique journey of success and well-being.
Our multidisciplinary team of highly skilled psychiatrists, nurse practitioners, therapists, care coordinators and care managers offer compassionate, personalized care including therapy and medication management to meet the unique needs of individuals including stress, anxiety, depression, bipolar disorder, sleep difficulties, trauma, PTSD and many more.
At Innovatel Medical our expert team of providers bring tailored mental wellness right to your home via telehealth. Your behavioral health needs are specific to you, and your care should be, too. From therapy services to medication assistance and prescribing, our accessible virtual services are your passport to a happier, healthier you – all from the comfort of your home. Don't let your mental health struggles hold you back; let us help guide you through your own unique journey of success and well-being.
(267) 490-3963 View (267) 490-3963
Photo of Brittany Klein, Clinical Social Work/Therapist in Dundee, MI
Brittany Klein
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Troy, MI 48084
I can provide seamless referrals for medication management, therapy for loved ones or other household members & EMDR services as needed and appropriate.
Do you need to feel better? Less stressed? Less guilty and less overwhelmed? Lately, navigating day to day life is full of change and chaos. It’s stressful, it’s draining, and at times, it might even feel bleak. Having the tools and the right support will give you the personal power you need to tame the chaos and give you personal peace to embrace a life that is centered and grounded. When we work together, you will get the tools and support you need to invest in yourself in a healthy way, giving you the energy and mental space to show up authentically for yourself and those you care about without constant self-sacrifice.
I can provide seamless referrals for medication management, therapy for loved ones or other household members & EMDR services as needed and appropriate.
Do you need to feel better? Less stressed? Less guilty and less overwhelmed? Lately, navigating day to day life is full of change and chaos. It’s stressful, it’s draining, and at times, it might even feel bleak. Having the tools and the right support will give you the personal power you need to tame the chaos and give you personal peace to embrace a life that is centered and grounded. When we work together, you will get the tools and support you need to invest in yourself in a healthy way, giving you the energy and mental space to show up authentically for yourself and those you care about without constant self-sacrifice.
(313) 513-0649 View (313) 513-0649
Photo of Ann Dadah, Licensed Professional Counselor in Dundee, MI
Ann Dadah
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Rochester, MI 48307
I can also arrange for medication management if we detrmine that your symptoms require this type of intervention.
With so many people seeking Mental Health Services, it is so important that the match between therapist and client is one in which the client is comfortable and confident. Reaching out for help can be a difficult and sometimes scary process, but I can commit to making this a simple, smooth and stress-free journey for you. My specialties are resolving issues related to Anxiety and Depression, Trauma, Anger, Grief and Loss, Adjustment Disorders, Relationship Issues, Obsessive-Compulsive Behavior, or struggling with stress related to lingering emotional problems from the pandemic. You deserve to be happy! Call now. Ann
I can also arrange for medication management if we detrmine that your symptoms require this type of intervention.
With so many people seeking Mental Health Services, it is so important that the match between therapist and client is one in which the client is comfortable and confident. Reaching out for help can be a difficult and sometimes scary process, but I can commit to making this a simple, smooth and stress-free journey for you. My specialties are resolving issues related to Anxiety and Depression, Trauma, Anger, Grief and Loss, Adjustment Disorders, Relationship Issues, Obsessive-Compulsive Behavior, or struggling with stress related to lingering emotional problems from the pandemic. You deserve to be happy! Call now. Ann
(248) 940-3533 View (248) 940-3533
Photo of Dr. Kimberly Winston-Matthews in Dundee, MI
Dr. Kimberly Winston-Matthews
MD
Verified Verified
West Bloomfield, MI 48322  (Online Only)
I am a Family Medicine Doctor who provides counseling, evaluations and medication management in Michigan.
Welcome to a safe space for black women, indigenous women, women of color and our allies. It is important to recognize that cultural factors can impact how conditions are experienced and treated. For example, research has shown that individuals from BIPOC racial and ethnic backgrounds may be less likely to seek mental health treatment due to cultural stigma, lack of access to care, or mistrust of healthcare providers. As a black doctor with cultural understanding, I am uniquely positioned to address these barriers and provide culturally sensitive care for women with ADHD, Anxiety, Obesity and Professional Burnout.
I am a Family Medicine Doctor who provides counseling, evaluations and medication management in Michigan.
Welcome to a safe space for black women, indigenous women, women of color and our allies. It is important to recognize that cultural factors can impact how conditions are experienced and treated. For example, research has shown that individuals from BIPOC racial and ethnic backgrounds may be less likely to seek mental health treatment due to cultural stigma, lack of access to care, or mistrust of healthcare providers. As a black doctor with cultural understanding, I am uniquely positioned to address these barriers and provide culturally sensitive care for women with ADHD, Anxiety, Obesity and Professional Burnout.
(248) 720-6375 View (248) 720-6375
Photo of Fai Cheleuka, Pre-Licensed Professional in Dundee, MI
Fai Cheleuka
Pre-Licensed Professional, LLMSW
Verified Verified
1 Endorsed
Waterford, MI 48328
Are you looking to change areas of your life that are holding you back or do you need a safe space to talk and have someone listen to you? If you are struggling with depression, self-esteem, anxiety, adjustment, relationships, parenting, substance misuse, or other areas that make you feel that you are not living your life to your fullest potential, I can help! We have it in us to be the best version of ourselves and sometimes we need help to unlock it.
Are you looking to change areas of your life that are holding you back or do you need a safe space to talk and have someone listen to you? If you are struggling with depression, self-esteem, anxiety, adjustment, relationships, parenting, substance misuse, or other areas that make you feel that you are not living your life to your fullest potential, I can help! We have it in us to be the best version of ourselves and sometimes we need help to unlock it.
(248) 422-1071 View (248) 422-1071
Photo of Rose Cook, Limited Licensed Psychologist in Dundee, MI
Rose Cook
Limited Licensed Psychologist, MA, LLP
Verified Verified
4 Endorsed
Detroit, MI 48223  (Online Only)
"Life is like a box of chocolates. You never know what you're gonna get." Life happens everyday. Life can be overwhelming and at those moments choosing to get support from a professional is a great plan. Family, marriage, relationships, health, and work are all areas in which life happens. So whether you are currently experiencing or still struggling with stress, depression, trauma, relationship issues, divorce, palliative care (curable/chronic illness/pain/life-threatening), or are just in need of some self care, I am here to work with you towards creating balance in your life.
"Life is like a box of chocolates. You never know what you're gonna get." Life happens everyday. Life can be overwhelming and at those moments choosing to get support from a professional is a great plan. Family, marriage, relationships, health, and work are all areas in which life happens. So whether you are currently experiencing or still struggling with stress, depression, trauma, relationship issues, divorce, palliative care (curable/chronic illness/pain/life-threatening), or are just in need of some self care, I am here to work with you towards creating balance in your life.
(248) 750-8969 View (248) 750-8969
Photo of Sollars and Associates, Psychologist in Dundee, MI
Sollars and Associates
Psychologist, PhD, LP
Verified Verified
East Lansing, MI 48823
We provide short-term and in-depth counseling and psychotherapy. Our therapists are experienced and educated in a variety of approaches and techniques. Collectively our group offers a great deal of experience in evaluating and working with children, adolescents and families dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
We provide short-term and in-depth counseling and psychotherapy. Our therapists are experienced and educated in a variety of approaches and techniques. Collectively our group offers a great deal of experience in evaluating and working with children, adolescents and families dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
(517) 994-1860 View (517) 994-1860
Photo of Macomb Therapy Group, PLLC, Counselor in Dundee, MI
Macomb Therapy Group, PLLC
Counselor, LMSW, LPC, LLP, CAADC, PA-C
Verified Verified
3 Endorsed
Clinton Township, MI 48038
We all need a friendly ear, especially in difficult times. With someone in your corner you can build the coping skills needed to handle life's challenges with confidence. Macomb Therapy Group works with adults, adolescents, families and couples. Our clinicians have experience counseling people from a range of backgrounds and ages; facing a variety of challenges: from individuals dealing with depression, anxiety, trauma, and post-traumatic stress disorder; to children and adults in crisis and families with relational problems.
We all need a friendly ear, especially in difficult times. With someone in your corner you can build the coping skills needed to handle life's challenges with confidence. Macomb Therapy Group works with adults, adolescents, families and couples. Our clinicians have experience counseling people from a range of backgrounds and ages; facing a variety of challenges: from individuals dealing with depression, anxiety, trauma, and post-traumatic stress disorder; to children and adults in crisis and families with relational problems.
(586) 333-5328 View (586) 333-5328
Photo of Jessica Wentworth in Dundee, MI
Jessica Wentworth
NP
Verified Verified
New Hudson, MI 48165
Jessica Wentworth is a Psychiatric Mental Health Nurse Practitioner in Michigan who has been practicing since 2016. Jessica adopts a holistic approach that considers the interconnectedness of mental, emotional, and physical well-being. Jessica believes in the power of collaboration and actively works with individuals to tailor treatment plans that align with their unique needs and goals. Outside of work, Jessica enjoys traveling, hiking, and spending time with her husband and two kids.
Jessica Wentworth is a Psychiatric Mental Health Nurse Practitioner in Michigan who has been practicing since 2016. Jessica adopts a holistic approach that considers the interconnectedness of mental, emotional, and physical well-being. Jessica believes in the power of collaboration and actively works with individuals to tailor treatment plans that align with their unique needs and goals. Outside of work, Jessica enjoys traveling, hiking, and spending time with her husband and two kids.
(947) 465-2496 View (947) 465-2496
Photo of Ashley McClellan, Clinical Social Work/Therapist in Dundee, MI
Ashley McClellan
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Orion, MI 48360
Did you know most therapists have their own therapist? Why do I share this? Because I want to help destigmatize receiving mental health treatment. What may look like today's standards as a “perfect” life from the outside, could actually have imperfections of their own. Life's daily stressors are enough to handle on your own, now add in grief, trauma, life changing events, anxiety, depression, & more.
Did you know most therapists have their own therapist? Why do I share this? Because I want to help destigmatize receiving mental health treatment. What may look like today's standards as a “perfect” life from the outside, could actually have imperfections of their own. Life's daily stressors are enough to handle on your own, now add in grief, trauma, life changing events, anxiety, depression, & more.
(248) 963-8382 View (248) 963-8382
Photo of Dr. Debra J. Farrell, Counselor in Dundee, MI
Dr. Debra J. Farrell
Counselor, PhD, MS, LPC, CAADC, CRC, CCMHC
Verified Verified
Lansing, MI 48917
Compassionate, resourceful Ph.D level therapist assisting in areas of self, family, home, school, work, and community. Licensed Professional Counselor and Licensed Occupational Therapist in Michigan. Over 41 years of combined experience working in mental/behavioral health rehab, alcohol/drug rehab, medical/physical rehab, and industrial/vocational rehab. "Biopsychosocial-spiritual" approach to "heartache, loss, healing, recovery, and transformation" using conventional, non-traditional, and complementary approaches. I will help you tap into your personal resilience to overcome any barriers to your lifelong success and happiness.
Compassionate, resourceful Ph.D level therapist assisting in areas of self, family, home, school, work, and community. Licensed Professional Counselor and Licensed Occupational Therapist in Michigan. Over 41 years of combined experience working in mental/behavioral health rehab, alcohol/drug rehab, medical/physical rehab, and industrial/vocational rehab. "Biopsychosocial-spiritual" approach to "heartache, loss, healing, recovery, and transformation" using conventional, non-traditional, and complementary approaches. I will help you tap into your personal resilience to overcome any barriers to your lifelong success and happiness.
(517) 826-4891 View (517) 826-4891
Photo of Paul Wierzbicki, Clinical Social Work/Therapist in Dundee, MI
Paul Wierzbicki
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Ferndale, MI 48220  (Online Only)
Queer, here, and ready to help you heal! If you're looking for someone to help you identify your strengths, reach a new level of insight about you and who you want to become, plus meet you where you're at; I'm here for you. Problems that I can help with include self-esteem building, anxiety, depression, ADHD, stress management, anger management, grief and loss, and adjustments and acceptance of major events, as well as other problems you may be struggling with. I am trained in cognitive behavior therapy (CBT). I can help you identify your thoughts and help provide support forming balanced and adaptive thinking
Queer, here, and ready to help you heal! If you're looking for someone to help you identify your strengths, reach a new level of insight about you and who you want to become, plus meet you where you're at; I'm here for you. Problems that I can help with include self-esteem building, anxiety, depression, ADHD, stress management, anger management, grief and loss, and adjustments and acceptance of major events, as well as other problems you may be struggling with. I am trained in cognitive behavior therapy (CBT). I can help you identify your thoughts and help provide support forming balanced and adaptive thinking
(248) 422-1716 View (248) 422-1716

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Medication Management Therapists

What are the most effective ways to manage medications?

One of the most effective ways a patient can manage their medications is to keep a list of each drug and dosage they take. Such a list can be helpful in keeping to their schedule and can also be something they bring to their psychiatrist or other physician so that the healthcare provider has a clear picture of what they’re taking and in what quantity. Using a pill organizer can be useful for memory and organization. Patients should discuss their medications and their effects at every appointment.

What are the risks if medications are not managed properly?

A suboptimal approach to medication management can lead to potentially harmful health outcomes. Most psychiatric drugs have side effects, and if a patient is not aware of them, they may seek additional medical help or over the counter or prescription drugs to treat the side effects, which may have its own side effects, a process called “prescription cascade.” Another risk to disorganization is that a psychiatrist without full knowledge of a patient’s regimen could prescribe a medication that should not be mixed with a patient’s existing drugs.

What’s the best way to encourage someone to get help managing their medications?

It’s helpful to express concern and love for the person while framing medication management as a tool for improving their life and avoiding dangerous side effects. Offering specific examples of an individual’s failure to properly manage their medication regimen should be done with compassion and with empathy. It may be useful to break management down into parts, and there are several apps that can be used to organize which drugs are ingested, when they need to be refilled, and how they should be stored.

Are there natural treatments that can replace medications?

While there are many medications that can be vital to mental health, there are some natural lifestyle changes that can help reduce the need for drugs. Regular exercise, good sleep habits, a healthy diet, and therapy can all go a long way in symptom relief. Psychiatric medications typically treat symptoms but do not necessarily treat the cause of the condition. Many clinicians consider medications an adjunct to treatment rather than a treatment in and of itself.