How to Tell If You Need a Medication Adjustment
- Dr Titilayo Akinsola

- Nov 15, 2025
- 5 min read
Introduction: When “Better” Stops Feeling Good Enough
Starting medication for anxiety, depression, or another mental health condition can be life-changing. For many, it means finally feeling like they can breathe again — the world becomes lighter, and daily life feels manageable.
But what happens when that sense of balance starts to slip? When your sleep worsens, your mood dips again, or side effects begin to interfere with your daily life? It might be time for a medication adjustment — a routine, evidence-based step that can help restore your stability.
At Favor Mental Health in Bel Air, MD, we see this every day. Medication needs are not static; they evolve as your body, brain, and life circumstances change. Recognizing the signs early can help you avoid relapse and maintain your progress.

Why Medication May Need Adjustment
It’s completely normal for your medication needs to shift over time. Even when you’re taking your prescription exactly as directed, several factors can alter its effectiveness, including:
Changes in body chemistry: Your body may metabolize the medication differently over time.
New stressors or life events: Major transitions (grief, illness, job loss) can intensify symptoms.
Medication tolerance: Your system might gradually adapt, reducing the drug’s effectiveness.
Physical changes: Weight fluctuation, hormonal changes, or aging can all impact medication response.
Interactions with other medications or supplements: Sometimes, even a new vitamin can shift how your primary medication works.
If you’ve been feeling “off” for a few weeks or months, it doesn’t always mean the medication is “wrong.” It may simply need fine-tuning — a new dose, schedule, or formulation.
Common Signs You Might Need a Medication Adjustment
Knowing what to look for helps you act early before small issues become bigger challenges. Below are key signs that it’s time to check in with your psychiatric provider:
1. Your Symptoms Are Returning
If your anxiety, depression, or mood swings have resurfaced — even mildly — after a period of improvement, that’s one of the clearest signs your medication may need reassessment.
Example: You’re suddenly waking up anxious again or noticing more “bad days” than good ones after months of stability.
2. You Feel Emotionally Numb or Flat
Some medications can overcorrect symptoms, leaving you feeling detached, apathetic, or emotionally muted. This isn’t the goal of treatment — and it’s something a dose or medication change can often fix.
3. You’re Experiencing New or Worsening Side Effects
Side effects like fatigue, insomnia, dizziness, appetite changes, or sexual dysfunction can mean your dose is too high or your body’s response has changed. Never ignore these — they are clinical feedback, not inconveniences.
4. You’re Having Trouble Concentrating or Functioning
If your focus, motivation, or work performance has dropped — and you’ve ruled out life stress — your medication could be part of the issue. Psychiatric medications can influence attention and cognition in subtle ways.
5. You’ve Started New Medications or Health Regimens
Even something as simple as an over-the-counter supplement can alter how your psychiatric medication is absorbed. Always tell your provider about new prescriptions, vitamins, or major diet changes.
6. Your Physical Health Is Changing
Conditions like thyroid imbalances, sleep apnea, or hormonal changes can interact with psychiatric medication. Your provider may need to collaborate with your primary care doctor to fine-tune your plan.
Tracking Your Symptoms: Your Most Valuable Tool
One of the most powerful things you can do before meeting with your provider is to track your experiences consistently.
Use a simple daily log or a mental health app to note:
Mood rating (1–10)
Sleep duration and quality
Energy level
Appetite changes
Side effects or physical symptoms
Major stressors or life changes
When you bring this data to your appointment, your provider gains a clearer picture of trends — not just snapshots — making medication adjustments more precise and effective.
How Medication Adjustments Work at Favor Mental Health
If you suspect your medication may need adjusting, our process is designed to be safe, personalized, and collaborative. Here’s what happens when you schedule a Medication Review Appointment with us in Bel Air:
Step 1: Comprehensive Evaluation
We take the time to understand your full story — including current medications, side effects, lifestyle factors, and recent life events.
Step 2: Evidence-Based Recommendations
Depending on your needs, we may:
Adjust the dosage or timing
Introduce an adjunct medication (to enhance the effect or manage side effects)
Consider switching to a different medication class if appropriate
Add psychotherapy or lifestyle strategies to enhance overall results
Step 3: Close Follow-Up
After any change, we follow up within weeks to assess improvement and catch side effects early. Adjustments are never “set and forget” — they’re monitored carefully to ensure stability.
When to Call Immediately
If you experience any of the following, don’t wait for your next scheduled visit — contact your provider right away:
New or worsening suicidal thoughts
Extreme agitation or panic
Unusual physical side effects (e.g., severe dizziness, rash, tremor, confusion)
Sudden shifts in mood or sleep that feel unmanageable
These signs could indicate a serious reaction or need for an urgent medication review.
The Power of Ongoing Collaboration
The best psychiatric outcomes come from partnership — you and your provider working together as equals.At Favor Mental Health, we encourage open conversations. You’ll never be rushed or dismissed. We take every concern seriously and explain all options clearly, so you always understand why a change is being made.
Remember: medication adjustment isn’t a setback — it’s a sign of progress. It means you’re paying attention, staying engaged, and advocating for your health.
Our Holistic Approach to Medication Management
Your mental health is not just chemical — it’s interconnected with your body, environment, and habits. That’s why our approach at Favor Mental Health includes:
Psychotherapy: To strengthen coping skills and emotional regulation
Lifestyle medicine: Addressing sleep, exercise, and nutrition
Substance use treatment: Supporting clients with co-occurring concerns
Ongoing monitoring: Keeping treatment dynamic, not static
By combining science and empathy, we help you reach sustainable recovery — not just short-term symptom relief.
Take the Next Step Toward Feeling Balanced Again
If you’ve been wondering whether your medication is still right for you, that’s already an important sign. You don’t need to wait until things feel unmanageable — we can help you find clarity and control right now.
📍 Location: Suite 9B, 260 Gateway Drive, Bel Air, MD 21014
📞 Phone: 410-403-3299
Your medication should work for you — not against you. Let’s review, rebalance, and move forward together.




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