🌟 Psychiatric Medicines in Children – Myths, Misconceptions & The Truth Parents Need to Know
When a doctor suggests psychiatric medicine for a child, most parents feel a mix of fear, guilt, and confusion.
“Will this make my child dependent?”
“Isn’t he too young for tablets?”
“Can’t she just try to control herself?”
These questions are natural — but many are built on myths rather than science.
This article clears common doubts and explains when medication becomes not just helpful, but essential for a child’s mental and emotional development.
🚫 Myth 1: “Psychiatric medicines will make my child addicted.”
✅ Truth:
Most psychiatric medications for children — like antidepressants, ADHD medicines, mood stabilizers, or antipsychotics — are non-addictive.
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They do not cause craving, withdrawal “high,” or drug-seeking behaviour.
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Stimulants like methylphenidate are sometimes misunderstood as addictive — but they actually reduce future risk of substance abuse in ADHD children.
😔 Myth 2: “These medicines will change my child’s personality.”
✅ Truth:
Properly prescribed medications do not change who the child is. They reduce symptoms that stop the child from being themselves.
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Medication does not remove creativity, intelligence, humour, or kindness.
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It helps reduce the problems that block their potential — inattention, anger outbursts, depression, obsessional thoughts.
A child should look more like themselves — not like a “zombie.”
If that happens, dosage or medicine needs adjustment.
🌿 Myth 3: “Why medicines? Can’t counselling alone help?”
✅ Truth:
Counselling/therapy is first-line. But in some cases, therapy alone is not enough — such as:
✔ Severe ADHD affecting school and safety
✔ Depression with suicidal thoughts
✔ OCD taking 2–3 hours of rituals daily
✔ Psychosis, hallucinations, or mania
✔ Aggression or self-harm in autism or conduct disorders
Therapy teaches skills. Medication makes the brain ready to learn them.
⏳ Myth 4: “Children will outgrow these problems — just wait.”
Some behavioural problems are age-specific — like temper tantrums or separation anxiety.
But untreated psychiatric disorders can worsen over time, affecting self-esteem, academics, friendships, and brain growth.
Condition | If Treated Early | If Ignored |
---|---|---|
ADHD | Better focus, confidence, friendships | Academic failure, accidents, substance abuse |
Depression | Faster recovery, good coping | Suicide risk, chronic sadness |
OCD | Reduces rituals, improves freedom | Becomes disabling over time |
Autism aggression | Better communication, safety | Self-injury, social isolation |
💊 Myth 5: “These medicines are for adults — children should not take them.”
✅ Truth:
Many psychiatric medications have FDA/BIS guidelines and child-approved doses.
They are never adult doses scaled down blindly.
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Child psychiatrists follow weight-based dosing
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Monitor growth, appetite, sleep, liver, kidney, hormones
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Use the minimum effective dose for shortest duration needed
🧠 Myth 6: “Psychiatric medicines damage the brain permanently.”
✅ Truth:
Untreated illness — not medication — is what harms the brain.
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Depression reduces hippocampal growth
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OCD strengthens anxiety loops
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ADHD affects prefrontal cortex development
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Psychosis left untreated can cause permanent cognitive decline
Medicine protects the brain by reducing toxic stress.
🔁 Myth 7: “Once started, medicines must be taken lifelong.”
✅ Truth:
Not true. Most children do not need lifelong medication.
Medication can be stopped when:
✔ Symptoms are gone for 6–12 months
✔ Child is doing well in school, sleep, emotions
✔ Therapy and parenting strategies are working
✔ Tapering is done slowly under medical supervision
📌 Final Message to Parents
✔ Medicine is not the first answer — but sometimes it is the necessary answer.
✔ It is not given to make a child obedient — but to help them feel better, think clearer, and live freely.
✔ The goal is not sedation — it is growth, confidence, learning, happiness.
👨⚕️ About the Author
Dr. Srinivas Rajkumar T
MD (AIIMS, New Delhi), DNB Psychiatry
Consultant Child & Adolescent Psychiatrist
Mind & Memory Clinic – Apollo Clinic (Opp. Phoenix MarketCity), Velachery, Chennai – 600042
📞 +91-8595155808 | 🌐 www.srinivasaiims.com
I specialise in ADHD, autism, childhood anxiety, depression, OCD, behavioural issues and safe use of psychiatric medicines in children—balancing science with compassion and parental understanding.