Episode 50: Spotify | Apple Podcasts | YouTube
View transcript on Buzzsprout
What started as a frustrated Instagram post turned into one of Amanda’s most shared (and most controversial) messages ever. In this episode, she revisits that post, shares the real client stories that inspired it, and reflects on how her thinking has evolved. This is a conversation about intention vs. impact, responsible messaging in the mental health space, and what it really means to advocate for better care.
Amanda begins by acknowledging the impact of a recent Instagram post that read: “If your doctor prescribed antidepressants before a blood test, they’re more of a drug dealer than a doctor.” It was a statement born of frustration after back-to-back client stories, but it sparked a firestorm. Some felt seen and validated. Others felt dismissed, hurt, or angry.
She shares the client stories that inspired the post:
In both cases, the request for deeper, more personalized care was denied in favor of a quick prescription.
Amanda reflects on what she learned. While her intent was never to shame medication use or providers, she now sees how the language she used (“drug dealer”) was overly generalized and hurtful. Through honest conversations with fellow practitioners, she began to understand the deeper nuance: access, trauma history, provider constraints, and the need for immediate intervention in some cases.
Her takeaway? A strong message doesn’t excuse harm. We must hold both intention and impact.
Imagine if instead of handing over a script, a provider said:
“I see you’re struggling. There are many reasons people feel this way—from trauma and relationships to hormones and sleep. Meds might help lessen the intensity, but they won’t address the root. You deserve options. I’m here to help you explore them.”
That’s informed consent. That’s trauma-informed care. That’s what Amanda wants to see more of.
This is not an anti-medication message. Amanda emphasizes again: medication can be supportive and even life-saving. But it must be offered with context, not as a one-size-fits-all solution.
With only 50% of people benefiting from psych meds, it’s vital that those who don’t see results aren’t left feeling like they failed.
Oversimplified care hurts people. Amanda shares messages from her audience, ranging from grief-stricken parents to those who found medication life-saving. Both stories matter. Both can be true. That’s why nuance and compassion must lead the conversation.
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Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding a medical condition.
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