Anxiety – The Role of Medication (4 Minute Read)
Daniel Crosby • November 9, 2023

THE GOOD:


Let me begin by saying that medication DOES have a role in mental health. It HAS helped people and it HAS saved lives when people were struggling to function, when they couldn’t think straight, and when they were in the depths of despair.


I’ve met with people who simply couldn’t string 2 sentences together and they needed to begin a medication regimen to help bring them to a level where we could begin working on some of the struggles, helping them make changes to improve permanently.


I believe that SOME people need medication to help them function at a reasonably normal level in life, but I also believe that this group is the minority. If you’re in that group, then there is no shame in using medication for help. Please do what your doctor has instructed you to do and NEVER make changes to your medication regimen without talking to your doctor. Unfortunately, I believe MOST people who are on psychotropic medications just so they can function throughout the day do not need them.


Medication is not the ONLY solution.


THE BAD:


The pharmaceutical industry and the medical field have done an amazing job over our lifetime of selling us on the idea that anxiety is simply a disease like diabetes or hypertension. For anxiety, “you likely just have a chemical imbalance.”


Granted, there is a medical component to anxiety. When we consistently subject ourselves to life stressors, our bodies are in a constant state of arousal. Our brains and bodies react by releasing Cortisol, Catecholamines (like adrenaline), and Vasopressin to try to keep us regulated and functioning.


The pharmaceutical and medical industries tell us that we just need to take medication so that we can “regulate our chemical imbalance.” Unfortunately, it isn’t an exact science because we can’t do a blood test to test your anxiety level.


“Hmm, so you still feel anxious? If the medication you’re taking isn’t working, then we probably need to raise the dose or add another medication to your regimen. Just take this and come back to see me in a month. We’ve seen very good results with this new medication.”


To be fair, it’s not all the doctor’s fault. They work in a society where we want a microwave fix to everything. We would rather take a shot for weight loss than to exercise and eat healthy and we would rather take 2-3 pills each morning to numb out our anxiety and depression than to do the hard work of changing our habits and our lack of boundaries in activities and relationships.


I have a nurse practitioner friend who has said that there’s pressure on the medical community to give patients at least some type of prescription each time they come in or else they’ll give that provider a bad review online. To tell a patient that they need counseling, or to find a new job where their boss isn’t a jerk, or to stop drinking a 6-pack every night before bed is almost seen as malpractice to some patients. We no longer go to doctors for their holistic healing and wisdom on our overall health but usually for prescriptions. Doctors feel the pressure for the quick fix as well because we’re the ones pressuring them.


So here’s a critical thinking question: If the doctors and pharmaceutical industry are right in saying that taking a few pills each day will make us less anxious then why do the number of prescriptions continue to rise at a similar rate that the reports from patients reporting anxiety symptoms continue to rise? If the medication is that effective, then wouldn’t we be reporting less anxiety?


Could it be that we’re missing something in this equation?


THE UGLY:


When we are constantly in debt, overscheduled, dealing with an abusive spouse, addicted to substances, and mindlessly doom scrolling on TikTok until 2am, our brains and bodies are screaming at us to take action and change something.


If your house was literally on fire and the smoke alarm is going off, would you take the batteries out of the smoke alarm and go back to bed? Of course not!


Unfortunately, this is what many of our friends and family use medication for. Rather than putting out the fire (dealing with the trauma, the abuse, the boundaries, the exhaustion, and the emptiness) we simply silence the smoke alarm. Medication can be effective at lessening unpleasant feelings temporarily but oftentimes those feelings continue to smolder under the surface until it becomes unbearable again and the fire re-erupts.


THE HOPE:


It’s time to make a change.


You are the only one who can do it.


You don’t have to do it alone!


Keeping reading along with these articles to find new ways of lowering your anxiety without having to be on medication for the rest of your life.


HOMEWORK:

Have you had a talk with your Dr. recently about their ideas about helping with your anxiety? What is their mindset and theory behind long-term use of anxiety medications? Did you feel heard and understood with your questions? If you've been prescribed medication for over 12 months with no conversation, it's time to ask your Dr. if they believe this medication is the lifelong solution. Are you ok with their explanation and feedback?


***Here are some good stats on the current state of anxiety in our world.


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786299/


https://adaa.org/understanding-anxiety/facts-statistics


https://www.anxietycentre.com/statistics/anxiety-disorder-statistics-facts/



Every day I help hurting frazzled people by walking with them as they get back on the path toward becoming who God created them to be. Shoot me an email if there’s anything I can do to help you or someone you know.

By Daniel Crosby July 2, 2025
“Born Again This Way” by Rachel Gilson is a beautiful and deeply personal book about her struggle between her identity in the LGBT community and how that came into conflict when she became a person of faith. Talk about two very polarizing ideas in our world today! I would say it’s ½ memoir and ½ theology in its makeup. Gilson doesn’t hold back from getting into the nitty gritty of her own story as well as the Christian scriptures. The book is pointed but respectful. I can’t see any well-meaning person coming away from it offended. Sure, there are those who will read it and disagree with her ideas. It will sadden some and give hope to others. I’ve said before that we need to be reading things that challenge us. Read things to sharpen your beliefs. This means you should read a lot of things that are IN alignment with your beliefs so you can further clarify them. Also, read something that opposes your beliefs though. If we always live in our own echo chamber/ algorithm how will be learn how to interact with people who believe differently than we do. This is a great one for families lovingly trying to understand a child wrestling with LGBT ideas. This is a great one if you have friends in the LGBT community and wonder if or how to approach matters of faith. This is a good one for those in the LGBT community who want to read something from a Christian who bridges that divide that often exists. It’s a good one! “Born Again This Way” by Rachel Gilson.
By Daniel Crosby June 25, 2025
“The Elephant in the Room: One Fat Man’s Quest to get Smaller in a Growing America” by Tommy Tomlinson might be my must read book of the year. It’s a beautiful memoir by Tomlinson, a coastal Georgia native, and a journalist by trade. He tells his story through the lens of his lifelong struggle with his weight. If you live in the south, then food is at the center of everything. We grieve with food, celebrate with food, and medicate with food. Heck, sometimes we’re sitting at the table gorging ourselves for lunch as we’re discussing plans for dinner. The book is hilarious in parts and heart breaking in other parts. It reminded me that everyone has a story behind who they are. We all have junk. He reminded me that some people’s stuff is internal. They look amazing on the outside but they’re crumbling inside. Other people’s stuff is external on display for the whole world to see though. What if rather than prejudging those we meet, we come alongside them and share our stuff. There’s something about knowing someone’s story that levels the playing field. If you struggle with weight, then this book is going to hit home. If you have a friend or family member who struggles with weight, then you need to read this one so you can better connect. If none of the above is true, you need to read this one because it’s an amazing story of a man who has a similar story to the rest of us. You’ll laugh and cry but most of all you’re connect with another person who is on this same journey we’re all on. Go read “The Elephant in the Room” by Tommy Tomlinson.
By Daniel Crosby June 19, 2025
Alright folks. I read this one, but my review is more of a warning than a recommendation. Read if you are interested but read with a strongly critical mindset. I read “The Great Sex Rescue” because I’ve heard several people either recommend it or recommend another book by these ladies. It was co-written by three women, Joanna Sawatsky, Rebecca Gregoire Lindenbach, and Sheila Wray Gregoire. As an aside, another one of their books is called “She Deserves Better.” The title is self-explanatory. Granted I haven’t read this one, but I have a good friend whose marriage was nearly destroyed by this book. When we fill our minds with biased information that fuels ours and others’ confirmation biases, the impact can be extraordinarily powerful. Ok, so a lot of the couples I meet with in counseling are struggling with the sexual intimacy in their marriages and I’m always on the lookout for good resources to recommend. I’m going to just say from the start that this book scares me. From the start, the premise of this book sounds intriguing. It made me nod my head a little. Ok, maybe I’m on board! I think we can all agree that men and women have some differences when it comes to sexuality and that generations past and present have struggled in various ways to communicate about sex, to teach about sex, and to know how to view sex through a healthy lens. Sexuality is an oddity because it is taboo on the one hand but universal on the other. The book attempts to look at sexuality through the lens of Christian women who struggle with sexual intimacy in their marriages. Ok, cool, that’s an incredibly good thing. They conducted a huge survey of women asking them about their sex lives and base some of the book on those statistics. Great! Evidenced based info. I like it! They make some good points such as pointing out that struggles in marital sexuality often have less to do with the act of sex and more to do with arousal. For instance, sex seems freer flowing when dating becaue arousal is easier when dating. There’s that long anticipation before most sexual contact occurs or we’re abstaining entirely from sexual contact until we’re married which makes the arousal that much greater still. Later in married life though, arousal tanks because the goal becomes to sneak a quickie in before the kids barge in. Hmm, good point. What if we focus on improving arousal and anticipation rather than on the performance act of sex? Good insight! I hadn’t thought about it like that. But the positive teaching and insights I gained were few and far between. The majority of the book seems to be a smear platform for the authors to grind their axes. The ax in question is the evangelical male patriarchy who have taught and written about marriage and sexuality over the past 50 years. They don’t hide the fact that they are appalled at the grievous, outlandish, and even abusive teaching that they reviewed in a lot of the Christian sex and marriage literature throughout past decades. The book spends page after page trashing authors and their books by name and pointing out that the problem with sexual struggles in marriage is predominantly with the men. But there’s more. Some of these poor simple-minded husbands in our world who are harming their wives oftentimes don’t even know any better because they were raised by a culture of toxic evangelical male church leaders who pointed them to resources that were all but coaching them to abuse their wives. They quote passages from some of these books and even hint at rape in sections to describe what these books are teaching. A major pattern they suggest the Christian literature teaches is the following: 1. Husbands are sexual, and they can’t help that they need sex all the time. God made them this way. 2. Whether wives feel like it or not, they must give their husband’s sex. 3. If they don’t give their husband’s sex then it causes men to lust and cheat and it’s the wife’s fault if he strays from the marriage. Now I’ve read most of the books they bash. I would like to think I’m reasonably intelligent person. I would also like to believe that my alarms in my brain would go off if I was reading material that was directly or indirectly teaching me to abuse my wife sexually. Reading some of the passages they cite, some do sound a bit appalling, but I wonder if taken in context there is more to it than these snippets they charge the authors with. I’ve met with hundreds of couples, many of whom are struggling sexually in their marriages. I’ve yet to have a wife come to me and say that the main problem is her toxic husband sexually abusing her in the bedroom because he read one of the popular Christian marriage/sex books. It’s just way more complex than finding a singular thing to point our finger at. Most husbands and wives I meet are people who love one another dearly and want nothing more than to please one another. When my friend came to me about the book “She Deserves Better” he asked me scratching his head, “Daniel, am I really this monster that this book tells my wife that I am?” I have to admit, reading “The Great Sex Rescue” made me feel the same way. Have I been an abuser for my whole marriage and I just never realized it? I asked my wife and thankfully she reassured me that the answer is “no.” I can’t do these ladies’ book justice with just a simple brief review. Buy it and read it for yourself. I believe in reading things that we disagree with because it sparks conversation and makes us think critically. Maybe I am a bit defensive toward some of what I read. I’ve wondered why that may be. Nonetheless, there seems to be a pattern emerging within the progressive Christian community in pockets where the enemy isn’t spiritual at all. The true enemy, they might say, is the past generation who traumatized us and triggered us with their male evangelical patriarchal abuse sexually and theologically. If that’s true, then yes, throw it off, rebel, and go find freedom. Is it possible, though, that the truth lies somewhere in the middle? Maybe it’s not all the men’s fault OR responsibility AND maybe it’s also not all the women’s fault OR responsibility. Maybe we’re all more alike than we are different. Maybe we’re all sinner in need of rescue from a Savior. Maybe we’re all sexually and spiritually broken in our own ways and we’re doing our best to help one another heal and find meaning, purpose, joy, and fulfillment in our marriages and relationships. Maybe we can seek resources and find the good in them and discard what is not helpful; eat the meat and spit out the bones. The importance is that we’re communicating about it. We’re doing it together, in community, because that’s how God created us.