Introduction A surprising dichotomy of viewpoints seems to arise around the topic of psychiatry and management; the first is that psychiatrists are real doctors and psychotherapists are quacks.  The second is that medication is for suckers, weaklings, and the desperate. The polarization I’ve observed about these topics is surprising considering all evidence seems to indicate that both work pretty well together.  While it’s not my place to tell people they must be on medication (As in, legally I’m not allowed to), I can certainly tell you about my experience with medication as a supplement to psychotherapy, and why it may make sense to consult with a psychiatrist about your needs. 1. Step Outside the System Our personalities and individual psychologies are complex dynamic systems.  Our character structures consist of many forces, mounting pressures, levers, sources of friction, algorithms, contingencies, etc. that come together to create an overall feeling of goodness or badness of some kind.  The important point about our personalities being systems is that they seem to favor repeated, stable, and predictable outcomes, regardless …