6 mins

How Do I Know if Psychiatry is Working for Me?

Starting psychiatric treatment can feel like a big step, and it’s natural to wonder whether it’s making a difference. Unlike physical health treatments, where improvements can sometimes be more immediate and measurable, psychiatric care often involves gradual change.

Psychiatry helps with conditions such as depression, anxiety, OCD, bipolar disorder, and more, but how do you know if it’s truly working for you? In this guide, we’ll explore the key signs that psychiatry is having a positive impact, what to expect over time, and when to consider adjusting your treatment plan.

What Does ‘Working’ Look Like in Psychiatry?

Improvement in mental health isn’t always a straightforward journey. While some people experience noticeable changes within a few weeks, for others, progress is more subtle. Here are some key indicators that psychiatry is working for you:

1. Gradual Improvement in Mood and Stability

One of the first signs that psychiatric treatment is effective is a shift in how you feel on a daily basis. You may notice:

  • Fewer or less intense depressive episodes
  • A reduction in overwhelming anxiety
  • Feeling more emotionally stable and in control

These changes may not happen overnight, but tracking your emotional patterns over weeks or months can provide insight into your progress.

2. Increased Emotional Resilience

Psychiatry often helps individuals develop coping mechanisms to handle stress, sadness, or anxiety more effectively. If you find yourself bouncing back from difficult situations more quickly, or not feeling as overwhelmed as you once did, it’s a strong indicator that treatment is working.

3. Improved Sleep and Energy Levels

Many mental health conditions impact sleep, causing either excessive fatigue or difficulty sleeping. Effective psychiatric treatment often leads to more restful sleep, better energy levels, and an overall sense of well-being.

4. Ability to Engage in Daily Life

Before treatment, simple tasks like socialising, working, or even getting out of bed may have felt overwhelming. As psychiatry begins to work, you may find yourself re-engaging with life—whether that’s enjoying hobbies again, feeling motivated at work, or reconnecting with friends and family.

5. Reduced Reliance on Unhealthy Coping Mechanisms

Some individuals turn to substances, avoidance behaviours, or unhealthy relationships as a way of managing mental health struggles. As psychiatric treatment takes effect, the need for these coping mechanisms often lessens, replaced with healthier ways to manage emotions.

6. Changes in Thought Patterns

Many mental health conditions involve negative thought loops or intrusive thoughts. Over time, psychiatric treatment—especially when combined with therapy—can help shift these patterns, leading to more balanced and constructive thinking.

7. Greater Self-Awareness and Understanding

Another key sign that psychiatry is working is an improved understanding of your own mental health. Recognising triggers, being able to articulate your feelings, and understanding how your mind works are all indications of progress.

How Long Does It Take for Psychiatry to Work?

The timeline for improvement varies from person to person. Here’s a general guideline:

  • Medication (If Prescribed): Some psychiatric medications, such as antidepressants, can take 4–6 weeks to show noticeable effects. Others, like mood stabilisers or antipsychotics, may require several months to find the right dosage and balance.
  • Therapy in Conjunction with Psychiatry: Many people see the best results when medication is combined with therapy, such as Cognitive Behavioural Therapy (CBT) or Dialectical Behaviour Therapy (DBT). Progress in therapy may be gradual, with breakthroughs happening over weeks or months.
  • Overall Mental Health Improvements: Long-term change often happens gradually, with small wins accumulating over time. Tracking your progress in a journal or discussing improvements with your psychiatrist can help you recognise subtle but meaningful changes.

What If I Don’t See Any Improvement with Psychiatry?

If you don’t feel better after several months of treatment, it may be time to reassess your plan. Here are a few reasons why psychiatry might not be working as expected:

1. The Medication Isn’t the Right Fit

Not every psychiatric medication works the same way for everyone. If you’re experiencing unwanted side effects or not noticing any improvement, your psychiatrist may need to adjust your dosage or try a different medication.

2. The Therapy Approach Needs to Be Adjusted

If you’re receiving therapy alongside psychiatry, the type of therapy you’re undergoing may not be the best match. Some people respond better to structured approaches like CBT, while others benefit from deeper, exploratory therapy such as Schema Therapy or Acceptance and Commitment Therapy (ACT).

3. Expectations Are Unrealistic

While psychiatry can be life-changing, it’s not an instant fix. Improvements are often subtle at first and require time, consistency, and a willingness to engage in the process.

4. There Are Underlying Factors to Address

Sometimes, external stressors (such as work, relationships, or unresolved trauma) can impact how well psychiatric treatment works. In these cases, additional support, such as lifestyle changes or therapy, may be necessary.

Long-Term Coping Strategies for Continued Progress

Even when psychiatric treatment is working, maintaining progress requires effort. Here are some key long-term strategies to support your mental health:

  • Consistent Therapy Sessions – Combining psychiatry with therapy often leads to better outcomes.
  • Healthy Lifestyle Habits – Regular exercise, balanced nutrition, and good sleep hygiene can all contribute to mental well-being.
  • Mindfulness and Relaxation Techniques – Practices like meditation, breathing exercises, or journaling can help maintain progress.
  • Support Network – Having trusted friends, family, or support groups can provide ongoing encouragement and accountability.

Final Thoughts

Recognising whether psychiatry is working isn’t always about dramatic change—it’s often found in the small but meaningful improvements in how you think, feel, and navigate daily life. Gradual mood stability, better coping skills, improved sleep, and increased engagement with life are all strong indicators that psychiatric treatment is making a difference.

However, if you’re not seeing progress, don’t hesitate to speak with your psychiatrist. Adjustments in medication, therapy, or lifestyle can make a significant difference in your mental health journey.

Seeking psychiatric help is a courageous step, and knowing how to measure its effectiveness will help you make informed decisions about your care. Contact us to get in touch with experienced psychiatrists who can help you move forward.

Dr Elena Touroni

Dr Elena Touroni

21 February 2025

"Dr. Elena Touroni is a skilled and experienced Consultant Psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector."

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Dr Elena Touroni

Dr Elena Touroni is a skilled and experienced consultant psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector.

Having obtained a first degree in Psychology (BSc) at the American College of Greece, she completed her doctoral training at the University of Surrey. Dr Touroni is highly experienced in the assessment and treatment of depression, anxiety, substance misuse, personality disorder, eating disorders, obsessive compulsive disorder, adjustment disorder and relationship difficulties. She works with both individuals and couples and can offer therapy in English and Greek.

She is trained in several specialist therapeutic approaches such as Schema Therapy for individuals and couples, Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Mindfulness-based approaches and Cognitive Analytic Therapy (CAT).

Dr Touroni has held a variety of clinical and managerial positions including as Head of Service in the NHS. Further she has held academic positions for the University of Surrey and the Institute of Mental Health lecturing on specialist postgraduate Masters and Doctorate programmes. As well as holding a variety of NHS positions, Dr Touroni is the co-founder of a private practice in Central London that has been a provider of psychological therapy for all common emotional difficulties including personality disorder since 2002.

Dr Touroni has a keen interest in developing preventative approaches for psychological well-being and has been involved in the co-creation of bespoke wellness retreats for transformative change for the past 5 years. She is the founder and one of two directors of The Chelsea Psychology Clinic.