When teaching stress management in the Department, I often ask students whether employees, including sworn personnel, can take prescription medication for mental health issues. Many are unsure and look to me for confirmation. Since not everyone will attend my class, I want to ensure this important information reaches all employees. The answer is: Yes, law enforcement personnel (including sworn officers) can use prescribed medication under the care of a medical doctor. In my work at PSB, I have met with employees who take medication to manage their mental health challenges while continuing to perform their jobs effectively.
Working in law enforcement is undeniably demanding, both physically and mentally. This is why it is crucial for employees to be proactive in caring for themselves in healthy and adaptive ways. Stress management looks different for everyone but often involves physical activities, social engagement, a strong support system, healthy lifestyle choices and self-care practices. For some, prescribed medication is an essential component of their wellness plan, whether for the short term or the long term. Not everyone who experiences stress, depression, anxiety or other mental health concerns requires medication. However, individuals should have conversations with their providers (e.g., medical doctors, psychologists and other medical/mental health professionals) to determine whether it could be helpful for their recovery and overall well-being.
Despite medical recommendations, some employees are hesitant or worried about using medication. However, I often find that individuals may already be self-medicating with other substances, like alcohol, pain medication or other drugs. Some express concerns about dependency or addiction, yet working with a medical doctor ensures proper evaluation and treatment tailored to each person’s health history, reducing the risk of complications. Many of the most commonly prescribed medications for depression and anxiety, such as serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs), are not considered addictive. Meanwhile, medications that carry a higher risk of dependency include opioids (narcotics), benzodiazepines (e.g., Xanax and Lorazepam) and stimulants (commonly prescribed for ADHD). It is important to comply with the medical doctor’s prescription orders, like the appropriate dosage, frequency of use and knowledge of the side effects to monitor its effectiveness and benefits. Since the first prescribed option may not always be the right fit, ongoing discussions with the prescribing doctor are essential to find the most suitable medication.
Law enforcement personnel seek medication treatment for various reasons, including relief from stress, depression or anxiety, improved energy and alertness, support in coping with trauma, assistance with sleep and management of intense physiological reactions to stress (such as panic attacks). Stress is a biological process that impacts our mood, thoughts and behaviors. When these neurotransmitters (chemicals made in the brain) drop below a certain range, it can lead to depression and anxiety. Therefore, just as people take insulin to regulate their glucose levels because the pancreas is not working properly or at all, our brains may also need assistance to regulate neurotransmitter levels to help us get back to a healthier state of mind to function.
Lastly, medical doctors can prescribe medication for mental health challenges. Psychologists, like me, do not prescribe medication, but we have general knowledge that helps individuals access the resources they need to care for their overall well-being. If you are seeing a psychologist or other mental health professional, you can discuss any interest or concerns regarding medication treatment. Ultimately, individuals should visit their primary care physician to address questions about medication use, reasons for medication treatment, possible side effects and the appropriate dosage. If more specialized or ongoing care is needed, a referral to a psychiatrist may be recommended. It is important to note that taking medication without a prescription, supervision/monitoring and the advice of a medical expert can have negative consequences for one’s health, career and, in extreme cases, can result in accidental death.
If you would like help with managing your stress and acquiring healthy coping strategies, contact the Psychological Services Bureau (PSB) at (213) 738-3500 for a free and confidential consultation. PSB offers individual counseling, couples counseling, family therapy, peer support and spiritual counseling through the Chaplains Program. Additionally, for those who may be considering medication as part of their wellness plan, PSB can help facilitate conversations about treatment options and ensure guidance that aligns with your specific needs. In addition, PSB offers support for employees who need help with any misuse and abuse of a substance. Whether you need help processing difficult experiences, improving resilience or simply developing strategies to enhance your well-being, PSB is here to provide confidential and compassionate support.