Lukas Behavioral Health

Lukas Behavioral Health Behavioral health practice serving Maryland & Pennsylvania!

12/12/2025

💊What to Expect During a Medication Adjustment⁉️

Changing your psychiatric medication, whether increasing, decreasing, or switching, can feel stressful if you don’t know what to expect. The truth is, medication adjustments are a normal part of treatment, and understanding the process makes it much smoother.

Here’s what typically happens:

1. You may notice mild, short-term side effects.
When your dose changes, your brain and body recalibrate. You might feel a little off, headaches, mild nausea, dizziness, jitteriness, or fatigue.
These usually improve within a few days to 1–2 weeks.

2. Improvements happen gradually.
Just like starting a medication, adjustments take time. You might see early changes in sleep, energy, or appetite first. Mood and anxiety follow later.

3. Your emotions might shift briefly.
Some people feel more sensitive or irritable at the start of an adjustment. This isn’t failure, it’s your nervous system rebalancing.

4. Your provider will monitor closely.
Follow-up appointments or secure messages help track your progress and catch anything that needs attention. Adjustments are collaborative, not one-sided.

5. You’ll learn how your body responds.
Each adjustment gives valuable information about what works best for you, your dose, timing, and medication type become more personalized.

6. It’s normal to need more than one adjustment.
Finding your “sweet spot” is part of the process. It doesn’t mean the medication is wrong, it often just means you need fine-tuning.

⭐ Bottom line:

A medication adjustment isn’t a setback, it’s a step toward finding the most effective, comfortable treatment for you.
With patience, communication, and guidance, the process is safe, manageable, and often leads to real relief.

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12/11/2025

LBH is proud to announce that we will be offering Substance Abuse treatments in the New Year!

12/11/2025
12/11/2025

💊Finding the Right Medication Takes Patience, And You’re Not a Guinea Pig⁉️

Many patients worry that trying different medications means they’re being “experimented on.” But that’s not what’s happening at all. Finding the right psychiatric medication is a guided, evidence-based process, not trial and error on you as a person.

Here’s why it takes patience:

1. Everyone’s brain chemistry is different.
Medications affect neurotransmitters, genetics, hormones, and stress systems. Those vary person to person, so the same medication can feel completely different for two people with the same diagnosis.

2. The brain needs time to respond.
Most medications take weeks to create full changes in mood, anxiety, and focus. Your provider needs enough time to see the real effect before deciding what comes next.

3. Adjustments are part of the science.
Tweaking doses or trying a different medication isn’t guesswork, it’s a normal, research-supported part of finding the best fit for your brain and symptoms.

4. You are an active partner, not a test subject.
You give feedback, your provider interprets it, and together you make informed decisions. Nothing happens to you. Everything happens with you.

Finding the right medication is a process because your brain deserves a precise, customized approach, not a one-size-fits-all answer.
You’re not a guinea pig.
You’re a person on a path to feeling better, and patience is part of the healing.

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12/10/2025

⁉️When Should I Ask My Provider to Adjust My Medication?

Psychiatric medications aren’t “set it and forget it.” Your brain, body, and symptoms can change over time, and sometimes your medication needs to change with you. So when should you ask your provider about an adjustment?

Here are the key signs:

1. You’ve given it enough time, but you’re not improving. Most medications take 4–6 weeks for a full effect. If you’ve waited that long and symptoms haven’t budged, or only improved a little, it’s worth checking in.

2. You feel better, but not good enough.
If anxiety, depression, or attention problems have improved only halfway, you may need a slightly higher dose or a different medication.

3. Side effects are bothersome or persistent.
Mild side effects are common early on, but if they linger past the first couple of weeks, or impact daily life, your provider may adjust the dose or switch the medication.

4. The medication helps, but “wears off.”
If symptoms return at certain times of day, during stress, or near the next dose, you may need a change in dose, timing, or medication type.

5. Your life circumstances shift.
Major stressors, sleep changes, hormonal shifts, medical conditions, and new medications can affect how psychiatric meds work. Adjustments might be necessary.

6. You simply don’t feel like yourself.
If your mood feels flattened, you’re emotionally numb, or you feel “off,” that’s important information. Your treatment should help you feel more like you, not less.

⭐ The bottom line:

If something feels wrong, or if your progress has stalled, you don’t have to wait for your next routine visit. Reaching out is part of taking care of your mental health.

You and your provider are a team, adjusting the plan is normal and often part of finding the right fit.

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12/09/2025

⁉️How Do I Know If My Medication Is Working?

Psychiatric medications don’t usually create one big “aha” moment. Instead, they create steady, subtle changes that build over weeks. So how do you know if your medication is actually helping?

Here are the signs clinicians look for:

1. Your symptoms start losing intensity.
You may still feel anxious, depressed, or unfocused, but not as sharply. The edges soften, and episodes become more manageable.

2. Your daily functioning improves.
You’re sleeping better, concentrating longer, getting through tasks with less overwhelm, or reconnecting with things you used to enjoy.

3. Bad days become less frequent or less severe.
Medication rarely eliminates symptoms entirely. But it reduces how often they hit, or how hard they hit.

4. You recover from stress faster.
Your brain becomes more resilient. Instead of spiraling for hours or days, you bounce back more quickly.

5. Other people notice changes before you do.
A partner, coworker, or family member might say you seem calmer, more engaged, or more like yourself again.

6. Therapy starts feeling easier.
You can think more clearly, regulate emotions better, and put coping skills into action.

Remember:
Progress is usually gradual, not dramatic.
And it’s okay if improvement isn’t obvious right away, that’s why ongoing check-ins with your provider matter.

Your medication may be working even if you’re not 100% there yet. Healing comes in steps, not leaps.

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12/08/2025

⁉️Why Psychiatric Medications Take Weeks to Work⁉️

One of the most common questions in mental health is:
“Why don’t these medications work right away?”

Psychiatric medications, like SSRIs, SNRIs, mood stabilizers, and many others, don’t work the same way as pain meds or antibiotics. They’re not designed for instant relief. Instead, they change brain chemistry and communication patterns gradually, and that process takes time.

Here’s why:

1. Your brain needs time to adjust its receptors.
Medications increase or regulate neurotransmitters like serotonin, norepinephrine, and dopamine. But your brain must recalibrate its receptors before you feel the effect. That adaptation takes 2–6 weeks.

2. New neural pathways have to form.
Improvement comes not just from chemical changes, but from the brain building new, healthier communication circuits. That process isn’t instant, it’s rewiring.

3. Symptoms improve in stages.
Energy, sleep, and appetite often improve first.
Mood and anxiety lift later, once deeper pathways adjust.

4. The body needs time to reach steady levels.
Many meds build up slowly in the bloodstream. Your body must reach a stable level before the medication works consistently.

So if you don’t feel better right away, you’re not doing anything wrong, and the medication isn’t failing.
It’s simply working behind the scenes, slowly creating the stability your brain needs.

Patience is part of the treatment. Relief is coming.

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The Benefits of Being Established With a Therapist (Even When You’re Doing Well)You don’t need to be in crisis to benefi...
12/07/2025

The Benefits of Being Established With a Therapist (Even When You’re Doing Well)

You don’t need to be in crisis to benefit from therapy. In fact, many people use therapy the same way they use primary care check-ups, as a space to maintain emotional health, catch stress early, and stay aligned with their goals. Checking in with a therapist once or twice a year could offer perspective, help you process life transitions, and strengthen coping skills before stress becomes overwhelming.

Therapy can also improve self-awareness, communication, and relationship patterns, which supports overall well-being. Regular, proactive mental health check-ins have been associated with better long-term outcomes for stress, mood, and resilience, but even without specific diagnoses, many people simply find it grounding to talk with a trained, objective professional.

You don’t have to wait until something is “wrong.” Staying connected with a therapist can be part of taking care of yourself, just like annual check-ups, exercise, or sleep.

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❓ Depressed, anxious, can't focus? ❓ Need therapy or medication management?✅ LBH is ACCEPTING NEW PATIENTS!📲VIRTUAL Appt...
12/06/2025

❓ Depressed, anxious, can't focus?
❓ Need therapy or medication management?
✅ LBH is ACCEPTING NEW PATIENTS!
📲VIRTUAL Appts AVAILABLE in MARYLAND🦀 & PENNSYLVANIA 🔔! No long wait-list!
Follow us on FB and check out our website!

Virtual Visits in Pennsylvania now available! We now offer virtual services in the state of Pennsylvania! This is exciting news for our current PA patients, but we are also ACCEPTING NEW PATIENTS!  WV is coming soon.

12/06/2025

😬 How to Break the Avoidance Cycle (Without Overwhelming Yourself)

Avoidance keeps anxiety alive, but you don’t have to dive into the deep end to fix it. The key is small, controlled exposures that teach your brain a new story:
“I can handle this.”

Here’s a simple, gentle way to break the cycle:

1. Start tiny, really tiny.
Choose the smallest version of the thing you’re avoiding.
Avoid phone calls? Start by opening your call app.
Avoid driving? Sit in the parked car for 2 minutes.
Avoid social events? Practice saying “hi” to one person.

2. Let the discomfort rise… and fall.
When you stay in the situation long enough, your brain learns that the anxiety peak naturally drops on its own. This is how new wiring forms.

3. Add one small step each time.
Build gradually:
Parked car → short drive → drive with someone → drive alone.
Every step reinforces safety.

4. Track your progress.
Wins build momentum. Even tiny steps count: “I opened the mail.” “I answered one message.”

5. Be consistent, not perfect.
A few small exposures a week rewires your brain far more than one huge push.

Breaking avoidance isn’t about forcing bravery, it’s about teaching your nervous system that you are capable, strong, and safe.

👉 LBH can help you manage you crush those fears!

✅ Go to www.lukasbh.org/intake

12/05/2025

😵‍💫 Why Avoidance Makes Anxiety Worse

When something makes you anxious, avoiding it feels like relief. In the moment, your brain thinks:
“Great! Danger avoided. We’re safe.”

That tiny wave of relief is powerful. It teaches your brain a lesson:
Avoiding the thing = feeling better.

So the next time you face the same situation, whether it's driving, crowds, conflict, phone calls, appointments; your brain pushes even harder to avoid it.

The result?
Your world quietly shrinks.
The anxiety grows stronger.
And the thing you avoided starts to feel even scarier.

Here’s the truth:
Avoidance doesn’t protect you from anxiety, it feeds it.

The way out isn’t forcing yourself into overwhelming situations. It’s gradual, gentle exposure: small steps that teach your brain a new lesson:
“I can do hard things, and nothing bad happens.”

Every tiny step you take toward what you fear rewires the anxiety circuit and builds confidence over time.

LBH can help you manage your anxiety.

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12/04/2025

😵‍💫 ADHD Habits That Look Like Anxiety or Depression, But Aren’t 😫

ADHD doesn’t just affect focus, it affects emotion, energy, and motivation. Because of that, many ADHD symptoms look like anxiety or depression, even when the root cause is attention regulation, not mood.

Here are common ADHD habits that get mistaken for anxiety or depression:

1. Feeling overwhelmed by simple tasks
This can look like anxious avoidance, but it’s often executive dysfunction, trouble organizing steps, initiating tasks, or prioritizing.

2. “Shutting down” when stressed
People assume depression. But shutdown can be ADHD overstimulation: the brain hits its limit and temporarily powers down to cope.

3. Constant worry about messing up
Looks like generalized anxiety, but often comes from years of missed details, forgotten tasks, or criticism, leading to “learned worry.”

4. Low motivation or “can’t get started”
Often mistaken for depression. In ADHD, this is task initiation difficulty, not lack of interest or pleasure.

5. Emotional sensitivity
Crying easily, irritability, or strong reactions can look like mood swings. Many times it’s emotional impulsivity and nervous system dysregulation.

ADHD can mimic anxiety and depression, but treatment is different.
Understanding the true source of the symptoms leads to better support, accurate diagnosis, and strategies that actually work.

LBH can help you manage your ADHD.

Go to www.lukasbh.org/intake

Address

618 N Mechanic Street
Cumberland, MD
21502

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 4:30pm
Wednesday 9am - 5pm
Thursday 9am - 5pm

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