Talking to your psychiatrist about genetic testing may be frightening, particularly if you have tried a couple of medications and failed. You may fear you’re questioning their expertise, or asking for something experimental. The reality is that informed inquiries from patients and families are welcome by good psychiatrists. These conversations are seen as a partnership at Trained Mind Psychiatry to create improved treatment plans.
From the grown adult tackling his own care issues to the parent championing the cause for a child or teenager, planning for the discussion can clear up confusion and empower confident actions and decisions. This is a step-by-step, easy-to-follow guide to teach you how to get started with the topic effectively.
Why It’s Worth Having This Conversation
The problem of finding the right psychiatric medicine often leaves many people feeling frustrated. Some providers also consider genetic testing (also known as pharmacogenetic or PGx testing) as a factor for their recommendations. It’s not a substitute for clinical judgment, but can sometimes help minimize side effects or find options that are more suited to one’s biology.
By bringing the subject up, you’re demonstrating an active role in your care, which most people value.
Preparing Before Your Appointment
As with any good conversation, you need to prepare. When you are about to meet your psychiatrist:
- Check your records: Take notes on medicines used in the past, what worked, what didn’t, and any side effects. State any family members having some unusual reactions to psychiatric medications.
- Read with balance: Understand the fundamentals to pose specific questions. Look at quality sources, not marketing material.
- Write down your goals: Fewer side effects, a more effective treatment, or better directions on how much? Explaining your “why” is helpful to frame the discussion.
- Try to consider timing: If possible, to have a longer appointment, or to touch upon medication reviews, instead of a follow-up session.
How to Start the Conversation Naturally
Here are a few kind and effective ways to get started:
- “I’ve been reading about pharmacogenetic testing and how it looks at how genes might influence medication response. Do you believe it could apply to me?
- I’ve tried some medicines; they didn’t seem to work as well as they should. We could get more information by conducting genetic tests to make the right choices before trying the next medicine. What are your thoughts?”
- If parents say, “My child had some problems with his/her past medications,” follow the instructions below: “Are genetic testing for children and teens, and something that should be done?”
In this team-oriented way, you are demonstrating their value and displaying your own interest.
Key Questions to Ask Your Psychiatrist
Take these questions (or others you may have) to the appointment:
- Given all of your clinical experience, do you feel that a pharmacogenetic test would be useful?
- Do we have any specific medicines we are interested in for which this testing is most important?
- What might be beneficial when considering my personal situation? What might be beneficial from my perspective?
- What do these results mean, and what would it mean to change our treatment plan based on these results?
- How does the process work (including insurance, cost, etc.)?
- Testing in children/teens: What complicating factors do we need to consider, and what might be different about testing?
Make sure to hear their answers carefully. A good provider will not only clarify the benefits but also limit the use of the tool.
What to Expect During the Discussion
Your psychiatrist may:
- Request some information about your experiences
- Give an overview of their views on genetic testing
- Recommend either waiting for additional information or proceeding if it is appropriate.
- Recommend a specific test (such as one focused on psychotropic medications)
Keep in mind: Testing should not be pushed; rather, an open conversation should be had so that the decision(s) of testing are made together.
Addressing Common Concerns
“I don’t want to seem like I’m doubting my doctor.”
Most of the providers consider this as patient engagement rather than any criticism. Open dialogue strengthens a partnership.
“What if they say that it’s not necessary?”
That’s valuable information too. Ask “why” and brainstorm other possible optimal treatment strategies.
“What about the outcomes of the experiment? I am afraid of results.”
The results are typically a snapshot of you and your metabolism, not an overall diagnosis and prediction of the rest of your life.
How Genetic Insights Fit into Broader Care
Genetic testing is best used in combination with other measures. We add it to a comprehensive evaluation, individual and teen therapy, and medication consultations with the patient when appropriate, at Trained Mind Psychiatry. Lifestyle factors, therapy progress, and regular check-ins often matter just as much as biology.
Learn more: How Your DNA Can Predict Which Medications Will Work for You.
Final Thoughts: You’re Part of the Team
It’s taking steps to be proactive in your health by discussing genetic testing with your psychiatrist. It’s a sign that you’re dedicated to discovering what’s right for you or your kid. However, by communicating, you and your provider can develop a plan that’s right for you.
When it makes sense, the Trained Mind Psychiatry team is here to listen and to explore all reasonable possibilities, including genetic testing when it makes sense, especially if you reside in New Jersey!
Please get in touch with us and make an appointment for a thorough examination! With support, we can help to make questions into clear, supportive steps on your path to mental wellbeing.
FAQs
How can I discuss genetic testing without coming across as demanding?
Present it as a query and talk about your personal experiences. Providers usually welcome patients who are interested and inquisitive.
Is this conversation different for parents of children or teens?
Yes, pay attention to your child’s unique background and family dynamics. Inquire about the integration of testing with development, therapy, and education.
Can I request testing even if my psychiatrist hasn’t mentioned it?
Of course. As part of collaborative decision-making, you have the right to bring it up.
