The Role of Medication in Mental Health Management — with Dr. Talha Baloch
The Right Tack Podcast, Episode 13
In Episode 13 of The Right Tack, hosts Paul Jonas and Jim Jonas welcome back returning guest Dr. Talha Baloch, a triple board–certified psychiatrist in general psychiatry, addiction psychiatry, and addiction medicine. He is President and Lead Psychiatrist of Comprehensive Psych Solutions, Inc. Listeners may remember Dr. Baloch from Episode 5, where he joined the show to discuss coworking and office-sharing through his business, Mindful Spaces.
This time, the conversation shifts to another one of Dr. Baloch’s core passions: how medication and psychotherapy can work together to improve outcomes for individuals struggling with mental illness and addiction — and why collaboration between therapists and prescribers is so essential.
Two Hands on the Same Wheel
Early in the episode, Dr. Baloch offers a metaphor that sets the tone for the entire conversation. In his ideal world, therapy and medication function like two hands steering the same wheel.
Therapy provides insight, coping skills, and pattern recognition — the tools that help people understand and change their lives. Medication, when appropriate, offers the biological stability that makes those tools usable. When clinicians collaborate instead of working in silos, patients often experience better outcomes, sooner.
This framing is especially important for therapists who may be navigating when and how to introduce medication as part of a client’s care plan.
Normalizing the Full Spectrum of Treatment
A major theme of the episode is normalization. Dr. Baloch emphasizes that not every client needs medication, and that is perfectly okay. Some people benefit from short-term support, while others may need long-term or even lifelong symptom management. None of these paths represent failure.
Instead, effective care starts with a thoughtful evaluation that considers:
Biological factors
Psychosocial history
Trauma and life experiences
Current symptoms and functioning
From there, providers and clients can engage in shared decision-making. Medication is never framed as the only answer, but rather as one possible tool among many.
Why Diagnostic Clarity Matters
One of the most practical insights for clinicians in this episode centers on diagnostic clarity.
Unlike many areas of medicine, mental health often relies on conversation-based evaluations rather than definitive lab tests. Conditions like ADHD, anxiety, trauma, and mood disorders can look very similar on the surface — yet require very different treatment approaches.
Dr. Baloch explains how misdiagnosis can lead to ineffective or even harmful medication strategies, such as prescribing antidepressants for bipolar depression. He also highlights the importance of ruling out medical contributors to mental health symptoms, including thyroid disorders, anemia, and vitamin deficiencies.
Clear diagnosis leads to targeted treatment and better outcomes for everyone involved.
Addressing Stigma Around Medication
The episode also tackles one of the biggest barriers to care: stigma.
Dr. Baloch frequently hears fears that medication will change someone’s personality, make them feel numb, or lock them into lifelong treatment. Others worry that needing medication means they have failed.
Much of this stigma stems from past negative experiences, rushed appointments, or poorly managed side effects. When medication is introduced thoughtfully — and paired with education, monitoring, and collaboration — those fears often begin to fade.
Therapists play a powerful role here by:
Normalizing medication as a tool, not a last resort
Helping clients prepare questions for prescribers
Reinforcing that medication enhances therapy, rather than replacing it
When clients know their therapist and prescriber are communicating, trust in the treatment process grows significantly.
Medication Optimization and Consolidation
Dr. Baloch also dives into a topic many clinicians see regularly: overmedication.
In fast-paced or fragmented systems, patients can end up on multiple psychotropic medications targeting individual symptoms rather than underlying diagnoses. This “stacking” often leads to unnecessary side effects and drug interactions.
His goal as a psychiatrist is simplicity, safety, and effectiveness. That often means consolidating medications, reducing redundancy, and — in some cases — eliminating medications altogether once the diagnosis is clear.
For therapists, this reinforces the value of ongoing communication with prescribers and advocating for thoughtful medication reviews when clients feel stuck.
Medications in Addiction Treatment
As an addiction psychiatrist, Dr. Baloch strongly advocates for medication-assisted treatment (MAT). Medications like buprenorphine and methadone significantly reduce overdose risk and help stabilize brain chemistry so that recovery work becomes possible.
Importantly, medication does not replace therapy, peer support, or recovery programs. Instead, it creates the conditions necessary for clients to fully engage in them.
The episode also addresses common misconceptions around substances like medical marijuana, with Dr. Baloch sharing concerns from both clinical experience and research about its impact on anxiety, mood disorders, and psychosis.
Collaboration Is the Throughline
Whether discussing mood disorders, chronic pain, or addiction, one message remains consistent: no provider does this work alone.
Therapists, psychiatrists, primary care providers, addiction counselors, and peer supports all play distinct but complementary roles. Even brief check-ins, shared notes, or periodic phone calls can dramatically improve continuity of care.
For behavioral health practice owners, this episode serves as a reminder that strong referral relationships and clear communication pathways are not “nice to have” — they are foundational to quality care.
Also, follow Talha and his team at Comprehensive Psych Solutions on LinkedIn.
