Anuwolf - no, I have not tried these medications, however, I do appreciate your comments.
The early side effect of many of these medications can be drowsiness or fatigue & the therapists or the pts feel the pt should be "interactive" in the individual or group therapy during hospitalization or subsequent outpatient therapy. This can be a misperception on the part of the patient or the therapist.
When I've done medication teaching rounds with individual patients or in groups, these patients indicate the feeling they are not considered serious in pursing their therapy due to their fatigue & inability to concentrate, which can be drug attributable side effects, but not always.
I reassure them the side effects diminish as the therapeutic effect becomes predominant, but it can take up to 2-3 weeks. However, the patients do indicate to me they feel they are not "doing what it takes to work with the therapist". I reassure them the therapist does indeed know what to expect when a patient is put on a medication, which they do for the most part, so they & you do the best you can during the time you have together intensively & during the initial phase of medication management.
Reassurance & being able to speak openly & frankly with your physician & therapist is a good way to evaluate if the medications are beiing positive in your clinical condition or a hindrance. Remember, as the patient, it is difficult to objectively evaluate how medications work - that is why few physicians ever treat themselves or families.