John DiLallo, MD, is a child and adolescent psychiatrist at New York City Children’s Services (ACS). He directs the Psychotropic Medications Unit, which was established to make sure that kids with mental illness receive proper treatment.

Here is an excerpt of Dr. John’s 2009 interview with Represent about what to do if you have concerns about taking medication.

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It’s the doctor’s job to make sure you feel OK on the drug. But in the long run, you’re the one who gets to decide, “Is this medicine going to help me with a problem I want to change for myself?” Keep in mind that some medicines can take weeks to work so don’t give up if you don’t feel better right away. Be sure you tell your doctor about any medication problems.

It’s much better to talk to the doctor than to just stop taking medication. And be honest: if you haven’t been taking your medication, tell the doctor so. There can be dangerous side effects from just stopping, so it is always better to tell your doctor and to stop medication gradually. You should also tell your doctor about other medications you’re taking and if you’re using illegal drugs or alcohol.

If you feel that the doctor won’t listen to your concerns, get the adults in your life—your foster parents, your caseworker, etc.—to help. Nobody can force you to take medication unless a judge decides you must take a certain medication after you did something dangerous or criminal. But if not taking the medication makes you more likely to get in trouble, you should take that into account. Bottom line, you make the choice.