Many patients arrive on complex regimens built over years—multiple antidepressants, antipsychotics, sedatives, and adjuncts—often without a clear plan for what is still necessary. De-prescribing is not “stopping meds.” It is a structured process of reviewing benefit vs burden, clarifying the target symptoms, and tapering thoughtfully when the risk/benefit no longer makes sense.

Why people seek de-prescribing

• Side effects (weight gain, fatigue, emotional blunting, sexual dysfunction, cognitive slowing)

• Diminishing benefit over time

• Polypharmacy that makes symptoms harder to interpret

• Uncertainty about what each medication is doing

• Withdrawal concerns or past failed tapers

Medication “archaeology”

• Reconstructing why each medication was started

• Identifying redundant mechanisms, interactions, and “prescribing cascades”

Taper planning

• Individualized taper schedules and contingency plans

• Clear definitions of withdrawal vs relapse vs rebound

• Monitoring plan and pacing that prioritizes function and safety

Re-stabilization strategy

• If symptoms return, the goal is not panic escalation—it’s a reasoned adjustment based on what changed and why.

What this is not

• Not a one-visit “get me off everything quickly”

• Not a guarantee that fewer medications is always better

• Not controlled-substance management (this practice does not prescribe controlled substances)

If you want a careful, evidence-based plan to simplify psychiatric medications—without destabilizing your life—schedule an initial consultation.