Deprescribing and Its Application to Psychiatry

  • Swapnil GuptaEmail author
  • Rebecca Miller


Deprescribing is gaining increasing traction in psychiatry to address the complications and risks of polypharmacy as well as to honor the preferences of the person in treatment. From a recovery-oriented perspective, deprescribing is an opportunity to empower the patient in a shared decision-making process around decreasing the use of psychiatric medication. Yet this process should be carefully thought through, in order to limit negative effects while also respecting a person’s preferences. This chapter reviews indications for considering deprescribing, management of withdrawal effects and increases in symptoms, psychosocial interventions that may be helpful, and strategies for supporting the patient in the decision-making process. Finally, the future directions of deprescribing as a comprehensive intervention are discussed.


Deprescribing Psychopharmacology Shared decision-making Recovery-oriented care 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Connecticut Mental Health CenterNew HavenUSA
  2. 2.Department of PsychiatryYale School of MedicineNew HavenUSA
  3. 3.Peer Support & Family InitiativesConnecticut Mental Health CenterNew HavenUSA

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