Deprescribing Psychiatric Medications: Yes, It’s Possible!
If you're reading this, you might be wondering how you can get off psychiatric medications—or whether you should. Maybe you’re feeling better, experiencing side effects, or simply hoping to rely less on medication moving forward.
These are valid questions. But it’s important to know that stopping psychiatric medications isn’t always as simple as just deciding to stop. Some medications, when discontinued too quickly or without proper support, can lead to discontinuation syndrome—a set of symptoms that can feel confusing or even alarming.
What Is Discontinuation Syndrome?
Discontinuation syndrome refers to the physical or psychological symptoms that can occur when a psychiatric medication is reduced or stopped abruptly. These are not signs of addiction, but rather your body’s way of adjusting to the absence of a drug it has adapted to over time.
Common symptoms can include:
Dizziness or “brain zaps”
Nausea or gastrointestinal upset
Sleep disturbances
Mood changes like irritability, anxiety, or low mood
Sensory sensitivities
A return—or temporary worsening—of the original condition the medication was treating
Symptoms vary depending on the medication, how long you’ve been on it, and your individual brain chemistry.
Why You Shouldn’t Go It Alone
Deprescribing should always be done with the guidance of a psychiatrist. A thoughtful, gradual taper allows your brain and body time to adjust, reducing the risk of withdrawal effects or symptom relapse.
Working with a psychiatrist ensures:
A tapering plan tailored to your medication, dose, and timeline
Close monitoring of mental health symptoms during the process
Supportive strategies (like therapy, supplements, or lifestyle changes) to help you through the transition
A plan in place in case symptoms return
I’ve personally helped many of my patients discontinue their psychiatric medications when we both felt the time was right (for depressive disorders, anxiety disorders, and insomnia). And when done thoughtfully and gradually, most don’t experience withdrawal symptoms.
If you’re reading this and feeling unsure about your next steps, know that you don’t have to navigate this alone. Talk to your current doctor—or feel free to reach out to schedule an appointment. You deserve support and guidance as you make decisions about your mental health.
