Structured Deprescribing
For people who want to reduce or stop long-term psychiatric medication — safely, gradually, and with full consultant oversight. This is not about stopping abruptly. It is a careful, medically supervised process built entirely around you.
⸺ Common misconceptions
What deprescribing is — and what it isn’t
Many patients arrive carrying fears and assumptions about reducing medication. Let us address them honestly.
Stopping medication means going cold turkey and risking serious withdrawal.
Structured deprescribing is gradual, supervised, and planned — withdrawal risk is carefully managed at every step.
If medication was prescribed, it must still be needed.
Many prescriptions are never reassessed. A thorough review often reveals that needs — and better options — have changed.
Wanting to reduce medication means rejecting psychiatry or going against medical advice.
Requesting a medication review is a medically valid and increasingly supported clinical decision.
If I reduce medication, my original symptoms will come back worse than before.
With proper support and a bespoke taper plan, most people reduce successfully without relapse when timing and pace are right.
How our deprescribing process works
Every step is consultant-led, documented, and adapted to your individual clinical picture. There is no one-size-fits-all timeline.
01
Initial Psychiatric Assessment
A comprehensive, unhurried consultation covering your full psychiatric history, current medication, reasons for wanting to reduce, lifestyle context, and goals.
60–90 minute video or in-person consultation. Full clinical notes provided. No pressure to proceed if the assessment suggests this is not the right time.
02
Bespoke Taper Plan
A personalised, medically guided tapering schedule accounting for your specific medication, dosage, duration of use, nervous system sensitivity, and life circumstances.
Written plan provided. Hyperbolic tapering where indicated. Timing built around your life — not a generic protocol.
03
Supported Reduction Phase
Regular check-in appointments to monitor progress, adjust the plan as needed, and address any emerging symptoms before they become problematic.
Frequency tailored to your needs. Clear escalation pathway if symptoms worsen. Flexibility to pause or slow at any point.
04
Stabilisation & Discharge
Once at your target dose or off medication, we support a consolidation period — ensuring changes are stable before transitioning to independent management.
Shared care letter where appropriate. Long-term self-management guidance. Optional follow-up sessions available.
Medications we support in our deprescribing programme
We review a broad range of psychiatric medications. All reviews follow clinical evidence and prioritise your safety above all else.
This service may be right for you if…
- You have been on psychiatric medication for a year or more and feel it may no longer be fully necessary
- You were started on medication during a crisis but your situation has since stabilised
- You are experiencing significant side effects you would like to address
- You have tried to reduce medication before and found it too difficult without proper support
- Your GP is unable to support a structured medication review
- You want to understand what your medication is — and isn't — doing for you
Book an initial consultation and we will assess whether structured deprescribing is appropriate for you — without pressure and with complete transparency.