Patient Guide

You weren't supposed to be on this medication forever.

Here's what safe psychiatric deprescribing actually looks like — and how to find a clinician who knows how to do it.

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First, the basics

What is deprescribing?

Deprescribing is the supervised, evidence-based process of safely reducing or stopping a medication. For psychiatric medications, it's a clinical specialty in its own right — not just "quitting." Done right, it minimizes withdrawal and maximizes long-term success.

Done wrong — the way most clinicians were taught — it causes withdrawal in 50–80% of long-term users. And gets them blamed for symptoms that are actually pharmacological, not psychological.

50–80%
of long-term users experience withdrawal during a standard linear taper
6–36 mo
typical timeline for a sustainable, evidence-based taper
Last 10%
of a dose does the most work on brain receptors — and is where most tapers fail
The Old Way vs. The Right Way

Two ways to come off a psych med.

Linear tapering
"Cut 25% every two weeks."
Dose steps based on the bottle, not the brain
Withdrawal blamed on "underlying condition"
50-80% experience withdrawal
Patients restart; cycle repeats
Hyperbolic tapering
"Dose steps that match the receptor curve."
Dose steps based on receptor occupancy
Withdrawal recognized and managed
Micro-doses at the low end
Sustainable, supervised, evidence-based
The Science

Why the curve matters.

When you cut a medication dose in half, you don't reduce the brain effect by half. The dose-response curve is hyperbolic — not linear. The first cuts barely change anything; the last 10% of the dose is where most of the receptor activity is happening.

Receptor Occupancy vs. Dose
━ Hyperbolic (real) vs. ┄ Linear (assumed)
The Credential

What it means to be a Certified Deprescriber.

The hyperbolic protocol above is what good deprescribing looks like in practice. Certified Deprescribers have completed a clinical training program in that protocol and passed an exam to prove they can apply it.

Clinical training

A 12-hour curriculum covering benzodiazepine, SSRI, antipsychotic, and z-drug tapering. Built around The Maudsley Deprescribing Guidelines — the international standard for safer medication discontinuation.

Evidence-based methods

Hyperbolic dose-curve tapering, compounded micro-doses at the low end, and weekly check-in protocols. Not the "25% every two weeks" approach — the gentler, longer arc that respects the curve you just saw.

Renewed every 24 months

Certification isn't permanent. Providers re-take the certification exam every 2 years to keep pace with new tapering research, drug-specific protocols, and updated clinical guidelines.

"After 11 years on a benzodiazepine, I'd been told for years that 'a slow taper' meant cutting 25% every two weeks. Finding a clinician who actually understood hyperbolic tapering changed everything."

Marcus T. · Patient, Colorado
How MyDeprescriber Works

Three steps to find the right clinician.

1

Search

Enter your ZIP code. See Certified Deprescribers in your area or available via telehealth — filtered by medication specialty, insurance, and availability.

2

Compare

Review each clinician's training, the medications they specialize in tapering, their treatment approach, and patient reviews. Your search stays private.

3

Connect

Contact the clinician directly to schedule a deprescribing consultation. Most respond within 1-2 business days. We never share your info without consent.

Get Started

Find a deprescriber who knows the protocol.

Search certified clinicians by ZIP code, specialty, and availability.

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