The Hyperbolic Taper, made simple.
A printable clinical handbook for safely tapering SSRIs, SNRIs, benzodiazepines, antipsychotics, lithium, gabapentinoids and stimulants. Built on the Maudsley Deprescribing Guidelines and 2026 Carlat clinical updates — no internet sources, no AI-generated claims.
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What's in the 17 pages
Worked examples + the visuals you can hand a patient at the visit.
The receptor curve
Why a linear taper crashes at the lowest dose — with the PET-imaging data that proves it. The single chart that changes the conversation.
Withdrawal vs. relapse
The three filters, the reinstatement test, the akathisia red flags. Plus the documentation language that holds up in the chart.
The 21-step sertraline taper
Full worked example from 100 mg to 0 with both liquid and capsule paths. Print page 7 and keep it at the workstation.
Faster / Slower / Even Slower
Three pre-built Maudsley speeds, with the criteria for picking each. Plus the halt-and-slow protocol when symptoms appear.
BZ + antipsychotic protocols
The 5-step Cromwell protocol, Malzberg's diazepam hyperbolic schedule, the PAWS/BIND distinction, and what RADAR vs GARMED actually tell us.
The visit script
The RELEASE 3As + the patient Decision Aid. The three sentences that change a long-term refill visit.
Built from the medical literature, not internet sources
The Maudsley Deprescribing Guidelines (Horowitz & Taylor, Wiley 2024) · RELEASE protocol (Univ. of Queensland) · Carlat Psychiatry / Geriatric / Hospital Reports (2021–2026) · RADAR + GARMED antipsychotic-tapering trials