Medication Tapering/Withdrawal

This is the second of a series of excerpts from Cracked Open, a book whose unintentional beginning came after I became physically dependent on Ativan in 2010. After a year of following my doctor’s orders for daily use to treat insomnia, my body and mind began to fall apart. I’m serializing the book here – before sending it out into the world – because MIA became a lighthouse for me. I want this community’s feedback because I want to help make a difference. I want my words and message to be clear and strong.

Confronting existential anxiety through “Basal Exposure Therapy” shows promising results in people withdrawing from psychotropic drugs.

The phrase "medication tapering" is being used more and more as the preferred term for the psychiatric medication withdrawal or coming off process. Based on my years of work educating many people around coming off medications -- clients, support groups, and in workshops and trainings -- I think that term is misleading, and let me explain why.

Those of us who question psychiatry’s relationship with medication may be be dismissed as ‘Pill Shamers’ or branded as irresponsible and dangerous voices by those who are convinced medication is the only way of treating someone’s ‘illness’. The debate can feel like a fight between two intractably opposed sides, giving the impression that we must either be ‘for’ or ‘against’ medication. Unfortunately the information and space needed to explore our complex relationship with medication – as practitioners and people – is in short supply, making the concept of informed choice a bad joke. Over the next two years, we will bring together a book made of contributions from people who have successfully taken control of their use of medication.

There's a growing (and soon to be quickly growing) group of us who are not therapists or psychiatrists but who offer “coaching,” connection and support. We offer this support to those coming off psychiatric drugs, or who would like to, or are opting to not go on in the first place but are facing pressure to. Most of us are psychiatric survivors so a lot of our knowledge and information is from firsthand experience. Others may have never been on psychiatric drugs but know a lot about the ins and outs of withdrawal through close association with those who have.

I have given up on psychiatry as a system capable of “being there” for people who are dealing with life and death issues. Psychiatry as a system of care lacks validity. Every day — unfortunately — we learn of new examples proving this statement. But here's the good news: every day we meet people who show us that the predictions of psychiatry are not true; that there are “cures,” that it is possible to reduce or withdraw psychiatric drugs.

Here I was, 15 years old and already in a long-term treatment facility. I was, on paper: crazy! This entire time, all the adults in my life had been speaking for me. I never felt like I was any of the things they said, but I went along with it. What else could I have done? Every time I rebelled, it only confirmed to my mother what she thought of me.

In this piece for Psych Central, Dr. Viatcheslav Wlassoff discusses some of the safety issues and adverse effects of antidepressants. "When it comes to side effects, anticholinergic...

Australian researchers look at the literature on the effect of psychotropics on falls in the elderly; largest effect of any randomized trial was achieved...

In an interview with MIA, Dr. Horowitz discusses his recent article on why tapering off antidepressants can take months or even years.

From New Scientist: Some organizations are helping people hack their dosing regimens so they can taper off psychiatric drugs without severe withdrawal effects. One Dutch organization...

My name is Leah Harris and I'm a survivor. I am a survivor of psychiatric abuse and trauma. My parents died largely as a result of terrible psychiatric practice. Psychiatric practice that took them when they were young adults and struggling with experiences they didn’t understand. Experiences that were labeled as schizophrenia. Bipolar disorder. My parents were turned from people into permanent patients. They suffered the indignities of forced treatment. Seclusion and restraint. Forced electroshock. Involuntary outpatient commitment. And a shocking amount of disabling heavy-duty psychiatric drugs. And they died young, from a combination of the toxic effects of overmedication, and broken spirits.

A new study to be published in the next issue of Schizophrenia Research examines patients suffering from a first-episode of psychosis who stop taking any antipsychotic drugs. The researchers attempt to identify variables that can serve as predictors of the successful discontinuation of antipsychotics. They find, for example, that those who discontinue the drugs have, on average, the same outcomes as those who stay on them, and that those who have better social integration are more likely to discontinue without relapse.

M.W. Agelink, A Zitselsberger, E. Kleiser, Withdrawal symptoms after discontinuation of Venlafaxine (letter), Am. J. Psychiatry, 154, 10, October 1997, 1473-1474. G.W. Amsden, F. Georgian,...

Researchers and advocates have continued to critique The Lancet's recent study claiming to prove definitively that antidepressants are more effective than placebo. Below are a...

From BBC: Mad in America Radio Host and Program Director James Moore speaks about the impact that antidepressant withdrawal has had on his life. "The 46-year-old has...

1978 study of 80 young males diagnosed with acute schizophrenia, finding that "many unmedicated-while-in-hospital patients showed greater long-term improvement, less pathology at follow-up, fewer...

A psychiatrist has testified to an Irish court that Ian Harman cannot be held criminally responsible because he was suffering withdrawal from an antipsychotic...

Manasa Ayurveda has launched a new harm reduction based program that will support people in tapering from antidepressant drugs. "Manasa Ayurveda aims to work collaboratively,...

The Daily Beast reports that Brooklyn artist Marni Kotak is weaning herself off a cocktail of antidepressants and antipsychotic drugs in a Brooklyn gallery...

Part of what has scared me straight about ever starting a patient on an antidepressant (or antipsychotic or mood stabilizer) again is bearing witness to the incredible havoc that medication discontinuation can wreak. I am half way through the first e-course of its kind (on withdrawing from psych meds), and it has been incredibly well-received. There are so many people out there, disenfranchised by psychiatry, skeptical of its promises, and who want a better way, a more thoughtful assessment of them as whole persons. We seem to be onto something here, so let’s keep the dialogue flowing, keep our eyes wide open, and reform what psychiatry means, one patient at a time.

From Metro: Originally prescribed the antidepressant Venlafaxine for migraines and persistent low moods, Tabitha Dow shares some of the persistent, debilitating symptoms she continues to...

Psychiatric Times is offering an online continuing medical education (CME) course designed to "present information on why a patient might decide to discontinue psychotropics...

This week Live & Learn launched a research study on the experience of people labeled with mental disorders who have tried to stop taking psychiatric medications. This project -- the Psychiatric Medication Discontinuation/Reduction (PMDR) Study -- aims to understand the process of coming off psychiatric medications in order to better support those who choose to do so. The study seeks to answer the question: What helps people stop their psychiatric medications? What gets in the way of stopping?

Will Hall's Harm Reduction Guide, published by the Icarus Project and Freedom Center.