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Comment on Why Detox Facilities and Psych Wards Are Not the Place to Come Off Psychiatric Drugs by John Hoggett
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Comments for Mad In America
When the patient reports these new or worsening symptoms, the prescriber will either raise the dose of the current medication, switch the patient to a different medication (in the same class of drugs or in another class), or add more medications (prescription cascade). Because training in deprescribing psychiatric drugs is so poor, most facilities approach it like opioid or alcohol detox where patients are given “supportive medication” (like clonidine, valium, or beta blockers) and rather roughly torn off their drugs, without much regard for withdrawal symptoms.