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It was such a pleasure to get to talk more with Dr. Josef about his approach to mental health care as a psychiatrist specializing in deprescribing and safe tapering of psychiatric medications. There is a pervasive assumption within psychiatry that these medications are necessary and dangerous to suggest coming off of - but that framework often does a disservice to prioritizing the patient's quality of life and various other life and health factors.
Thank you so much Dr. Josef for sharing your perspective and approach to psychiatry with us.
You can learn more about Dr. Josef and The Taper Clinic here:
YouTube - @taperclinic
Website - https://taperclinic.com/
Instagram and TikTok - @taperclinic
Timestamps:
00:00 - Introduction to Dr. Josef
00:52 - Is Dr. Josef against psychiatric medications?
02:20 - Dr. Josef's background and how he came to helping people taper off psychiatric medications
10:30 - What does The Taper Clinic do?
14:05 - What are the basic principles of safe tapering?
18:15 - Why taper instead of just abruptly stopping the medication?
21:20 - Is there any way to manage withdrawal symptoms?
22:45 - How do you consider individual circumstances in psychiatric care and tapering?
24:56 - Overcoming a siloed health care system - need to look at health as a whole!
27:40 - Which psychiatric medications are the most difficult to taper off of?
31:20 - What is often the most challenging part of tapering psych meds?
34:22 - Addressing trauma around deprescribing or medication tapering + feeling safe navigating tapering
38:00 - What role should a prescriber play in the deprescribing process? Who else could I add to my care team to support this process?
44:22 - Advice for self advocating with a prescriber who may be adverse to deprescribing
48:56 - What has the reaction to taking this different approach to psychiatric care been like?
51:52 - There needs to be more room to have these conversations
57:00 - Message of hope or empowerment for people navigating psychiatric medications and care
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Learn more about medical keto for mental illness:
• Metabolic Mind YouTube channel: youtube.com/@metabolicmind and website: www.metabolicmind.org
• My keto coach, Nicole Laurent’s website: http://www.mentalhealthketo.com
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Looking for a mental health advocate for your event or project? Learn more: http://www.laurenkennedywest.com
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• Instagram: https://www.instagram.com/livingwellwithschizophrenia
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