Deprescribing - Articles | CARLAT PUBLISHING

Clinical Update

Deprescribing Benzodiazepines: A Practical Guide to Tapering

April 1, 2026

Greg Malzberg, MD. Attending Psychiatrist & Assistant Clinical Professor, Mount Sinai West, New York, NY. Creator, PsychoFarm.

Dr. Malzberg has no financial relationships with companies related to this material.

A practical, patient-centered guide to safely tapering benzodiazepines, balancing long-term risks, withdrawal challenges, and strategies that improve success.

Research Update

How Long Should Antidepressants Be Continued After Response?

February 24, 2026

Dee Rapposelli

Dee Rapposelli. Ms. Rapposelli has no financial relationships with companies related to this material.

Investigators examine how long patients should stay on antidepressants after feeling better—and what factors matter when considering discontinuation.

Deprescribing Antipsychotics: Why Stopping Can Be Harder Than Starting (Med Fact Book Mini-Series)

November 17, 2025

Daniel Carlat, MD

Deprescribing antipsychotics is its own beast.

And it often takes more work than starting them.

This is a bonus post in my A-to-Z series from the upcoming 8th edition of the Med Fact Book.

Fact Sheet

Deprescribing Medications in Older Adults

August 2, 2025

Rehan Aziz, MD

Dr. Aziz has no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Most older adults take more than five medications, making polypharmacy a significant issue in this population.

Expert Q&A

How to Stop a Psychiatric Med

November 1, 2024

Mark Horowitz, MBBS, PhD

Mark Horowitz, MBBS, PhD

Research and Development Department, Goodmayes Hospital, North East London NHS Foundation Trust, Essex, UK; Visiting Lecturer in Psychopharmcology, King’s College London. Co-author of The Maudsley Deprescribing Guidelines (Wiley-Blackwell; 2024).

Dr. Horowitz is cofounder and consultant for Outro Health. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Dr. Horowitz explains the principle, practicalities, and science of tapering psychiatric medications.

Clinical Update

Unraveling Post-SSRI Sexual Dysfunction

September 26, 2024

Awais Aftab, MD.

Awais Aftab, MD. Psychiatrist in Cleveland, Ohio, and Clinical Assistant Professor of Psychiatry at Case Western Reserve University. Author of the online newsletter Psychiatry at the Margins.

Dr. Aftab has no financial relationships with companies related to this material.

Patient advocacy groups are adamant that it exists. European regulators have given it the stamp of approval. Here, we look at the evidence that sexual dysfunction can persist long after stopping an SSRI.

Deprescribing Anti-anxiety Meds in Older Adults

March 25, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them.

Clinical Update

Addressing Polypharmacy in Older Adults

January 1, 2024

Jose Antonio Ribas Roca, MD and Carolyn TK Tran, PhD

Jose Antonio Ribas Roca, MD. Associate Professor, Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX. Carolyn TK Tran, PhD. Instructor, Psychiatry and Behavioral Sciences Baylor College of Medicine, Houston, TX.

Dr. Ribas Roca and Dr. Tran have no financial relationships with companies related to this material.

Managing polypharmacy in older adults can be tricky, especially when multiple clinicians are involved. We offer tips on how to find the right medication and dose while avoiding prescribing cascades. We also discuss how to use shared decision-making to deprescribe.

Clinical Update

Tapering Antipsychotics

November 1, 2023

Charmi Patel Rao, MD, DFAACAP

Charmi Patel Rao, MD, DFAACAP. Director of Psychiatric Services, Positive Development; Health Sciences Assistant Clinical Professor, Department of Psychiatry, Child and Adolescent Psychiatry; UCSD, San Diego, CA.

Dr. Patel Rao has no financial relationships with companies related to this material.

Antipsychotics offer remarkable, even lifesaving treatment for children and adolescents, however, their side effects include metabolic and neurologic problems, including neurotoxicity. This clinical update guides you through a rational process for employing these powerful medications when necessary but also reducing and discontinuing them when possible.

Psychotherapy and Medication in Recurrent Depression

June 29, 2021

Giovanni Fava, MD

Giovanni Fava, MD

Clinical Professor of Psychiatry at the State University of New York at Buffalo. Editor-in-Chief of the journal Psychotherapy and Psychosomatics and author of over 500 scientific papers. His book, Discontinuing Antidepressant Medications, is due from Oxford University Press in 2021. Dr. Fava has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Antidepressants treat depression, but patients need something more to prevent future episodes. Giovanni Fava describes an evidence-based method that blends medication with psychotherapy in two phases: sequential treatment for prevention of depression.