Absolutely. Many of my patients are on 3–4+ psychiatric meds. I specialize in managing complex polypharmacy cases, tapering medications one at a time while watching for withdrawal, drug interactions, and mental health changes.

There is no single taper plan that works for everyone. I build your plan and timeline around your goals and comfort level, then we decide together after a thorough medical evaluation.

No. I do not start antidepressants like SSRI/SNRIs, benzodiazepines, mood stabilizers, or similar psychiatric medications for people who have never taken them. My practice focuses on deprescribing and supervised tapering, so I do not offer standard medication-first treatment.

If you are already taking one of these medications and want to reduce or stop it, that is exactly what I help with.

Not every method fits every medication or every person. Which ones we use depends on the medication, your history, and how you respond to each step.

• Cut and hold: We reduce the dose by a set amount, then hold at the new dose until your body has stabilized before the next step. The length of each hold is based on how you feel, not a fixed calendar.

• Hyperbolic (percentage-based) tapering: Each reduction is a percentage of your current dose rather than a fixed amount, so the steps get smaller in absolute terms as the dose gets lower. This helps avoid the larger relative drops that can happen at low doses.

• Medication conversions: Switching to a different formulation, or to a longer-acting medication, so that reductions can be smaller and smoother. This can include a cross-taper, where one medication is gradually replaced by another.

• Pill splitting and pill counting: Reducing the number of pills, or portions of pills, taken each day, using a pill cutter where the tablet is suitable for splitting.

• Scales: Weighing doses on a precise scale (for example, a milligram scale) to make very small, accurate reductions that pills alone cannot give.

• Bead counting: For certain capsules that contain beads, counting the beads and removing a set number to lower the dose in small increments. Not all capsules are suitable for this.

• Liquid microtapers: I use a liquid form of the medication to make smaller, more precise reductions. For benzodiazepines and SSRIs, this may mean daily hyperbolic liquid microtapers. For other medications, we may use more standard step-down reductions with a liquid, adjusted to how you respond.

• Commercial liquids: Using manufactured liquid formulations when one is available for your medication.

• Compounded liquids: Having a compounding pharmacy prepare a custom liquid when a commercial option does not exist or does not fit your needs, including custom concentrations that make small doses easier to measure.

• Compounded pills and capsules: Having a compounding pharmacy prepare custom-strength pills or capsules when a commercial option does not exist or does not fit your needs.

• Syringe techniques: If unfamiliar with tapering, we can schedule individual educational sessions where you learn how to measure liquid doses accurately with an oral syringe, including how to read the markings, draw up the dose, and avoid measuring errors.

• Dose scheduling adjustments: Changing when, or how often, doses are taken, such as dividing a dose across the day.

• Pausing, slowing, or reinstating: If symptoms come up, I can pause, slow the pace, or return to a previous dose that was well tolerated before trying a smaller step again.

• Symptom and dose tracking: Using a simple log of your dose, sleep, mood, and physical symptoms so we can spot patterns and time each step well.

• Pharmacy coordination: Working with your pharmacy to make sure the form, strength, base and quantity you need are available, and that refills line up with your plan.

• Other individualized approaches: There are other methods we may use for your specific medication and situation.

I do not offer weekly one-hour therapy sessions. All follow-up visits are 30 minutes and include management of medications alongside therapeutic counsel.

For those unsure about medication but interested in counsel or a second opinion; I offer one-time, 1-hour consultations, which may or may not include prescribing.

It varies. When someone needs more acute care, I may see them as often as weekly, before we spread visits out. For an active taper, the average is about once a month. When someone is very stable, visits can sometimes be every three months.

Please note that I do not offer crisis management or overnight coverage. If you are experiencing a crisis or an urgent issue, call 988 or go to your nearest emergency department.

Yes. I can provide supporting medical documentation and paperwork for work or school leave at no additional cost, including FMLA and short-term disability (STD) forms. I usually complete it within the same week.

Only if you qualify. ESA (emotional support animal) or PSD (psychiatric service dog) letters are not automatic, and whether one is appropriate depends on an evaluation of your individual situation. If you would like to be evaluated, you can book an intake session.