It works, but
Symptoms are controlled and the side effects are not — sedation, weight, blunting, sexual side effects — and you were told that was the trade.
Prescribing is a conversation,not a transaction.
Medication for ADHD, anxiety, depression and bipolar disorder — dose, timing, interactions and side-effect burden revisited as your life changes, rather than a regimen set once and refilled for years without review.
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Overview05
The question is never only whether a medication works. It is what it costs you to take it.
A great deal of psychiatric prescribing is inherited: someone started something years ago, it was never quite reassessed, and a second agent was added to manage the effects of the first. Over time that becomes a regimen nobody has looked at as a whole.
Medication management here starts with that whole view. Every agent, its dose, why it was started, what it is doing now, what it is costing in sedation, weight, libido, cognition or cash, and how it interacts with everything else you take — including what your other physicians prescribe and what you buy over the counter.
Then it is managed actively. Changes are made one variable at a time with a defined review point, so we can tell what actually helped. Where a medication has outlived its purpose, tapering it is treated as a legitimate clinical goal rather than a risk to be avoided.
What this addresses
- Antidepressants
- Anxiety medication
- ADHD medication
- Bipolar & mood stabilisers
- Antipsychotics
- Sleep agents
- Complex polypharmacy
- Cross-tapers & switches
- Interaction review
- Planned discontinuation
Who this is for
Too many moving parts
You are on several psychiatric medications, added at different times by different prescribers, and no one has reviewed the whole list together.
You want to come off
You have been stable for a long time and want a properly planned, monitored taper rather than stopping on your own.
How it runs
01
The full inventory
Every psychiatric and non-psychiatric medication, supplement, and substance, with doses, timing, and start dates, mapped against your symptom history.
02
One variable at a time
Changes are sequenced deliberately. Moving two things at once makes the result uninterpretable, and interpretability is the whole point.
03
Monitoring
Bloodwork, levels, weight, blood pressure and ECG where a given agent warrants it — coordinated with your primary care physician rather than duplicated.
04
Review, including whether to stop
Each agent is periodically re-justified. Anything that can no longer earn its place is tapered on a planned schedule.
Common questions
What patients ask about medication management.
If yours is not here, ask it directly — we would rather answer before an appointment than after one.
Ask a questionYes. Split care of that kind is common and works well, and with your consent we coordinate directly with your therapist so both halves of the treatment are aligned.