Medication Reassessment & Second Opinions
An independent psychiatric review for adults already on medication that isn't working, is causing side effects, or may no longer be needed.
Already on Medication — and Not Sure It's Working?
Who This Is For
You've been on medication for months or years without meaningful improvement
Side effects are affecting your sleep, weight, energy, sexual function, or ability to think clearly
You've tried several medications and none have worked well
You're on multiple psychiatric medications and no longer sure what each one is doing
You want to reduce or stop a medication safely
You're not confident the original diagnosis was correct
Your prescriptions have been managed by primary care and you'd like a specialist's review
You want an independent opinion before making a significant treatment decision
What the Review Involves
A reassessment is a full psychiatric evaluation with particular attention to your medication history: every agent tried, the dose reached, how long it was continued, why it was stopped, and how you tolerated it. Incomplete trials — too low a dose, too short a duration — are among the most common reasons treatment appears to have failed when the medication itself was reasonable.
We also review medical contributors that can mimic or worsen psychiatric symptoms, and interactions with non-psychiatric medications you're taking.
You'll receive a clear assessment of your current regimen and specific recommendations, whether that means continuing as-is, adjusting, switching, or tapering.
Some patients want an opinion without transferring care. We can provide a written assessment for you and your current prescriber.
Deprescribing
Reducing or discontinuing psychiatric medication is a legitimate clinical objective and requires the same rigor as initiating one. Tapering is planned deliberately, with attention to discontinuation symptoms and relapse risk, and adjusted based on how you respond.
What to Bring
A list of all current medications and doses, psychiatric and otherwise
Any psychiatric medications you've tried previously, with approximate doses and dates if you have them
Prior records or discharge summaries, if available
Recent lab work
Your current prescriber's name, if you'd like us to coordinate
Important
Please don't stop anything on your own before your appointment — some medications cause real problems when discontinued suddenly. Keep taking what you're taking, and we'll make a plan together.
