When Symptoms Return, the Timeline Matters

When Symptoms Return, the Timeline Matters

A recent prospective study from Switzerland followed 32 primary-care patients as they reduced antidepressants. The study adds useful evidence that symptom increases can cluster around dose changes. It also makes something else plain: measuring withdrawal is difficult...
The Difference Between Review and Reconsideration

The Difference Between Review and Reconsideration

Psychiatric medication reviews are getting more attention. That is a good thing, with one important caveat: a review can become another administrative ritual. In February 2026, an American Society of Clinical Psychopharmacology task force published consensus...
A Refill Is Not a Decision

A Refill Is Not a Decision

Psychiatric medications are often started through a decision. They are continued through momentum. That is not an accusation. It is how most health care systems work. A prescription has refills. A follow-up visit is short. The immediate question becomes, “Should we...