Tapering Psychiatric Medications Safely: Insights with Dr. Josef

[@NeseretBemient]

I'm so glad to see this interview. Dr. Josef is one of the most compassionate, kind, empathic, and caring human being I've ever met. He has a heart of gold. He is also a shinning example of what a psychiatrists needs to be. I was also privileged to meet his team of fantastic coaches and learn from them. They're all amazing people with their own lived experiences. They hold space for people who are in the midst of deep suffering with incredible compassion, patience, and love. It's so exciting to see taper clinic embracing metabolic therapies and ketogenic diet as an intervention. They already do great work educating/supporting people through the precarious journey of tapering psych drugs and this just adds another layer of service which is a crucial piece.

[@metabolicmind]

It sounds like you were part of the influence that led them to ketogenic and metabolic therapy. Thanks for your effort and advocacy!

[@NeseretBemient]

@ It was my pleasure to share what has helped me and so many others. Raising awareness and advocacy is key in spreading this message.

[@Agnes_B96]

I love that holistic approach of Dr. Josef! So rare

[@MistyRane]

Two of my favorite channels collide. How awesome!

[@thrivingwithbipolar]

I have been following both Metabolic Mind and Dr. Josef for a few months and I have got so much from both channels. I am so happy you guys have collaborated!!! Thank you 🙂

[@mel-ou8yh]

YESSS I WAS WAITING FOR THIS UNION

[@MsLeenite]

Thank you, Dr Scher and Dr J W-D.

[@CJ-lj9fb]

People slow taper off of cymbolta by counting the beads and coming down extremely slowly, they put the reduced number of beads back in a capsule in order to take them so it is possible to do a slow taper on Cymbalta.

[@blackswan1983]

I'm currently doing this with my doc's permission because I used to work in a pharmacy. Make sure you wear gloves.

[@GuteBesserung8]

Thank you, this is so rich & precious!

[@Nakanam1]

Oh thank you! This great, I was waiting for this collaboration. Just started keto to help with tapering. Wish me luck

[@Lwassie-z3w]

I'd love it if you to shared your experience! I'm contemplating the idea, but since withdrawals are tough in the first place, I'm afraid to make things worse.

[@Nakanam1]

@ I feel better already. Give it a chance.

[@alisonrenwick1520]

Very helpful thank you

[@IsabelMendocilla]

Thank you, this was very good information.

[@ninapoe]

I'm several months into keto and seeing a lot of mood stabilization, less depression, and more energy. Until now suggestions to use nutrition to treat depression have felt invalidating. That may be because just eating more blueberries or taking St. John's Wort is nothing like keto. I tried nutrition 20 years ago at the beginning of my journey and it only postponed proper medication treatment. I'd be interested to know how you help patients who may think that a "nutritional" approach feels invalidating (even if they respond well).

[@metabolicmind]

"That may be because just eating more blueberries or taking St. John's Wort is nothing like keto." That is so true! As for the validation aspect, I suggest you watch Hannah Warren and Lauren Kennedy West discuss their experience with ketogenic therapy and their sense of identity. kzbin.info/www/bejne/jGeldouPibOEi7M

[@BeatrizHatfield-w7e]

It’s helping with my loved one’s hyperbolic taper too.

[@JRCB77]

@MetabolicMind, I haven’t listened to this episode yet but I’d love to hear you cover both Hardy’s nutritional support supplements and the Walsh Protocol. Thanks

[@kitkeyser]

I need to earmark this one. I need to watch it when I have a moment to absorb the video. I have a tapering video to make as well. If I forget can someone remind me

[@jamescalifornia2964]

~ I read that some psychiatrists have used niacin in place of medication with good results 👌

[@lexamdelac28]

Also, I know Dr. Josef mentions going down 5-10 or more % each month as tolerated, but with olanzapine, the compounding pharmacist I've been working with says the manufacturer has a margin of error meaning all the tablets they sell are not exactly accurate (as labelled) by certain milligrams since they don't have to be, so the pharmacist can only make tablets and even liquid certain amounts but it's not possible to do tapers of such small percentages in the end. I'd love to know of anyone going down on olanzapine and how they finished off in the end since the tapers will be larger towards the end?

[@Lwassie-z3w]

Thanks for this excellent video. Now the big question is: has anyone started keto while tapering, and has it made the process smoother? We need a study :-) I'm doing everything by the book, I actually have to taper in very small increments, and I'm still experiencing debilitating symptoms sometimes (right now actually). Even anecdotal stories would be precious... Thanks!

[@metabolicmind]

Thanks for your comment. We have heard individual stories that being in ketosis has helped with tapering. Although not everyone has the same experience. Here are other videos we've done about medication management that may help. kzbin.info/www/bejne/mobckGSMjJxsbc0 kzbin.info/www/bejne/gqHNnZyLf79ghaM

[@Lwassie-z3w]

@metabolicmind Thanks for your response, I'll watch this video right away. And thank you for the amazing resources you are sharing on this channel. 🙏🙏

[@kassi4837]

They can mess up impulse control also, and make people more emotional too.

[@spacecookie10]

Is this "wear-off-effect", where you need more dosage from a drug after a certain time only associated with SSRIs or also with antipsychotics?

[@metabolicmind]

He implied that it can occur with anti-psychotics as well.

[@elaabel590]

I liked it only because of Dr. Josef and his amazing attempt to make peoplle aware of the danger of psych drugs. Suggesting similarities between diabetes and depression is ridiculous.

[@janem5900]

This video nominates a range of therapeutic diets for mental health. Are any gastroenterologists contributing their results of GIT investigations (Eg. gastroscopy/colonoscopy) to evidence the association between food intolerances and a mental health profile?

[@varghagyula3338]

Love your channel, great content! I am curious how the metabolic community seems to not be aware of the work of Dr. Natasha Campbell-McBride. I think she was ahead of the field by 20 years in many aspects, especially in her medical practice. Her book Gut and Psyhology Syndrome was released in 2004.

[@barbaramartinetti]

Dr. Sher, Dr. Josef.....You've most likely seen this article in Neuroscience News, Study Ties Visual Errors to Paranoid Beliefs. Upon recovery metabolically from Schiz, does this perception problem go away?

[@blackswan1983]

I have too much NE and glutamate because meds made the imbalance worse. Working on nutritional deficiencies and prepping for keto now.

[@Vancouver_1986]

@12:00 - It's incredibly important for Healthcare around the world to acknowledge this. @ 19:14 & @19:40 - It's incredibly important for Healthcare around the world to acknowledge this. Let's get people back to work, back to their relationships/hobbies, and off of these god-forsaken disability cheques because of our bodies being completely destryoyed. Please. It would mean so much to us. @37:00 - this is the advice that Dr Mark Horowitz says as well: the lower dosages are more risky.

[@sandan2358]

Has anyone on here with treatment resistant major depressive disorder tried TMS? Yes, all my meds stop working in 1-2 years and I’m now on 2 meds and they aren’t working ☹️ My mental health provider & family doctor do Not want me to try Keto. 🥺

[@tosun9379]

i did i keto absullitly worrking on depression and anxiety

[@blackswan1983]

I decided against TMS because of the potential long term side effects. Same with neurofeedback

[@MartyRaaymakers]

Breads. Nice of the VA to have that past study, eh?

[@Jeff-jl3vn]

Here is why a ketogenic Diet works You Run on ketones your body likes it More A Quick Way to Know how you will feel in ketosis buy a good endogenous ketone take It if you want to constantly feel like that do keto In my opinion with 2 to 3 day fast Most Of The autophagy or healing occurs by drinking your body to run on ketones it heals It self Quick If You broke a leg In the woods and Couldn’t Walk To eat your body would Need to heal quick are bodies are amazing

[@barbaramartinetti]

Just a yes or a no......son with schizophrenia on psychiatric med that tamps down psychotic behavior.....but still has multiple delusions........do delusions melt away with metobolic therapy? Have you really noticed a decrease in delusions as tapering occurs? So glad geodon is available in liquid form for tapering purposes. Thanks...in PA, so will be in search of your locations.

[@metabolicmind]

As with medications, not everyone has the same experience with ketogenic therapy. But, we encourage you to watch Lauren Kennedy West's content about her journey with ketogenic and metabolic therapy for her schizoaffective disorder. Here's an interview we did with her. kzbin.info/www/bejne/enysc6ukd650p8U

[@MichaelWalden-o4d]

​​@@metabolicmindgreat answer, Lauren is such a great ambassador for metabolic therapies and as someone with lived experience of schizoaffective disorder including delusions as per the original question, she is an example of how amazing metabolic therapies can be for sufferer's. I think often the jump out headline the viewers perceive is keto will transform your life, but I think it's not often recognised by viewers that to achieve the best results often "therapies" are needed and Lauren with her exercise, councilling etc is a perfect example of someone addressing their whole metabolic health. My wife has achieved tremendous results with keto over about 6 months with almost no delusions or hallucination at all, but over the following 4 months we have built in further measures like excersize which are begining to show their benefits alongside. We are tackling this journey ourselves so it's one step at a time not jumping at everything at once. Thanks for everything you're doing to promote and educate on this subject.

[@Jeff-jl3vn]

Sorry for all the misspellings just healed from 20 years of 8 mg of klonopin a day I Am just realizing how To Work phone and want to help But Really been through So much Nothing else can be worse then the 3 years of hell on earth I just quite frankly don’t care

[@freetinkerer3878]

First

[@Jeff-jl3vn]

Benzo bind, this is what helped me heal. What is wrong your wiring don’t know how to fire right because it was shut down with extra gaba a and may like me also quite Gabapentin calcium channel block you don’t know what normal feel like same for PSSD do ketamine be mindful of your normal go around house just name and pick up keep concentration even imagines the neurons in your brain move spin them in your head exercise of course and all of a sudden I was normal in my own had to try to stay longer and longer in normal or concentrating Zone. I spend most of my day in normal zone and hate psychiatrist that leave someone like me a patient to explain it being on 8 mg for 20 years I am at a year and 6 months probably another half a year to be mindful without thinking what your normal is

[@Jeff-jl3vn]

First, it is a shame when A women died in a sink hole looking for a cat is a headline for news or what puff daddy is doing and not the psy meds are making people crazy not better. Keto works carnivore is better just eat eggs butter and cheese I don’t care no carbs better for mental illness Don’t worry about salt cholesterol not all the bs. Cholesterol HDL and LDL are a ratio all the blood work the normal alt ast creatine glucose hdl ldl the normals are for people who are eating hormones fillers. Not on a ketogenic diet, a normal person what is normal by the way. Not a ketogenic diet bloodwork. Like the Bristol’s stool scale your poop looks like that on a carbohydrate diet not a carnivore. It works by running on ketones your body produces glucose through protein by glycogenisis that is how your sugar stabilizes, only necessary macronutrients is protein you can live on. Things are blamed on genetics because people eat same things, The true wake up call in my drug induced problems from psy meds, After your body burns off all glucose like when your keto carnivore your already in Ketosis then eat is easy to fast for to 5 days you don’t want sugar. You give your organs a break from digestion and autophagy starts to happen. Your brain rewires it self quickly. Dr. Josef needs to find me I contacted his center they said he dosnt help people who already stopped medications. I good discuss diet hormones neurotransmitters medications plus what it feels like when you take and stop. I can help please use me

[@anamoreno2303]

bret your introduction makes me laugh. I have been off three medication for 7 years and i did everything on my own as most doctors dont have the clue . Please empower people most of people ill dont have even money to get anyone.

[@metabolicmind]

We are so glad to hear you had a safe a positive experience tapering your medications. Unfortunately, not everyone has the same experience, and many individuals struggle to safely taper their medications. Working with a professional experienced with medication tapering can be invaluable for those individuals.