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.

[@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 🙂

[@MsLeenite]

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

[@Nakanam1]

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

[@mel-ou8yh]

YESSS I WAS WAITING FOR THIS UNION

[@alisonrenwick1520]

Very helpful thank you

[@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.

[@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.

[@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.

[@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?

[@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?

[@jamescalifornia2964]

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

[@blackswan1983]

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

[@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?

[@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.

[@freetinkerer3878]

First