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  • TaperClinic

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Shared 8:46PM workflow run
Shared 8:46PM workflow run
  • 1
    Acknowledgements
  • 2
    Orientation
  • 3
    The TaperClinic Protocol:
  • 4
    ASSESS:
  • 5
    The 9 Factor Assessment
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    1: Nervous System Health:
  • 7
    Stable and Stable At Risk
  • 8
    Protracted Withdrawal
  • 9
    2: Drug Withdrawal:
  • 10
    Acute Drug Withdrawal
  • 11
    Interdose Withdrawal
  • 12
    3: Adverse Effects Of Medications:
  • 13
    Adverse Effects of Medications
  • 14
    How to Detect Side Effects
  • 15
    How to Research Side Effects
  • 16
    4: Adverse Effects of Recreational Substances:
  • 17
    Caffeine, Nicotine, Alcohol and Cannabis
  • 18
    5: Medical Conditions:
  • 19
    Psychiatric Symptoms Caused by Medical Conditions
  • 20
    6: Lifestyle:
  • 21
    Dietary Problems
  • 22
    Exercise
  • 23
    7: Life Hardship:
  • 24
    Life Stressors
  • 25
    8: Causal Analysis of Psychiatric Symptoms:
  • 26
    The Roots of Psychiatric Symptoms
  • 27
    9: Suicide Risk Assessment:
  • 28
    Suicide Risk
  • 29
    TREAT:
  • 30
    The Treatment of Withdrawal States:
  • 31
    Acute Withdrawal
  • 32
    Interdose Withdrawal
  • 33
    Treatment of Adverse Drug Reactions:
  • 34
    How to Pick Which Drug to Remove First
  • 35
    Speed
  • 36
    Method of Reduction
  • 37
    Drug Form
  • 38
    Transitioning Between Drug Forms
  • 39
    Cymbalta, Pristiq, Invega and LAIs
  • 40
    Tapering Equipment
  • 41
    How to Perform Tapering Calculations
  • 42
    Removing Recreational Substance:
  • 43
    The Removal of Caffeine
  • 44
    The Removal of Nicotine
  • 45
    The Removal of Cannabis
  • 46
    The Removal of Alcohol
  • 47
    Address Medical Problems:
  • 48
    Routine Work Up
  • 49
    External Referrals For Medical Problems
  • 50
    Functional Medicine Assessment
  • 51
    Lifestyle Interventions:
  • 52
    Dietary Interventions
  • 53
    Exercise
  • 54
    Life Hardship Focused Referrals
  • 55
    Symptom Focused Therapist Referrals
  • 56
    Suicide Risk Plan:
  • 57
    Suicide Mitigation Strategy
  • 58
    TAPER:
  • 59
    Adjusting The Taper Speed:
  • 60
    Traffic Light System
  • 61
    Tapering at "Low" Doses [Hyperbolic Tapering]
  • 62
    Addressing Symptom Flares During a Taper
  • 63
    Multi-Drug Tapers
  • 64
    FAQs
  • 65
    Managing Patients With Protracted Withdrawal Injuries:
  • 66
    Treatment of Protracted Withdrawal Summary
  • 67
    How to Educate the Patients About Protracted Withdrawal Injuries
  • 68
    How to Taper Patients With Waves and Windows
  • 69
    Tips For Tapering Patient w. Protracted Withdrawal
  • 70
    What to do with Patients Experiencing Paradoxical Reactions
  • 71
    Common Medical Referrals
  • 72
    Caring for Patients w. a Highly Sensitive Nervous System (CNS Protection Strategies)
  • 73
    Psychological Support (The Real Treatment)
  • 74
    Support System Protracted Withdrawal
  • 75
    Navigating Suicide Risk
  • 76
    Protecting the Nervous System Following Recovery
  • 77
    Protracted Withdrawal Support
  • 78
    How to Respond to FAQs

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This training wouldn’t exist without the tireless work of pioneers like Heather Ashton, Adele Framer, Nicole Lamberson, Laura Delano, Mark Horowitz, Anders Sørensen, and many others whose names may not come to mind but whose contributions have been no less essential.

I’ve also learned a great deal from online communities like SurvivingAntidepressants, BenzoBuddies, and various Facebook groups. The individuals who created, moderate, and contribute to these forums deserve recognition for generously sharing their experiences and practical insights—they’ve helped countless people find their way through the dark.

These individuals and communities have spent years uncovering, refining, and living out the principles I’ve summarized and expanded upon here.

Finally, I’m deeply grateful to my clinical team—Nicole Lamberson, Trudy Slaght, Chris Paige, and Jezel Rose—who have shaped this work through direct feedback and through their lived and professional experience supporting patients through tapering and recovery.



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