The Maudsley Deprescribing Guidelines- An Interview with David Taylor and Mark Horowitz

In this interview for MIA Radio, Brooke Siem speaks with David Taylor and Mark Horowitz about their publication of the Maudsley Deprescribing Guidelines, which is of particular note since the Maudsley Prescribing Guidelines is a leading text in medicine worldwide.
David Taylor is the Director of Pharmacy and Pathology at Maudsley Hospital and a Professor of Psychopharmacology at King's College in London. He is also the editor-in-chief of the journal Therapeutic Advances in Psychopharmacology. Beyond academia, he contributes significantly to public health policy as a member of the United Kingdom's Department of Transport expert panel that introduced drug-driving regulations. He is also a current member of the UK government's Advisory Council on the Misuse of Drugs and is the only pharmacist to have been made an honorary fellow of the Royal College of Psychiatrists. David is the lead author of the Maudsley Prescribing Guidelines, a role he has held since their inception in 1993.
The Maudsley Prescribing Guidelines have achieved significant success, with over 300,000 copies sold across 14 editions and translations into 12 languages. David has also authored 450 clinical papers published in prominent journals such as The Lancet, BMJ, British Journal of Psychiatry, and Journal of Clinical Psychiatry. His work has been cited over 25,000 times.
Mark Horowitz is a clinical research fellow in psychiatry at the National Health Service (NHS) in London. He is a Visiting Lecturer in Psychopharmacology at King's College London and an Honorary Clinical Research Fellow at University College London, in addition to being a trainee psychiatrist. Mark holds a PhD from the Institute of Psychiatry, Psychology, and Neuroscience at King's College London, specializing in the neurobiology of depression and antidepressant action. He is the lead author of the Maudsley Deprescribing Guidelines and an associate editor of Therapeutic Advances in Psychopharmacology.
Mark co-authored the recent Royal College of Psychiatry's guidance on stopping antidepressants, and his work has informed the recent NICE guidelines on the safe tapering of psychiatric medications, including antidepressants, benzodiazepines, and z-drugs. He has collaborated with the NHS to develop national guidance for safe deprescribing for clinicians and has been commissioned by Health Education England to prepare a teaching module on how to safely stop antidepressants.
Mark has published several papers on safe approaches to tapering psychiatric medications, with contributions in The Lancet Psychiatry, JAMA Psychiatry, and Schizophrenia Bulletin. His interest lies in rational psychopharmacology and the deprescribing of psychiatric medications, which is deeply informed by his personal experiences of the challenges associated with coming off psychiatric medications.
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[@shan4145]

Yay to all three of yous!💖🦋👏👏👏Brooke, Mark and Dave 💎🇨🇦🙋🏻‍♀️

[@celestepiccolo6586]

At age 14 I had shingles. Nerve pain brought me to the doctor and after being given pregabalin (and then suffering from withdrawals) I was then given antidepressant after antidepressant (with terrible withdrawals between each). I was told I would need to take a drug for the rest of my life. Fast forward twenty years, and after 3 failed attempts from my current antidepressant (Lexapro) I have finally found the Deprescribing book. It has taught me what actually happened in my story since I came to the doctor with nerve pain. I’m now following the slowest taper schedule of Lexapro using a liquid rx. I have finally found freedom. Thank you David and Mark. Thank you Brooke for this interview.

[@AlternativeHomesteading]

Imagine all those 8 million children falsely diagnosed with ADHD and medicated, experiencing all these negative side effects including suicidal ideation analyzing people. This is why you hear about children killing their parents.

[@AceRa-i7n]

Exactly.

[@shan4145]

I was really shocked to hear that before and that would make sense! This is so inhumane 🦋uck,

[@AlternativeHomesteading]

@@shan4145 The number that I quoted was based upon numbers years ago I believe it’s closer to 11 million. And we’re the only country in the world that has the statistics. We are creating a society of narcissists, lacking empathy and compassion, lower IQs, higher aggression, and more prone to addictions of all kinds.

[@carolinecroft7029]

Excellent. Withdrawal so eloquently described.

[@skymiller530]

I find this content interesting and the subject fascinating. BUT THE FORMAT AND DELIVERY is excruciatingly boring. It is extremely low-vibe, dark and monotonous. PLEASE GIVE COMPLETE CONSIDERATION to another format and present this very important information in a more exciting way. I am a big advocate, but come on . . . six cups of coffee doesn't help when this is presented! I would be willing to help you if you wanted help. 😢❤