Supportive Interventions for Deprescribing in Adult Mental Healthcare: A Narrative Review.

BACKGROUND

Mental health disorders are prevalent and often treated with psychotropic drugs; however, concerns remain regarding their efficacy and long-term benefits. Likewise, there has been increasing attention on limiting psychotropic drug use to the minimum necessary level. Several studies have focused on deprescribing, often supported by various non-pharmacological interventions (NPIs). This study aimed to explore recent literature on the use of NPIs to support psychotropic drug deprescribing in adults.

METHODS

We conducted a narrative review and performed literature search in major electronic databases, including Embase, Medline, PsycInfo, and CINAHL, covering a period of 6 years. The results were screened and selected based on pre-defined eligibility criteria.

RESULTS

We identified eight studies; the majority explored deprescribing of antidepressant medication and benzodiazepines for mood and anxiety disorder. One study focused on deprescribing of antipsychotics. Shared Decision Making, Mindfulness-Based Cognitive Therapy, Cognitive Behavioral Therapy and personal tapering strips for gradual drug reduction were identified as strategies aiming at supporting deprescribing.

CONCLUSION

This review identified research on NPIs supporting deprescribing in mental health disorders. It highlights the need for individual approaches and strong clinician-patient collaboration. Further rigorous and well-designed research is needed to better understand the benefits, challenges, and role of NPIs in deprescribing.