Protracted Withdrawal Self-Assessment

If you're trying to figure out whether what you're experiencing might be psychiatric medication withdrawal — and especially the kind that lingers long after the medication is gone — this tool is for you.

It will walk you through a series of questions about your medication history, how the medication was stopped or changed, what you've been experiencing, and how long it has been going on. At the end, you'll get a printable summary you can bring to a discovery meeting with me, share with your current prescriber, or simply keep for your own records.

This isn't a diagnosis. It's a way to organize what you're going through so you can see your own pattern more clearly and decide what to do next.

The summary stays on your device. Nothing is sent anywhere unless you choose to print or save it yourself.

Section A of F

Medication History

A1. Which class of psychiatric medication are you trying to understand?

Select all that apply.

Please select at least one option.
A2. Name of the specific medication(s) (optional)

If you're comfortable sharing, you can type the specific name(s) here. This is optional and stays on your device.

A3. How long were you on this medication?
Please choose one.
A4. Are you still taking it?
Please choose one.

Section B of F

Taper Details

B1. How was the medication stopped or reduced?
Please choose one.
B2. Were you told to skip doses (e.g., every other day) as part of stopping?
Please choose one.
B3. Did you experience symptoms during the taper itself?
Please choose one.
B4. Have you had any reinstatement attempts (going back on the medication after stopping)?
Please choose one.

Section C of F

Current Symptoms

Symptoms are grouped by category. For each one, choose the answer that best matches how you're feeling currently.

Section D of F

Symptom Timing and Pattern

D1. How long have you been experiencing these symptoms?
Please choose one.
D2. Which best describes how your symptoms come and go?
Please choose one.
D3. Do certain things seem to trigger your symptoms or make them worse?

Select all that apply.

Section E of F

What's Been Tried

E1. Have any of the following been suggested or tried?

Select all that apply.

E2. Have you been told your symptoms are:

Select all that apply.

Section F of F

Current Care

F1. Are you currently working with a prescribing clinician?
Please choose one.
F2. Where do you live?

This is used to show the most relevant next step at the end. It is not stored or shared.

Please choose one.
F3. Is there anything else you'd want a clinician reading this to know? (optional)

This is the part you might not say out loud yet. If you want to write it down, here's a private space to do that. It will appear on your summary.

Your Summary

What the deprescribing literature describes

What you might do next