Wellness Approaches II

When considering deprescribing for a patient, in addition to personal, self-determined strategies, it is essential to evaluate the person’s interest in and potential benefit from specific modalities of psychotherapy, symptom support, and other clinical interventions—without necessarily implying that these alone are sufficient alternatives to the deprescribed treatment. This chapter further explores these adjunctive strategies for supporting people in the process of deprescribing; specifically those strategies typically housed in clinical settings, such as psychotherapy, peer support, and cognitive behavioral therapy. Particular attention is paid to the importance of sleep management in the deprescribing process and how to add supports in that area. In addition, briefly discussed are emerging, progressive and albeit controversial approaches such as open dialogue.