Decision-Making in Deprescribing

This chapter discusses a framework for psycho-pharmacological decision-making and its applications specifically in the context of deprescribing. It introduces concepts and considerations involved in implementing shared decision-making, including how to create a constructive environment for conversations, stages of shared decision-making, and factors to consider that may impact both the provider and the patient. These decisions are especially difficult when doctors and patients disagree, when values or preferences conflict with standard guidelines, or simply when no guidelines are available. Identifying possible bias against making changes in medication regimens is highlighted, as well as the importance of honoring cultural preferences in the decision-making process.