This new book, drawing on the author’s distinguished career in front-line psychiatric practice, describes how to bring patient and prescriber together in an active partnership whereby there is better understanding of the positive and negative elements of drug prescription. At present there is a gap between expectations, with doctors not always able to admit their ignorance of some aspects of drug action, and patients kept unaware of these uncertainties. Balanced decision-making with joint involvement is needed to separate those drugs that are needed regularly to maintain health, those that are only needed when required and those that are mere fashion accessories. Greater care is needed over the explanation of the first prescription, the expected duration of treatment and the plans for eventual withdrawal. The consequence of a better partnership will be less over-prescribing, a reduction of polypharmacy and a lessened need for deprescribing, the planned systematic reduction of drug treatment that has got completely out of control. Concentrating on routine prescribing for psychiatric and mental health disorders rather than unusual conditions and illustrated with real-life anecdotes and case histories, this is essential reading for trainee and practising psychiatrics, general practitioners and pharmacists.
