Assess
Your medication history, past taper attempts, withdrawal history, symptoms, goals, sensitivities, and the life around all of it.
Psychiatric deprescribing with emotional integration
Coming off the medication is only part of the process.
Taper is my deprescribing program. I build your taper around you, and I work with what comes up emotionally as the dose comes down. You won't have to explain your withdrawal to one person and your inner life to another.
Two minutes. See whether Taper fits and where you'd start.
- Telehealth across KY & CO
- In person in Louisville
- Self-pay
- One clinicianYour prescriber and your therapist are the same person
- 75–90 minInitial evaluation before any plan is set
- 2–4 visitsEach month, depending on your plan
- Your paceNo standard schedule. The taper follows how you respond
What can surface
When the dam comes down, the river starts to move.
Medication can work like a dam. It can hold things steady, and it can also hold things back. As the dose comes down, what was held can start moving again: feelings, grief, anger, fear, old memories, a clearer sense of your relationships and of who you are.
Lowered too fast, a dam floods. Lowered gradually, with someone helping you stay with what moves, the river finds its course. That is what Taper is for: a careful taper, and real care for what comes through.
In my experience, most people feel something move.
For some it's a trickle: a little more feeling, a few more tears, more laughter. For others it's more than that. Whatever comes, we make room for it, and we don't rush to call it relapse.
After significantly reducing my Paxil with the goal of coming off it, I can feel my emotions again. Less anxious, enjoying things, caring about things. I feel less numb and more like a person. Others just wanted to medicate me instead of helping me feel through what came up.Client · shared with permission
How it works · The Taper Method
You shouldn't have to choose between someone who understands withdrawal and someone who understands you.
I prescribe and manage your taper, and I'm a psychotherapist trained in somatic, nervous-system and trauma-informed work. Every visit holds both.
Reduce carefully.Regulate through change.Integrate what emerges.
Reduce
An individualized taper instead of a standard schedule. The pace follows how you respond, and holding steady is part of the plan when needed.
Regulate
We watch withdrawal, sleep, mood, anxiety and your nervous system, and build your capacity to move through change so a hard day isn't automatically read as relapse.
Integrate
When grief, anger, fear, memories or identity questions come up, we make room to understand them and work with them.
Is it right for me?
Taper is specialized care. It isn't for everyone.
I'd rather be clear up front than have you pay for an evaluation that was never going to fit.
Taper is built for you if
- You want to reduce or stop a psychiatric medication, and you want to do it carefully.
- You've tried before and it was harder than anyone warned you.
- You're willing to work with what comes up emotionally, as well as the doses.
- You can commit to regular visits for the length of your taper.
- You live in Kentucky or Colorado.
Taper may not be the right fit if
- You're in crisis, or you need more support right now than outpatient care can safely give.
- You want off on a fixed deadline, whatever your body and mind are telling you.
- You only want a prescription managed, without the emotional side of the work.
- Alcohol or drug use needs medical attention first.
- You live outside Kentucky or Colorado.
None of these has to mean never. Some mean "not yet," or "let's talk first." The readiness assessment checks for them, and if something needs a closer look, the fit consult is free.
Seven questions, about two minutes. Nothing is sent until you book.
Pricing
Start with one evaluation. Then choose your level of support.
Step 1 · Evaluation
Step 2 · Membership
Taper
$595/ month
Ongoing, individualized deprescribing care.
For a relatively gradual or stable taper.
- Individualized taper management and prescribing
- Withdrawal monitoring
- Emotional and nervous-system check-ins
- Integration work within each visit
- Taper adjustments as clinically appropriate
- Brief secure messaging between visits
- Two 30-minute visits each month
Taper Plus
$795/ month
More support, in the rhythm your taper needs right now.
Everything in Taper, with more time each month. Choose the format that fits your current phase.
Weekly Support4 × 30 min
WK 1
30
WK 2
30
WK 3
30
WK 4
30
For frequent monitoring during active medication changes.
Taper + Integration2 × 30 + 1 × 50 min
WK 1
30
WK 2
50
WK 3
30
WK 4
For when the medication changes feel manageable but a lot is coming up emotionally.
Your support can change as your taper changes.Switch between the two formats month to month when it's clinically appropriate.
Secure between-visit messaging is available for brief taper-related questions and updates. Messages are generally answered within 1–2 business days. Issues requiring substantial assessment or therapeutic work may require a scheduled visit.
Taper is not a crisis service. Emergency resources are listed at the bottom of this page.
Questions
Before you start
Is there a free consultation?
Not as a first step. A short call can't tell either of us much about a taper, so I put that time into a real evaluation instead, and the $295 is credited to your first month if you join. If the readiness assessment flags something we should talk through first, you'll be offered a free fit consult instead.
What if the evaluation shows Taper isn't right for me?
I'll tell you plainly and talk through what might help instead. You'll still leave with a clearer picture of your medication history, your withdrawal risk and your options.
Do I have to want to stop my medication completely?
No. Some people reduce to a lower dose, some pause partway, and some come off entirely. We decide the pace and the destination together, and both can change.
What if nothing emotional comes up for me?
Most people notice at least some emotional change as they taper, but how much varies a lot. If little comes up, the focus stays on the taper, and the integration side of Taper is there whenever you need it.
How do you tell withdrawal from relapse?
It isn't always simple, which is why it gets its own conversation at the evaluation and stays part of every visit. Timing, the kind of symptoms, and how they respond to changes in pace all help tell them apart.
Which plan should I choose?
The readiness assessment suggests a starting plan based on your answers, and we confirm it together at your evaluation. Taper suits a gradual or stable taper. Taper Plus suits active medication changes or a lot coming up emotionally, and its format can switch month to month.
Do you take insurance?
No. Taper is self-pay.
Is Taper a crisis service?
No. If you're in crisis, call or text 988 to reach the 988 Suicide & Crisis Lifeline. In an emergency, call 911 or go to the nearest emergency room.
Lower the dam slowly. Let the river move.
The readiness assessment takes about two minutes. It checks your fit, suggests where you'd start, and then you can book your evaluation. The $295 counts toward your first month if you join.