Can I Stop My Bipolar Meds?  Cold Turkey vs Tapering

Can I Stop My Bipolar Meds?  Cold Turkey vs Tapering

From Inside Bipolar by Gabe Howard & Dr. Nicole Washington

April 20, 2026 · 45 min

About this episode

The episode discusses the complexities and risks of stopping bipolar medication, emphasizing the importance of tapering rather than abrupt cessation.

"Do I have to take these meds forever?" It’s the most common question psychiatrists hear, but the answer is rarely a simple yes or no. In this episode, hosts Gabe Howard (living with bipolar) and Dr. Nicole Washington (board-certified psychiatrist) dive into the risks, the realities, and the honest conversations most doctors avoid when it comes to stopping bipolar medication. They break down why "cold turkey" is a recipe for disaster and explain the equally dangerous "hot turkey" otherwise known as restarting a full medication cocktail after a long break. Gabe shares his own journey of switching doctors to find a specialist in titration, illustrating the difference between "Mercedes Benz care" and trying to navigate a "hoopty" ride on your own. Dr. Nicole explains the science of brain receptors, the logistical hurdles of compounding pharmacies, and why the medical community is often resistant to "deprescribing." Listeners Will Learn: · Instead of "stopping" try reframing the conversation as "decreasing reliance" · Why lowering your medication slowly gives you better results · Finding a psych doctor who understands "deprescribing" may take time · A successful, safe medication…

People in this episode

Hosts: Gabe Howard, Dr. Nicole Washington

Topics covered

  • bipolar medication
  • deprescribing
  • mental health
  • tapering
  • patient care

Keywords

  • bipolar meds
  • cold turkey
  • tapering
  • deprescribing
  • mental health treatment

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