Helping people discontinue long-term antidepressants: Views of health professionals in UK primary care
BMJ Open Jul 10, 2019
Bowers HM, et al. - Four focus groups and three interviews of 21 general practitioners (GPs), four GP assistants, seven nurses and six community mental health team workers and psychotherapists, were escorted and analyzed using thematic analysis by the researchers in order to assess, identify and define clinician factors that shape decision-making around antidepressant discontinuation in UK primary care. Members reflected a number of obstacles and enablers to addressing discontinuation with patients. A range of views around responsibility was held, with some recommendations that it was the duty of the health professional (HP) to introduce the subject, and others advising responsibility rested with the patients. HPs were worried about destabilizing the current situation and continuity and knowing the patient promoted discontinuation talks were addressed. They also explained how belief in their professional skills and knowledge would be influenced if they were elected to raise discontinuation in consultations. Hence, a requirement to recognize support for HPs in the management of antidepressant medication and discussions of discontinuation, in particular, was ascertained via the findings. Moreover, they could also profit from support around their fears of patient relapse and knowledge of when and how to begin discussions about discontinuation with their patients.
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