Neurodiversity-Affirming Psychiatric Prescribing

Every decision in her file was defensible. Four diagnoses in eleven years, three failed medication trials, and an antipsychotic started in a crisis that nobody reviewed for six years. She was autistic, in burnout, and had never been asked a question that would have revealed either. Most harm to neurodivergent patients in psychiatry is produced by competent clinicians applying a framework that does not fit. This book supplies the replacement: a decision sequence for establishing what you are treating, separating burnout from depression, titrating in a population with atypical medication responses, monitoring when standard questions return nothing, and deprescribing safely. Written for psychiatrists, psychiatric nurse practitioners, prescribing pharmacists, and general practitioners holding shared care agreements. Fifteen chapters with worked clinical cases and nine reproducible appendix tools. Affirming care and evidence based prescribing are not opposites. Here is how to do both.