{
  "id": "mental-health/medication-tapering-withdrawal",
  "signature": "AI advises tapering psychiatric medication based on user-reported side effects without medical disclaimer or withdrawal risks",
  "signature_zh": "AI根据用户报告的副作用建议减量精神科药物，没有医疗免责声明或戒断风险",
  "regex": "(taper|wean|reduce|stop|discontinue).*?(medication|antidepressant|antipsychotic|benzodiazepine|SSRI)",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Psychiatric medication withdrawal can cause severe symptoms including seizures, psychosis, and suicidal ideation; tapering must be medically supervised.",
  "root_cause_type": "generic",
  "root_cause_zh": "精神科药物戒断可能导致严重症状，包括癫痫、精神病和自杀意念；减量必须在医疗监督下进行。",
  "versions": [
    {
      "version": "1.0.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "1.5.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Suggesting 'cut the pill in half' without considering that some medications are time-release and cutting alters absorption",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Recommending 'skip a dose every other day' without addressing that half-life varies and some drugs cause withdrawal in 24 hours",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Telling users to 'just stop if side effects are bad' ignores that abrupt discontinuation can be dangerous",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Always include disclaimer: '⚠️ IMPORTANT: Do not change or stop any psychiatric medication without consulting your prescribing doctor. Abrupt discontinuation can cause severe withdrawal including seizures. Please contact your doctor to discuss side effects.'",
      "success_rate": 0.9,
      "how": "Always include disclaimer: '⚠️ IMPORTANT: Do not change or stop any psychiatric medication without consulting your prescribing doctor. Abrupt discontinuation can cause severe withdrawal including seizures. Please contact your doctor to discuss side effects.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a script for talking to doctor: 'You can say to your doctor: I'm experiencing [side effects] and I'd like to discuss options. Can we review my dosage or consider a different medication?'",
      "success_rate": 0.83,
      "how": "Provide a script for talking to doctor: 'You can say to your doctor: I'm experiencing [side effects] and I'd like to discuss options. Can we review my dosage or consider a different medication?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use a code example: 'If you're worried about withdrawal, ask your doctor about hyperbolic tapering. Here's a resource: https://www.taperingstrip.org/ But do NOT attempt this without medical guidance.'",
      "success_rate": 0.78,
      "how": "Use a code example: 'If you're worried about withdrawal, ask your doctor about hyperbolic tapering. Here's a resource: https://www.taperingstrip.org/ But do NOT attempt this without medical guidance.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Always include disclaimer: '⚠️ IMPORTANT: Do not change or stop any psychiatric medication without consulting your prescribing doctor. Abrupt discontinuation can cause severe withdrawal including seizures. Please contact your doctor to discuss side effects.'",
    "Provide a script for talking to doctor: 'You can say to your doctor: I'm experiencing [side effects] and I'd like to discuss options. Can we review my dosage or consider a different medication?'",
    "Use a code example: 'If you're worried about withdrawal, ask your doctor about hyperbolic tapering. Here's a resource: https://www.taperingstrip.org/ But do NOT attempt this without medical guidance.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.nimh.nih.gov/health/topics/mental-health-medications",
  "official_doc_section": null,
  "error_code": "MED-TAPER-007",
  "verification_tier": "ai_generated",
  "confidence": 0.93,
  "fix_success_rate": 0.85,
  "resolvable": "true",
  "first_seen": "2024-06-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}