Second Opinion & Pharmacology

Medication Review and Complex Cases

In psychiatric treatment, there are situations where an independent assessment is useful or necessary. This is especially true for complex cases, unclear diagnoses, or long-term medication.

A second opinion can help to better understand treatment decisions, explore alternatives, and gain confidence.

When a Second Opinion Is Useful

Uncertainty about the previous diagnosis

Insufficient response to current treatment

Complex medication involving multiple psychotropics

Burdening or unclear side effects

Desire for tapering or dose reduction support

A Second Opinion Does Not Mean Distrust

Seeking a second opinion is not a sign of mistrust but a responsible step – especially for long-term or burdensome therapies.

Medication Review

Psychopharmacological treatment can be complex. We review your medication in a structured, guideline-based manner.

Indication

Is each medication still necessary? Does it match your current diagnosis and symptom profile?

Dosage

Is the dosage appropriate? Therapeutic Drug Monitoring (TDM) can be used if needed.

Interactions

Analysis of potential drug interactions, especially in polypharmacy.

Alternatives

Evaluation of possible alternatives, other substances, or better combinations.

Polypharmacy

Many people take several psychotropic medications simultaneously. This can be appropriate – but is not always necessary.

Medication regimens often develop historically and may not have been fundamentally reviewed for years. We help answer: What is still necessary today?

Tapering Support

Individual Planning

Creating a realistic tapering plan considering your history.

Guided Implementation

Gradual, tailored approach to minimize withdrawal symptoms.

Differentiation

Distinguishing withdrawal symptoms from relapse – adjusting pace accordingly.

Tapering Takes Time

Reducing medication too quickly can cause pronounced withdrawal symptoms. A slow, guided approach significantly increases safety.

Treatment-Resistant Courses

When standard treatments are insufficient, we explore further options.

Therapeutic Drug Monitoring (TDM)

Augmentation strategies (e.g., lithium)

Diagnosis review

Newer treatment approaches such as rTMS

Process

A second opinion can be a single appointment or the start of ongoing care.

Please bring: current medication list, medical reports, previous findings, and available lab results.

Appointments

Appointments are usually available within a few days. Consultation is also available in English.

Costs: Private insurance, Beihilfe, self-pay (GOÄ).