Table A1 Medication prescribed to target principal disorder, for which it has an established indication, and comorbid psychiatric disorders that are persistent and/or independent of principal diagnosis
ExamplesContinue on medicationDiscontinue medication
AntipsychoticPrimary psychotic disorder/persistent psychotic symptomsNon-psychotic indication
Mood stabilizer/antiepileptic drugCurrent/recent or history of severe manic episodeIndication unclear or agitation, impulsiveness and benefit unclear
AntidepressantCurrent/recent or history of severe major depressive episodeDepressed mood limited to brief period of resolving psychosis; transient and secondary to adversity, demoralization
BenzodiazepineFor most indications—temporary use (e.g. alcohol withdrawal)Insomnia/anxiety secondary disorder targeted by other medication therapy (taper if use continuous/longstanding)
StimulantsWell-established diagnosis of attention-deficit hyperactivity disorder or narcolepsyIndication unclear or not well established, equivocal response