Precontemplation | | | | |
(No intention to reduce in the next 6 months) |
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→ Inform patient of potential harms → Monitor use and review efficacy → Regularly encourage reducing
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→ Open conversation around BZD harms and side effects → Cautious approach to prescribing (that is, rational prescribing)
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Contemplation | | | | |
(Considering reducing in the next 6 months) |
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Preparation | | | | |
(Actively planning to reduce in the next month) |
Original problem persists Need BZDs as a safety net Stress exacerbates symptoms Lack sufficient support and understanding
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→ Explore the ‘role’ that BZDs play in patient’s life → Collaborative approach to exploring how patient will eventually replace BZD (that is, internal and external coping strategies)
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Action | | | | |
(Reducing for <6 months) |
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Maintenance | | | | |
(Reducing for >6 months) |
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Knowledge of harms Gradual dose reduction
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