# E280 - PsychopharmaPearls: Managing Rebound Insomnia with Dr. Thomas Schwartz Page: https://stenobird.com/podcast/nei-podcast-385769/e280-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz Text version: https://stenobird.com/podcast/nei-podcast-385769/e280-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz.md Podcast: [NEI Podcast](https://stenobird.com/podcast/nei-podcast-385769) Published: 2026-04-22T09:00:00+00:00 Episode link: https://neiglobal.libsyn.com/e180-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz Audio file: https://traffic.libsyn.com/secure/neiglobal/202604_Pearls_Schwartz_A01SD.mp3?dest-id=507143 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/nei-podcast-385769/episodes/e280-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz Duration seconds: 2025 ## Resource In this episode, Dr. Andy Cutler speaks with Dr. Thomas Schwartz about insomnia related to antidepressant discontinuation, including how rebound and withdrawal symptoms can emerge when tapering or stopping treatment. They review the underlying mechanisms, clinical risk factors, and how to distinguish discontinuation-related insomnia from relapse of depression or primary sleep disorders. The discussion emphasizes practical, evidence-informed strategies for safely tapering antidepressants and managing sleep disturbance in psychiatric practice. Thomas L. Schwartz , MD, is a Distinguished Teaching Professor at Norton College of Medicine, SUNY Upstate Medical University in Syracuse, New York. He is an award-winning educator deeply involved in medical student and resident training, as well as the development of continuing medical education in psychiatry. Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and EMA Wellness. He is a Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York . Save $100 on registration for 2026 NEI Spring Congress with code NEIPOD26 Register today at nei.global /spring Never miss an episode! 🎙 SUBSCRIBE to the NEI Podcast– available on all your favorite platforms: https://nei.global/podcast Interested in Psychopharmacology ? Learn about the NEI Master Psychopharmacology Program: https://nei.global/mpp Stay updated with email alerts and join our conversations on social . Follow us on: YouTube: https://nei.global/youtube Instagram: https://nei.global/instagram LinkedIn: https://nei.global/linkedin Facebook: https://nei.global/facebook X:… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/nei-podcast-385769/episodes/e280-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/nei-podcast-385769/e280-psychopharmapearls-managing-rebound-insomnia-with-dr-thomas-schwartz.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.