Benzodiazepine Addiction Detox, Treatment, Rehab & Long-Term Recovery
Overview
Benzodiazepine addiction refers to the development of physiological and psychological dependence on certain anti-anxiety medications and continued use despite the incurrence of adverse consequences. Benzodiazepines (benzos) are a class of prescription drugs typically prescribed to treat anxiety and panic disorders, insomnia, muscle spasms, seizures, and alcohol withdrawal symptoms. Commonly used benzos include Xanax, Valium, Klonopin, and Ativan.
At Guardian Recovery, our comprehensive addiction and detox programs provide a safe and supportive environment for those seeking to overcome the misuse of substances such as benzos. Our behavioral health services focus on co-occurring mental health conditions, such as anxiety, and are designed to address the unique needs and goals of each individual.
Most Commonly Misused Benzodiazepine Medications
- Xanax (alprazolam) A short-acting medication used to treat anxiety and panic disorders with a rapid onset of action including strong sedative and euphoric effects.
- Valium (diazepam) A relatively long-acting medication used to treat anxiety, muscle spasms, and seizures with an intermediate onset of action and mildly euphoric effects.
- Ativan (lorazepam) An intermediate-acting medication used to treat anxiety, insomnia, and seizure disorders with a relatively rapid onset and sedation.
- Klonopin (clonazepam) A relatively long-acting medication used to treat seizure and panic disorders with a slow onset of action including sedation and mild euphoria.
- Restoril (temazepam) An intermediate-acting medication used to treat insomnia with potent sedative effects.
- Librium (chlordiazepoxide) A long-acting medication used to treat anxiety disorders and alcohol withdrawal syndrome.
Symptoms & Side Effects of Benzo Dependence
Benzodiazepine dependence may present with many physical and psychological symptoms and side effects, including:
– Withdrawal symptoms upon discontinuation (anxiety, irritability, insomnia, tremors, nausea, etc.)
– Increased tolerance, leading to a need to use an increasing amount to achieve the same effects
– Drug-seeking behavior, including doctor-shopping to obtain multiple prescriptions
– Loss of control over use, including using more than planned
– Neglect of responsibilities, such as familial, professional, and social obligations
– Cognitive impairments such as confusion and difficulty with memory and concentration
– Psychological effects include mood swings, depression, anxiety, and emotional dysregulation
– Social withdrawal, isolation, and avoidance of activities once enjoyed in lieu of benzo use
Benzodiazepine Addiction Detox & Rehab Process
The rehab and detox process for benzo misuse and addiction often involves devising a tapering method in which the medication’s dose is decreased under medical supervision. A tapering schedule is typically complemented with or followed by therapy, counseling, and group support to help the individual identify the underlying contributors to addiction and improve coping mechanisms.
Medically Detoxing the Body From Benzodiazepine Misuse or Overdose
During medical detox for benzos, the main goal is to safely and effectively remove the drug and other toxins from the person’s system. Typically, this takes place in a clinical setting under the supervision of healthcare professionals who supervise the client round-the-clock, administer medications, and address any potential complications.
Duration of Withdrawal Symptoms
Several factors can affect the length and severity of benzo withdrawal symptoms, including the typical dosage, the specific medication, and the frequency and duration of use. Withdrawal symptoms can onset within a few hours after the last dose and persist for 12 weeks or longer in cases of post-acute withdrawal syndrome (PAWS).
Benzodiazepine Withdrawal Timeline
For short-acting benzos, such as Xanax, withdrawal can begin within 12 hours of cessation. For longer-acting benzos, such as Valium, it can take 24 hours or more for symptoms to manifest.
Benzo Withdrawal Symptoms Include: Nausea, vomiting, and diarrhea; anxiety and panic attacks; depression and suicidal thoughts; insomnia; tremors; sweating; headaches; heart palpitations; muscle pain; cognitive impairments; drug cravings; seizures; hallucinations.
Benzo withdrawal typically occurs in three primary phases early withdrawal, acute withdrawal, and PAWS (protracted withdrawal). PAWS symptoms can persist for months, and consist of mostly psychological symptoms.
Can You Detox From Benzodiazepine Dependence on Your Own?
Medical professionals do not advise attempting to detox from benzos without medical supervision, as it can be both challenging and potentially dangerous. Like alcohol, detox from benzos can be life-threatening.
The Treatment Approach for Benzodiazepine Dependence
Medications Used in Benzo Treatment Include:
– Long-acting benzodiazepines, such as Valium for tapering dosages
– Anticonvulsants, such as Tegretol (carbamazepine) or Neurontin (gabapentin), to relieve withdrawal symptoms and prevent seizures
– Beta-blockers, such as propranolol, to relieve anxiety, tremors, and rapid heart rate
– Antidepressants, such as SSRIs, to mitigate depression and anxiety during withdrawal
– Sleep aids, such as Ambien (zolpidem) or trazodone, to help with insomnia and sleep disturbances
– Muscle relaxants, such as Flexeril (cyclobenzaprine), to relieve muscle spasms or discomfort
How Long Are Benzodiazepine Detox & Addiction Treatment Programs?
Detox programs typically last as long as needed to ensure that acute withdrawal symptoms are under control. Addiction treatment programs can vary significantly in length, but residential inpatient treatment commonly requires 2890 days or longer. Partial hospitalization programs (PHP) are generally 412 weeks in duration, and outpatient treatment can last for several weeks or months.
Rehab Options & Treatment Programs for Benzodiazepine Addiction
- Inpatient Rehab 24/7 care and support in a safe, controlled environment, typically beginning with medical detox and including a full continuum of care.
- Partial Hospitalization Programs (PHP) Similar services to inpatient but individuals return to their private residences overnight.
- Intensive Outpatient Program (IOP) Individuals attend treatment sessions for a few hours per day, several days per week.
- Outpatient Rehab (OP) Flexible option where individuals live at home while participating in regular therapy sessions.
- Virtual & Online Treatment Telehealth care allowing individuals to receive therapy and support at home.
What Therapies & Treatment Strategies Are Used?
- Cognitive-Behavioral Therapy (CBT) Concentrates on addressing the ways in which thoughts, feelings, and behaviors interact.
- Motivational Interviewing (MI) Helps individuals resolve their ambivalence toward enacting healthy changes.
- Mindfulness Meditation Focuses attention on the present moment to reduce anxiety and stress.
- Group Support Support groups provide a safe and supportive space for peers to connect, gain insights, and receive encouragement.
- Dual Diagnosis Treatment Designed to address co-occurring mental health and substance use disorders simultaneously.
- Aftercare Planning A personalized plan that includes ongoing therapy, other treatments, and support for sustaining recovery.