Even though benzodiazepine medications were created to help people deal with seizures, anxiety, and sleep disorders, many people find themselves addicted to various types of these prescription drugs. The medication effectively calms the body by slowing down activity in the central nervous system, which combats insomnia. Benzodiazepines also make the brain less sensitive to stimulation, which can help prevent seizures, panic attacks, and anxiety. Unfortunately, however, benzodiazepines are habit-forming. When they’re misused, they can have devastating effects on the body. If you are struggling, we offer benzo addiction treatment programs at Meta.
Misusing benzodiazepines can lead to a physical dependence on the drugs. Taking higher doses of benzodiazepines or consuming them more frequently than prescribed can also lead to addiction. Benzodiazepine addiction can cause cognitive decline, impaired judgment, memory problems, muscle weakness, slurred speech, an increased risk of accidents, and overdose, which can be fatal. Luckily, benzodiazepine addiction can be treated. Detox along with medical stabilization, behavioral therapy, peer support groups, relapse prevention, and aftercare can help individuals overcome an addiction to benzodiazepines.
Benzodiazepines (pronounced ‘ben-zoh-die-AZ-a-peens’) are prescription drugs that doctors prescribe for short-term use. This type of medication, which is usually prescribed for 2 to 4 weeks, slows down the functioning of the brain and body. Because of this, doctors use benzodiazepines to help relieve stress, anxiety, and insomnia. Benzodiazepines can also be used to treat alcohol withdrawal and epilepsy. Though effective, benzodiazepines can be particularly risky when they are used for a long period of time.
Even though benzodiazepines have been approved for medical use in the United States, they are considered psychoactive drugs. This means that benzodiazepines can alter users’ perception, mood, and behavior. The more often individuals take benzodiazepines, the more they develop a drug-taking habit. In time, that habit can change their mood, actions, and the way they interpret their environment and other external stimuli.
Currently, there are more than a dozen prescription benzodiazepines, but most of them fall into two categories: hypnotics or anxiolytics.
Generally, doctors use hypnotics, or shorter-acting benzodiazepines, to treat insomnia and anxiolytics, or longer-acting medications, for anxiety. However, some anxiety medications can help ease insomnia when taken at night.
Benzodiazepines work by enhancing the activity of a neurotransmitter, or chemical messenger, in the brain called gamma-aminobutyric acid (GABA). As an inhibitory neurotransmitter, GABA blocks certain signals in the brain and decreases activity in the central nervous system. This slows down nerve impulses throughout the body, allowing individuals to feel relaxed and calm.
For example, when individuals feel anxious, the brain becomes hyperactive and overstimulated. When they take a benzodiazepine, the brain will send messages and signals to counteract the overstimulation, which reduces symptoms of anxiety and makes the person feel calm. The type of benzodiazepine used and the dosage consumed can cause the drug’s sedative effects to happen more swiftly or slowly.
Even though doctors mostly prescribe benzodiazepine medication to help relieve anxiety and insomnia, these drugs can help treat a wide variety of medical challenges and mental health concerns. The hypnotic, muscle-relaxing qualities of benzos can be used to help treat:
Doctors also use benzodiazepines to sedate individuals during surgery. Regardless of the condition doctors use benzodiazepines to treat, these medications are most often prescribed for short-term use. Long-term benzodiazepine use can lead to increased tolerance which means lower doses of medication become ineffective. As lower doses of benzodiazepines become ineffective, individuals need larger doses to receive the same relaxing, sedative effects.
Even though the Food and Drug Administration (FDA) has approved 15 different types of benzodiazepines for medical use in the United States, some medications are more widely used than others. Some of the most commonly prescribed and abused benzos include:
Even though all benzodiazepines can produce a short-lived euphoric high, most recreational users looking for a euphoric high use Valium, Xanax, or Ativan. Xanax and Klonopin are the two benzodiazepines most commonly associated with abuse-related emergency room visits.
Even though benzodiazepines were developed to help people with real physical and mental health concerns, many individuals who abuse these drugs don’t use these drugs as intended. Some people accidentally consume more than prescribed. Others, abuse prescription drugs to:
Some individuals abuse benzodiazepines because they’re dependent on them because of chemical changes that have occurred deep inside the brain. Regardless of why individuals misuse benzos, people who abuse the drugs fall into two categories: those who have a prescription and those who don’t.
Generally, people who follow their doctor’s instructions closely don’t become addicted to benzodiazepines. But the reality is some people don’t follow their doctor’s orders. They might increase their dosage of medication or consume doses too close together. Others might continue taking pills after they’re no longer needed or keep pills to take on a “bad day.” All of these behavior patterns are a form of benzodiazepine abuse that can increase an individual’s risk of addiction.
Taking benzodiazepines without a prescription disrupts the brain’s chemical balance. When consumed, benzodiazepines boost the amount of dopamine in the brain. But this surge of dopamine isn’t an ordinary increase. Benzodiazepine acts like a race car driver, accelerating dopamine levels without removing its foot off the gas. Dopamine levels increase so much that individuals experience a brief euphoric high. However, dopamine doesn’t just produce pleasurable feelings. The chemical messenger also plays a role in learning and motivation. Essentially, the influx of dopamine actually motivates the brain to consume more dopamine.
Abusing benzodiazepines can have other adverse side effects and symptoms such as:
Because of the way benzodiazepines interact with the brain’s reward system, what may start off as a seemingly innocent habit to relieve pain and find relaxation can easily develop into an addiction to prescription drugs.
Individuals can become addicted to benzodiazepines even if they follow their doctor’s instructions on how to take the medicine. This can be especially true for people who have a history of drug or alcohol abuse. Addiction happens when people misuse benzodiazepines. This misuse can include using benzodiazepines without a prescription, taking the medication more often than prescribed, taking the medication for an extended period of time, or consuming higher doses of benzodiazepines than instructed. Regardless of the type of misuse that occurs, benzodiazepine addiction begins in the brain.
When benzodiazepines enter the bloodstream, they interact with a group of cells called inhibitory neurons. These cells protect the brain’s delicate chemical balance by preventing the brain from making too much dopamine. High amounts of benzodiazepines in the bloodstream stop these cells from functioning properly, disrupting the brain’s chemical balance. Without inhibitory neurons to limit the production of dopamine, the neurotransmitter starts to build up in the brain. Initially, the excessive amount of dopamine produces pleasurable feelings. But in time, the influx of dopamine starts to affect the brain’s reward system.
Dopamine is responsible for the ways individuals feel pleasure, satisfaction, and motivation. Pleasant experiences produce a dopamine reward that causes individuals to feel satisfied, happy, and content. But dopamine also impacts motivation. This means that after dopamine produces pleasurable feelings, the neurotransmitter “motivates” the brain to repeat the pleasure-inducing experience. Having too much dopamine in the brain can also weaken an individual’s impulse control. These changes in the brain’s functionality and reward system often lead to tolerance and dependence.
Tolerance happens when the body is regularly exposed to any type of addictive substance. When the body develops tolerance to benzodiazepines, the current dose of medication has stopped working as effectively as it once did. For many individuals, this simply means that their body has become accustomed to the medication. To maintain the medication’s effectiveness, many doctors increase the dosage an individual needs to take. Individuals can develop a tolerance to benzodiazepines after taking the medication for just 6 months.
Even though tolerance doesn’t mean an individual is automatically addicted to a substance, researchers do know that tolerance can:
Dependence is different from tolerance. The difference between tolerance and dependence has to do with how the body reacts to the presence or absence of a specific drug. When individuals develop a tolerance to a drug, their body stops responding to the drug like it once did. With dependence, if the drug isn’t present in the body or the amount of drugs present in the body suddenly reduces, individuals experience withdrawal. At this point, the body has been tricked into thinking it needs benzodiazepines to function normally.
Benzodiazepine withdrawal symptoms are uncomfortable and can be fatal. These symptoms can begin anywhere from 1 to 7 days after an individual’s last dose of benzodiazepines. Even though the symptoms can vary from person to person, some of the most common withdrawal symptoms include:
These symptoms can last 2 to 8 weeks or longer. Often, the symptoms are so debilitating that many people can’t quit using benzodiazepines on their own. Instead, they continue taking benzodiazepines to help ease the symptoms and escape the withdrawal process. But instead of actually helping them, benzodiazepines continue to negatively affect their brain. If you believe you are struggling with an addiction, call us for benzo addiction treatment today.
For example, consider benzodiazepine’s effects on several different areas of the brain.
The amygdala is a small almond-shaped gland in the brain that helps regulate emotional responses such as stress, anxiety, and discomfort. The more individuals consume benzodiazepines, the more sensitive this area of the brain becomes. The amygdala can become so sensitive that even the smallest amount of stress, distress, anxiety, or discomfort can compel them to take more of the drug.
Benzodiazepines also affect the prefrontal cortex, the brain region responsible for decision-making and self-control. As the prefrontal cortex grows weaker, individuals have difficulty controlling their impulses. By the time individuals fully lose control of their benzodiazepine consumption, they will continue using the drugs despite negative consequences whether they want to or not. At that point, they have become addicted to benzodiazepines.
There isn’t a single risk factor that can determine if an individual will become addicted to benzodiazepines. However, research shows that a history of trauma, being abused as a child, socializing with people who use drugs, and unemployment can increase the risk of addiction.
Other common risk factors for benzodiazepine addiction include:
Not everyone who uses benzodiazepines will become addicted to them. That’s why being able to recognize the signs of benzodiazepine addiction is important. The signs and symptoms may vary from person to person, but generally, individuals addicted to benzos display physical, psychological, and behavioral signs.
Abusing benzodiazepines can physically wear the body down. Typically, individuals addicted to benzodiazepines experience:
When benzodiazepine abuse approaches the overdose mark, individuals may experience:
Being addicted to benzodiazepines can also affect individuals psychologically. You may want to seek out benzo addiction treatment if you have these common symptoms:
Consistently taking sedative drugs like benzodiazepines can also change how individuals act. Instead of living life like they normally would, individuals addicted to benzodiazepines tend to:
Other behavioral changes can include:
Even though benzodiazepines are prescription medicines, misusing them can cause short-term effects. After the calming, sedative effects of benzodiazepines wear off, many individuals experience:
Individuals who inject benzodiazepines into their veins may experience:
Being addicted to benzodiazepines can also have long-term effects on the body. That's why it's key to seek out benzo addiction treatment before it gets worse.
Abusing benzodiazepines for an extended amount of time can cause:
Long-term heavy usage of benzodiazepines can also increase individuals’ risk for epilepsy, stroke, and brain tumors. It's important to consider benzo addiction treatment if you're struggling.
All drugs, whether legal or illegal, come with risks. Most of the health risks associated with benzodiazepines fall into one of four categories:
When combined with other substances, the sedative effects of benzodiazepines can be unpredictable and dangerous. Some of the most dangerous substances to combine with benzodiazepines include:
The good news is that an addiction to benzodiazepine can be treated. In fact, properly treating an addiction to benzos can help:
About 33 percent of people who take benzodiazepines for 6 months or more will experience some type of health problem when they try to quit. That’s why individuals shouldn’t try to stop using benzodiazepines on their own. Instead, individuals should enroll in a professional addiction treatment program. At that point, treatment can begin.
Treating an addiction to benzodiazepines begins with medical detoxification or detox. Detox is a process that allows the body to metabolize all of the benzodiazepine drugs out of an individual’s system. Because most people addicted to benzodiazepines were prescribed the drug to treat an anxiety disorder, insomnia, or other health condition, ridding the body of this drug can be an especially difficult time. Typically, symptoms associated with prior mental health conditions will return in addition to panic attacks, hallucinations, physical discomfort, and other symptoms that accompany benzodiazepine withdrawal. During medical detox, nurses, doctors, and other clinical personnel supervise the process to ensure individuals’ safety.
Most treatment programs use a slow taper as the best method for benzodiazepine detoxification. This means that individuals will take small doses of benzodiazepines over several weeks or months before stopping the drug completely. While monitoring individuals’ reactions to the decreasing dosages, medical personnel can adjust the taper schedule to best fit each individual’s needs. Once stabilized, individuals can begin the evaluation and assessment process.
This part of the treatment process generally includes a thorough medical exam to assess any acute and chronic medical issues, learning challenges, and behavioral disorders an individual may have. The goal is to identify any significant issues that may impact the individual’s ability to thrive in recovery. Immediately after this phase, most recovery programs help individuals deal with any rebound anxiety they may be experiencing.
Many individuals who take anti-anxiety medications experience rebound anxiety after they stop taking benzodiazepines. To help combat this, many treatment programs provide appropriate medical and mental health treatment to help ensure the effectiveness of addiction treatment. This can look like helping individuals:
After this, behavioral health experts devise a treatment plan that includes behavioral therapy, counseling, substance abuse education, relapse prevention, and aftercare support.
Here at Meta, our clinical services include:
Benzodiazepine addiction treatment also often includes trauma therapy.
Often, individuals living with anxiety, insomnia, and panic attacks have experienced some form of trauma. Their traumatic experience, which may have contributed to the individual’s addiction, needs to be thoroughly explored and addressed.
Many individuals taking benzodiazepines live with social anxiety, depression, generalized anxiety, mood, and panic disorders, and other mental health issues. Generally, these issues are entwined with an individual’s addiction, making it impossible to treat one issue with the other. Dual diagnosis programs that address mental health and substance use disorders simultaneously can help individuals address, manage, and overcome co-occurring disorders.
Peer support is a key aspect of successful addiction recovery. Learning from others, sharing experiences, receiving support, and offering support in return are some of the many benefits peer support groups can provide. Being around like-minded people can help individuals build positive relationships with others who are working to live healthy, sober lives.
Family members can play a critical role in the recovery process. The most effective treatment programs offer family therapy. This type of counseling can help family members better understand addiction. Family therapy can also help individuals and their families communicate, solve problems, make decisions, restore trust, and heal from wounds caused by addiction. Family therapy can also help family members understand the dangers of codependency and establish and maintain healthy boundaries.
Learning healthy coping skills is a vital aspect of treatment. Relapse prevention groups or education sessions can help individuals explore possible triggers and create a practical action plan for overcoming those triggers without turning to benzodiazepines or other addictive substances.
Detox, treatment, family therapy, and peer support groups are essential aspects of addiction recovery, but aftercare support is the glue that holds everything together. Without aftercare support, individuals can easily slip back into old patterns of behavior. Aftercare support helps individuals smoothly transition back into everyday life and stay connected with mentors and peers.
Here at Meta, we know how damaging addiction can be. Even though doctors may prescribe benzodiazepines to help improve your life, misusing these prescription drugs can make your life worse. Our outpatient benzo addiction treatment programs can help you live a thriving addiction-free life. Let us help you get there. Contact us today to speak to one of our recovery experts.
Remember, we’re not medical professionals. If you have any questions about your specific use of benzodiazepines, please talk to your doctor.