Benzodiazepines2025-07-10T11:56:26+00:00

Benzodiazepine Addiction and Benzo Rehab in St. Louis

Benzodiazepines, or benzos, are a class of central nervous system (CNS) depressant drugs that slow the activity in the brain and nervous system. They’re used to treat anxiety, insomnia, and some types of seizures, but they can be addictive if they’re used long-term, taken in high doses, or misused.

Recovery from benzodiazepine addiction can be challenging, but help is available. Engage Wellness offers benzo rehab in St. Louis with individualized treatment plans and evidence-based therapies to find a path to recovery.

Key Points

  • Benzodiazepines, or benzos, are a class of central nervous system (CNS) depressant drugs that slow the activity in the brain and nervous system.

  • Benzos are commonly prescribed, but they have potential for misuse, abuse, and addiction.

  • One of the challenges with benzo addiction is overcoming the severe and potentially life-threatening withdrawal symptoms.

  • Comprehensive addiction treatment following detox is recommended to address the underlying causes of substance abuse.

What Are Benzodiazepines?

Benzos are a class of prescription medications that are known as sedatives or anxiolytics. They are CNS depressants and used to treat conditions like anxiety disorder or panic disorder, as well as muscle spasms, insomnia, seizures, and anxiety.

Though benzos are often prescribed for these conditions, it does have the potential for addiction. Benzos are classified as a Schedule IV controlled substance that’s only available with a prescription, but there is an illicit market for recreational use.

Benzodiazepines are typically prescribed as a pill taken by mouth, though there are intravenous benzos that are used in hospitals. Some people may misuse benzos by crushing them to smoke, snort, or inject. With recreational use, some people may take benzos to boost the euphoria from heroin and other opioids or use benzos to ease the comedown from stimulants like cocaine or meth.

Benzodiazepines Addiction and Abuse

Benzos are generally safe when taken as directed by a doctor, but they have the potential for misuse, abuse, and addiction. These drugs are commonly abused because of the effects they produce and their widespread availability.

Regular benzo use can lead to dependence, even when taken as prescribed.[1] Misusing benzos by taking them at higher doses than prescribed, more frequently than prescribed, or for purposes other than prescribed, such as crushing pills to snort or inject, increases the risk of addiction. Benzodiazepines are intended to be taken at the lowest dose for the shortest period of time possible.

If dependence occurs, the body becomes used to the presence of the drug and needs it to function. If the dose is reduced or stopped, withdrawal can occur. Benzodiazepine withdrawal can have serious and potentially life-threatening symptoms like seizures, so you should never stop taking them cold turkey.[2] Doctors can recommend a taper schedule to gradually reduce the dose and minimize withdrawal symptoms.

Benzodiazepine addiction is classified as a sedative, hypnotic, or anxiolytic use disorder in the Diagnostic and Statistical Manual of Mental Health (DSM-5). The criteria include:[3]

  • Taking benzos at higher doses or for longer periods than intended

  • Unsuccessful attempts to reduce or stop benzo use

  • Cravings

  • Failure to fulfill obligations at home, work, or school

  • Continuing benzo use despite problems

  • Giving up hobbies or activities due to benzo use

  • Continuing to use benzos despite physical or psychological problems

List of Common Benzodiazepines

There are several benzodiazepines that are commonly described, including:[4]

  • Alprazolam (Xanax): Alprazolam is primarily prescribed for anxiety and panic disorders. It’s a fast-acting benzo with a short half-life.

  • Diazepam (Valium): Diazepam is used to treat anxiety, muscle spasms, seizures, and alcohol withdrawal. It has a rapid onset with a long half-life and may be used in emergency situations for prolonged seizures.

  • Lorazepam (Ativan): Lorazepam is used to treat anxiety and insomnia and may be used preoperatively for sedation. It has an immediate onset and a short half-life compared to other benzos.

  • Clonazepam (Klonopin): Clonazepam is used for seizures and panic disorder. It’s a long-acting benzo that has a lower sedative effect than some other benzos, making it a good option for long-term seizure control.

  • Temazepam (Restoril): Temazepam is prescribed for short-term treatment of insomnia. It’s an intermediate-acting benzo that’s often used as a sleep aid in older adults.

  • Chlordiazepoxide (Librium): Chlordiazepoxide is used to treat anxiety and alcohol withdrawal symptoms. It’s a long-acting benzo that was among the first developed.

  • Triazolam (Halcion): Triazolam is a short-acting benzo that’s used for the short-term treatment of insomnia. It’s not used as often as some other benzos because it can cause next-day memory issues.

  • Midazolam (Versed): Midazolam is used for pre-anesthesia or sedation for procedures. It’s a very fast-acting benzo with a short duration, so it’s typically used in hospital settings and not prescribed for regular use.

Statistics for Benzodiazepine Use and Addiction

According to a cross-sectional analysis from the National Survey on Drug Use and Health Data from 2015-2016, a total of 30.6 million adults (12.6%) reported past-year benzodiazepine use, and about 25.3 million (10.4%) took benzos as prescribed, and 5.3 million (2.2%) reported misuse.[5] Benzo misuse accounts for 17.2% of overall use.[6]

In addition, misuse and abuse or dependence on prescription opioids or stimulants were strongly associated with benzodiazepine misuse.[7] The most common type of misuse was without a prescription, but older adults were more likely to use benzos more often than prescribed or for other reasons than intended, such as helping with sleep.[8]

Benzodiazepine Addiction Treatment in St. Louis

Overcoming benzodiazepine addiction can be especially difficult because of physical dependence and intense and potentially life-threatening withdrawal symptoms. At Engage Wellness, we take a comprehensive approach to benzodiazepine addiction treatment that addresses the emotional, psychological, and social factors that contribute to substance use.
Detox placement is often the first step to manage withdrawal symptoms safely and prevent medical complications. Benzodiazepine withdrawal can include anxiety, insomnia, tremors, and seizures, so medical support is necessary for safety and comfort.
Once detox is complete and your condition is stable, you can continue with a structured addiction treatment program at a treatment center to address the psychological aspects of substance abuse. Engage Wellness offers intensive outpatient programs (IOP) for benzodiazepine addiction with multiple intensive therapy sessions each week without requiring an inpatient stay. We also offer outpatient treatment options if you need more flexibility to manage your recovery alongside daily responsibilities.

Your individualized care plan may include a combination of these evidence-based therapies and supportive services:

01

Helps address relationship challenges and creates a supportive recovery environment by involving loved ones in the process.

02

Provides a safe space to connect with peers, share experiences, and develop healthy coping strategies.

03

Based on the principles of programs like Alcoholics Anonymous (AA), 12-Step groups foster accountability, self-reflection, and connection through recovery.

04

CBT helps you recognize and change the thought patterns that contribute to drug abuse and develop healthier habits.

05

Builds emotional regulation, mindfulness, and distress tolerance to deal with anxiety or addiction.

06

A collaborative approach that helps to increase your internal motivation for making meaningful changes.

07

EMDR is helpful to address trauma or past experiences that contribute to substance use.

08

Teaches practical techniques to manage stress, identify triggers, and maintain long-term sobriety.

09

Includes integrative options like meditation and yoga to promote overall wellness and balance.

10

Designed to address the unique needs of military veterans, including co-occurring PTSD and substance use.

Frequently Asked Questions About Benzo Rehab in Saint Louis

Do Benzos Cause Dependence?2025-06-23T23:46:21+00:00

Yes, benzos can cause dependence, even if you’re taking a prescription as intended. Dependence is different from addiction, however, and a taper schedule can be used to gradually wean you off the benzo dosage and reduce withdrawal symptoms. Addiction has a behavioral component and a compulsive need to use benzos and an inability to control use, which requires treatment.

What Happens If I’m Taking Benzos for Anxiety and Need Recovery?2025-06-23T23:49:23+00:00

Anxiety can rebound if you’re undergoing treatment for benzo addiction, but treatment with non-addictive medications, therapy, and holistic approaches is often used to manage anxiety without disrupting addiction treatment.

How Long Does Benzodiazepine Rehab in St. Louis Take?2025-06-23T23:49:09+00:00

The treatment duration for benzo addiction at a recovery center can vary based on many factors, including the severity of substance abuse and individual progress. Generally, treatment can take a month or longer, but some people may continue with therapy, sober living, and other types of support for years to maintain sobriety.

Which Benzo Is Most Addictive?2025-06-23T23:48:39+00:00

Benzos are addictive drugs that have similar effects. Klonopin may be considered the “most addictive” benzo because it has two components that cause the drug’s effects to come on rapidly.[9] It also stays in the body for longer periods than other types of benzos. However, which benzo is most addictive can vary by the individual.

Is Benzodiazepine Withdrawal Dangerous?2025-06-23T23:48:05+00:00

Yes. Withdrawal from benzos can be severe and even life-threatening, including symptoms like seizures and hallucinations. A taper schedule is usually recommended, but medical detox may be necessary to prevent complications.

Can Benzodiazepines Be Addictive?2025-06-23T23:47:54+00:00

Yes. Even when taken as prescribed, benzodiazepines can lead to physical dependence. These drugs also have addiction potential, especially when misused.

[1,2,] Benzodiazepines: Uses, side effects, Interactions & Warnings. Drugs.com. (n.d.). Retrieved from https://www.drugs.com/article/benzodiazepines.html on 2025, April 28.

[3] Sedative, hypnotic, or anxiolytic (benzodiazepine) use disorder. PsychDB. (2024, May 9). Retrieved from https://www.psychdb.com/addictions/sedative-hypnotics/1-use-disorder on 2025, April 28.

[4] Benzodiazepines: Uses, side effects, Interactions & Warnings. Drugs.com. (n.d.). Retrieved from https://www.drugs.com/article/benzodiazepines.html on 2025, April 28.

[5,6,7,8] FC;, M. D. L. (n.d.). Benzodiazepine use and misuse among adults in the United States. Psychiatric services (Washington, D.C.). Retrieved from https://pubmed.ncbi.nlm.nih.gov/30554562/ on 2025, April 28.

[9] Longo, L. P., & Johnson, B. (2000, April 1). Addiction: Part I. benzodiazepines-side effects, abuse risk and alternatives. American Family Physician. Retrieved from https://www.aafp.org/pubs/afp/issues/2000/0401/p2121.html on 2025, April 28.

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