[Treatment methods for discontinuation of long-term benzodiazepine use].
Treatment strategies for discontinuing long-term benzodiazepine usage can be divided into minimal interventions and gradual discontinuation programs. Minimal interventions invite patients to quit their long-term benzodiazepine usage on their own by making them aware of the adverse effects. This type of intervention is successful in about one fifth of patients. Gradual discontinuation programs are more extensive interventions in order to help those patients who are unable to discontinue benzodiazepine use on their own. These programs are successful in two-thirds of the patients and can be combined with additional pharmacological or psychological treatment. Once the withdrawal symptoms have diminished, most patients have an improved psychological functioning compared to when they were using benzodiazepines. Furthermore, no increase in medical consumption has been found.
Oude Voshaar
R C
RC
Universitair Medisch Centrum St Radboud, afd. Psychiatrie, Postbus 9101, 6500 HB Nijmegen. r.oudevoshaar@czzopsy.azn.nl
Gorgels
W J
WJ
Mol
A J
AJ
Couvée
J E
JE
van Balkom
A J
AJ
Zitman
F G
FG
D014151:Anti-Anxiety Agents / Q000009:adverse effects*; D001569:Benzodiazepines; D003131:Combined Modality Therapy; D006801:Humans; D001523:Mental Disorders / Q000139:chemically induced* / Q000188:drug therapy; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011613:Psychotherapy; D013375:Substance Withdrawal Syndrome / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*
D014151:Anti-Anxiety Agents; D001569:Benzodiazepines