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Symptoms of Benzo Addiction: What to Watch For

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A men-only recovery center in Phoenix and Scottsdale clinical care, holistic practice, and hands-on leadership from intake through aftercare.

Picture of Bobby Boykin, MS, LASAC, CRS

Bobby Boykin, MS, LASAC, CRS

This article has been clinically reviewed by our Executive Director, Bobby Boykin, a Licensed Associate Substance Abuse Counselor (LASAC) and Certified Recovery Specialist (CRS) at Guiding Road.

Benzodiazepines, or “benzos,” are commonly prescribed medications for managing anxiety, insomnia, and seizures, offering relief for many individuals. While these medications can be incredibly effective, they also come with a serious risk—benzodiazepine addiction. 

Understanding the signs and symptoms of benzo addiction is crucial because early recognition can prevent further harm and make treatment more successful. Whether it’s the calming effects of extreme benzo use or the development of benzodiazepine dependence, knowing what to look for is key. Learn more about the signs to identify potential issues early and seek the right help.

This blog will help you spot the signs of benzo addiction, from early to advanced symptoms, and highlight the importance of early intervention. If you or someone you know is struggling, recognizing the symptoms of benzodiazepine addiction is the first step toward seeking help and starting recovery.

Key Takeaway

  • Early recognition of benzodiazepine addiction symptoms can lead to more successful treatment and prevent long-term harm.
  • Benzodiazepine addiction is a serious condition that requires professional help to manage withdrawal and avoid severe health risks.
  • Treatment for benzodiazepine addiction includes detox, therapy, and aftercare, which are essential for long-term recovery.

What Are Benzodiazepines & Why Are They Addictive?

How Benzodiazepines Work

Benzodiazepines are CNS depressants that slow brain activity by enhancing GABA, a neurotransmitter that calms the brain, reducing symptoms of anxiety, and promoting relaxation. While effective for anxiety, insomnia, and seizures, long-term benzodiazepine use can lead to addiction by creating euphoria, which increases the risk of dependence. Addiction statistics show that 12.6% of adults reported past-year benzo use, and 2.2% reported benzo abuse.

Risk Factors for Addiction to Benzodiazepines

Several factors increase the risk of benzodiazepine addiction. Risk factors for benzodiazepine addiction include prolonged use, escalating dosages, combining with substances like alcohol or opioids, and underlying mental health issues such as anxiety or depression, all of which can contribute to the potential to develop an addiction.

The longer and higher the dosage, the greater the risk of abuse or addiction, benzodiazepine withdrawal syndrome, and the consequences of benzodiazepine misuse. Individuals struggling with addiction or combining medications are at an even higher risk of benzodiazepine overdose.

Symptoms Of Benzodiazepine Addiction

Early Signs of Benzodiazepine Abuse (First Red Flags)

Physical Signs

  • Drowsiness/sedation: One of the earliest physical signs of benzo drug abuse may include excessive drowsiness or sedation, as the drug slows down brain activity. This can make it difficult to stay alert or engaged throughout the day.
  • Coordination problems, dizziness: Benzo abuse often leads to coordination issues and dizziness, as the sedative effects impact motor skills. These are common signs and symptoms of benzodiazepines, with individuals experiencing unsteady movements or difficulty maintaining balance.
  • Memory or concentration difficulties: Memory lapses and trouble concentrating are common with benzodiazepine abuse, as the drug affects cognitive function. These issues can interfere with daily activities and work performance.

Behavioral Signs

  • Taking more than prescribed: A major sign of benzo addiction is taking larger doses than prescribed, often in an attempt to intensify the calming effects. This behavior, driven by the causes of benzo abuse, can escalate quickly, leading to a higher risk of overdose.
  • Seeking multiple prescriptions or using someone else’s medication: Some individuals struggling with benzodiazepine addiction will seek prescriptions from multiple doctors or use medication not prescribed to them. This behavior increases the chances of benzodiazepine misuse.
  • Changes in sleep/eating patterns, neglecting daily tasks: The following symptoms are red flags for benzodiazepine dependence, as the drug can interfere with normal routines. Neglecting everyday responsibilities can also indicate a growing problem, as addiction poses serious long-term risks to health and well-being.

Psychological Signs

  • Mood swings, irritability: As benzodiazepine addiction develops, individuals may experience extreme mood swings and irritability. These mood changes are often exacerbated by the drug’s effect on the central nervous system.
  • Anxiety rebound, restless feelings: Benzo withdrawal can trigger symptoms such as anxiety, where the individual feels more restless than before starting the medication. This paradoxical effect can worsen the initial symptoms.
  • Using meds to “relax” or “numb” rather than for the original purpose: People struggling with benzo abuse may begin using the medication as a coping mechanism to “numb” their emotions rather than for its prescribed purpose. This shift in usage signals a deeper psychological dependency, and as symptoms emerge, the addiction becomes harder to manage.

Advanced Symptoms of Benzo Addiction

As benzo addiction progresses, the symptoms become more severe, impacting both the body and mind. Symptoms include signs of benzo addiction, which are crucial for understanding the seriousness of the situation and seeking immediate help.

Physical Symptoms

  • Frequent respiratory issues: One of the more dangerous benzo addiction signs is difficulty breathing or shallow respiration. This can lead to serious health risks, including respiratory depression, especially if someone has taken a benzodiazepine one or more times beyond the prescribed dose.
  • Increased accidents/injuries: As benzo abuse continues, coordination problems and sedation increase the likelihood of accidents or injuries. These physical risks are common with ongoing benzodiazepine dependence.
  • Tolerance requiring higher doses: Over time, benzodiazepine addiction leads to tolerance, where larger doses are needed to achieve the same effect. This can escalate into even more dangerous patterns of abuse.
  • Severe withdrawal symptoms: When someone tries to stop using benzodiazepines, they may experience severe withdrawal symptoms like tremors and seizures. These signs of benzodiazepine addiction can be life-threatening and require professional medical supervision.

Behavioral Symptoms

  • Intense cravings for benzos: As benzo addiction deepens, individuals may experience powerful cravings, often leading them to seek out the drug despite knowing the risks.
  • Negative consequences: Benzo abuse becomes evident when someone continues to use the drug even after facing negative impacts, such as damaged relationships, health issues, or legal problems.
  • Unsuccessful attempts to stop: Individuals with benzodiazepine addiction may make several attempts to stop but fail each time, unable to control their benzo abuse. This pattern of repeated failure signals the severity of the addiction.

Psychological Symptoms

  • Confusion: As benzodiazepine abuse progresses, individuals may experience confusion and disorientation, as the drug heavily affects cognitive functions.
  • Memory impairment: Long-term benzo addiction can lead to significant memory loss and difficulty retaining new information, making daily tasks harder to manage.
  • Depression: Many people with benzodiazepine dependence develop depression, exacerbated by the chemical changes caused by the drug in the brain.
  • Suicidal thoughts: The psychological effects of benzo addiction can lead to extreme feelings of hopelessness, with some individuals experiencing suicidal ideation or behaviors.
  • Panic: Individuals may also suffer from episodes of panic, a direct result of both benzodiazepine abuse and withdrawal.
  • Disinhibition: Benzo abuse can cause a lack of inhibition, leading to risky behaviors or poor decision-making, often with severe consequences.

What Happens When You Mix Benzo with Other Substances

Here’s a table summarizing the risk combinations when benzodiazepines are combined with other substances:

CombinationIncreased Risk / Outcome
Benzo + OpioidMuch higher overdose risk (92.7% of benzo overdose deaths involved opioids)
Benzo + AlcoholCNS depression, memory blackouts, increased accidents, higher risk of overdose

Why Early Recognition Matters

Failing to address benzodiazepine addiction can have serious consequences, both physically and mentally. Without intervention, benzodiazepine dependence can worsen health risks, including respiratory depression, cognitive impairment, and chronic dependency. One of the most serious risks is the heightened chance of a fatal overdose, alongside the effects of benzodiazepine abuse and the symptoms of benzodiazepine abuse. For example, between January 2019 and June 2020, 6,982 (16.8%) of the 41,496 overdose deaths in 23 states involved benzodiazepines.

No understanding of benzo abuse can lead to mental health decline, including depression, anxiety, and suicidal thoughts, as well as withdrawal from benzodiazepines. Despite the abuse symptoms, benzodiazepine addiction is treatable, and early intervention improves the chances of a successful recovery journey by preventing long-term consequences.

How to Assess If You or a Loved One Is Showing Symptoms

Here’s a checklist to assess if your loved one is struggling with benzo addiction; ask them these questions and get the proper answers:

  • Are you needing higher doses than prescribed?
  • Do you use benzodiazepines for non-prescribed reasons (sleep, anxiety, to get high)?
  • Are you experiencing withdrawal symptoms when the dose is reduced or skipped?
  • Have you noticed memory loss, mood changes, or social withdrawal?
  • Are you using benzodiazepines along with alcohol or other drugs?

If you or someone you care about answers “yes” to any of these questions, it may be time to seek professional evaluation. Recognizing the signs early can help prevent the situation from worsening and ensure the right steps are taken toward recovery.

Treatment Approaches for Benzo Addiction

At Guiding Road Recovery Center, the following treatment approaches are offered to help individuals recover from benzodiazepine addiction:

  1. Residential Program: A safe, welcoming space where individuals can settle in, receive caring round-the-clock support, and gently begin the first steps of recovery from benzodiazepine dependence.
  2. Individual Therapy: Personalized counseling sessions using cognitive-behavioral therapy (CBT) to address the root causes of benzodiazepine abuse and develop effective coping strategies.
  3. Holistic Therapy: A whole-person approach that supports emotional, physical, and spiritual well-being. It helps individuals feel grounded and supported in their recovery journey.
Therapy TypeWhat It AddressesApproach Type
Residential ProgramEarly stabilization and support during recovery from benzodiazepine dependenceSafe, welcoming, round-the-clock care
Individual TherapyRoot causes of benzodiazepine misuse and unhealthy patternsCognitive-behavioral therapy (CBT), personalized counseling
Holistic TherapyEmotional, physical, and spiritual well-beingWhole-person, integrative practices

 

Signs Of Benzo Abuse

What to Do Next: Taking Action

Taking action is crucial when dealing with benzodiazepine addiction, as it is a serious condition that requires timely intervention. The next steps are mentioned below:

  1. Recognize the symptoms of benzodiazepine addiction or benzodiazepine abuse in yourself or a loved one.
  2. Talk to a medical professional or addiction specialist about benzodiazepine dependence and get an accurate assessment.
  3. Choose a treatment program that fits your needs; consider local options for specialized care.
  4. Build a support network of family, friends, and peers to help with benzodiazepine withdrawal and recovery.
  5. Commit to aftercare and relapse prevention to manage benzodiazepine addiction long-term.

If you or someone you care about in Phoenix shows these symptoms of benzo addiction, call (480) 588-2328 for a confidential assessment at Guiding Road Recovery Center.

FAQ Section

Can someone be addicted to benzos if they were originally prescribed them?

Yes, benzodiazepine addiction can develop even if benzodiazepines were prescribed. Over time, chronic benzodiazepine use can lead to tolerance, causing individuals to need higher doses, which increases the risk of dependence and benzo abuse.

What makes benzo withdrawal different from other drug withdrawals? 

Benzodiazepine withdrawal is more complex and dangerous due to severe symptoms like seizures and tremors. Understanding these signs is crucial, as benzodiazepine addiction is a serious condition that requires careful management to avoid benzodiazepine overdose or other serious health complications.

How long does it take for symptoms of benzo addiction to show up? 

Common symptoms of benzodiazepine addiction often develop gradually, with early signs of benzo addiction like drowsiness and memory issues. However, more serious symptoms like tolerance, dependence, and withdrawal symptoms may take months to appear. Abuse of benzodiazepines can result in long-term physical and psychological effects, escalating the risk of addiction.

Is it safe to stop benzodiazepines on my own?

Stopping benzodiazepines without medical help is not safe due to the risk of severe withdrawal symptoms. Benzodiazepine abuse can lead to life-threatening issues, and the potential for abuse increases with improper use. Addiction requires professional treatment to safely manage benzodiazepine withdrawal and reduce the risk of serious complications.

Does using a lower dose prevent addiction risk?

Using a lower dose can reduce the risk of benzodiazepine addiction, but it does not eliminate it. Even with lower doses, prolonged benzodiazepine use can still lead to tolerance, dependence, and benzo addiction over time. Taking benzodiazepines one or more times for anxiety disorders increases the potential for abuse and the risk of addiction.

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