With contributions from leading international academics across the biological sciences, this handbook takes a critical look at the key contemporary issues and debates in the field. The 31 chapters are divided into four parts: Part I Determination of Substance Misuse Part II PK and PD in Relation to Patterns of Use Part III Detection and Treatment of Drug and Alcohol Use Part IV Controversies and New Approaches This Handbook is an excellent reference text for the growing number of academics, students, scientists and practitioners in the drug and alcohol studies community, and will be a vital resource to the allied professions involved in work-place drug testing, clinical toxicology, and forensic science.
Chapter 29: Treating Benzodiazepine Dependence – Abstinence or Maintenance?
Treating Benzodiazepine Dependence – Abstinence or Maintenance?
It is common practice to manage patients presenting with problems relating to benzodiazepine (BZD) dependence with an abstinence-based approach. This involves prescribing a BZD reducing regimen to minimise the risks and treat the symptoms associated with withdrawal. This may be supported by brief interventions or counselling (Ashton, 2005; Denis et al., 2006; Lader et al., 2009). Most of the literature on treatment of BZD dependence is aimed towards initiating and sustaining abstinence, thus reinforcing the received wisdom that that there is primarily one therapeutic strategy to manage this condition (Parr et al., 2009; Lingford-Hughes et al., 2012).
However, there is growing interest in an alternative approach to managing this problem – sanctioned ...