What Are Some Alternatives to Benzodiazepines for Anxiety?     

Dr. Shyla Khatiwala, MD

Medical Director

Dr. Khatiwala serves as the onsite medical director at Rushton Recovery. She plays an integral role in overseeing the medical department, admitting and assessing new clients upon arrival, and managing the daily medical needs of detox and residential clients. Her expertise, dedication, and compassionate approach shine through in her commitment to helping clients overcome alcohol and substance use disorders.

Before joining Rushton Recovery, Dr. Khatiwala completed her residency in family medicine through Wayne State University at the Detroit Medical Center. She spent nearly 12 years in private practice in Plymouth, Michigan, earning a reputation for delivering high-quality, compassionate care. Following this, she served as medical director at Acadia Healthcare, an outpatient opioid treatment center, where she successfully led her team for four years.

Continuing her mission to combat the opioid epidemic, Dr. Khatiwala became medical director at Community Medical Services, where she oversaw outpatient opioid treatment centers across Michigan.

Beyond her professional achievements, Dr. Khatiwala is a proud wife and mother to three active boys, balancing her career with a deep dedication to her family.

Dr. Shyla Khatiwala, MD

Medical Director

Dr. Khatiwala serves as the onsite medical director at Rushton Recovery. She plays an integral role in overseeing the medical department, admitting and assessing new clients upon arrival, and managing the daily medical needs of detox and residential clients. Her expertise, dedication, and compassionate approach shine through in her commitment to helping clients overcome alcohol and substance use disorders.

Before joining Rushton Recovery, Dr. Khatiwala completed her residency in family medicine through Wayne State University at the Detroit Medical Center. She spent nearly 12 years in private practice in Plymouth, Michigan, earning a reputation for delivering high-quality, compassionate care. Following this, she served as medical director at Acadia Healthcare, an outpatient opioid treatment center, where she successfully led her team for four years.

Continuing her mission to combat the opioid epidemic, Dr. Khatiwala became medical director at Community Medical Services, where she oversaw outpatient opioid treatment centers across Michigan.

Beyond her professional achievements, Dr. Khatiwala is a proud wife and mother to three active boys, balancing her career with a deep dedication to her family.

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Have you wondered what safe alternatives to Benzos might be? Read on to learn more about benzodiazepines, warning signs of using them, how they help with anxiety, and alternatives to using them for this purpose.

What Are Benzodiazepines? 

Benzodiazepines belong to the prescription tranquilizers or sedative class of drugs and are the most commonly prescribed controlled substances drugs in the U.S. In 2023, more than 30 million adults reported taking a benzodiazepine within the past year. Of this, misuse accounts for 17.2% [1]. 

They are prescribed for many conditions, including

  • Insomnia
  • Seizures
  • Muscle spasms
  • Anxiety disorder
  • Panic disorder

The most commonly prescribed benzodiazepines, according to a 2016 study are [2]:

  • Lorazepam (51%).
  • Clonazepam (20%).
  • Diazepam (14%).
  • Alprazolam (14%)

Because of these qualities, they can create severe dependence with psychological cravings and be difficult and dangerous to withdraw from.

Warning Signs of Benzodiazepine Abuse

Benzos have a high risk of abuse. They affect areas of the brain that drive pleasure, making them difficult to quit. Signs you may be developing a benzodiazepine disorder include:

  • Taking too much and running out of your prescription
  • Being overly focused on when you can take the next one
  • Feeling you can’t live without it
  • Changes in appearance and behavior that affect relationships and work performance
  • Changes in mood
  • Anxiety
  • Insomnia
  • Loss of appetite 
  • Headaches
  • Weakness

How Do Benzodiazepines Help With Anxiety? 

Benzodiazepines release the neurotransmitter GABA (gamma-aminobutyric acid), slowing down your central nervous system and resulting in muscle relaxation, anti-anxiety, sedative and hypnotic characteristics. They also temporarily block the formation of new memories. 

Alternatives to Benzodiazepines 

A variety of alternatives to benzodiazepines can be used for different reasons. For example, benzodiazepines are not recommended for those addicted to alcohol or opioids as there can be life-threatening consequences because benzos suppress the respiratory system. These include:

Antidepressants  SSRIs are the most commonly prescribed. They are also used to treat anxiety Lexapro, Zoloft, Prozac, 
Anticonvulsants  These decrease brain cell excitability and activity in the central nervous system Gabapentin 
Buspirone  Balances dopamine and serotonin levels to help regulate mood Buspar 
Beta-Blockers  Treats physical anxiety symptoms such as racing heart, trembling, or sweating Propranolol 
Atypical Antipsychotics  Typically used for other mental health conditions, this can sometimes be used off-label for anxiety Quietapine, risperidone, 
Natural Supplements  Some find support from natural supplements, vitamins, or minerals to reduce symptoms of their anxiety without the unwanted side effects that prescription medication can sometimes cause.  Ashwagandha, Magnesium, Chamomile Tea 

Benzodiazepine Addiction Treatment in Michigan  

Rushton Recovery understands the complex nature of drug & alcohol recovery. We prioritize your well-being, safety, and comfort during treatment. Our detox and residential treatment center in Michigan offers a healing space to embark on your journey toward sobriety. 

We offer evidence-based therapies designed to evolve with your individual needs and address the root of your substance abuse. Let our team help you get clean, repair relationships, and equip you with the skills to achieve long-term recovery. Reach out to our Admissions team now.

Sources

[1] Robertson S, et al. 2023. Benzodiazepine Use Disorder: Common Questions and Answers. Am Fam Physician. 2023;108(3):260-266

[2] Benzodiazepines (Benzos). 2023. Cleveland Clinic.

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