Sedative Hypnotic or Anxiolytic Use Disorder

About Sedative Hypnotic or Anxiolytic Use Disorder

Sedative, hypnotic or anxiolytic use disorder is a problematic pattern of use of sedating substances such as benzodiazepines, related sleep medications and barbiturates, leading to significant impairment or distress. Features include taking larger amounts or for longer than intended, unsuccessful efforts to cut down, craving, continued use despite problems, and tolerance and withdrawal. The disorder can develop through prescribed use as well as non medical use. Combining these substances with alcohol or opioids greatly increases the risk of dangerous breathing suppression and overdose. Withdrawal after regular use can be severe and, in some cases, medically dangerous, which is why stopping is generally done through a gradual reduction under medical supervision rather than abruptly. Treatment typically combines carefully planned reduction with psychological support, particularly cognitive behavioral therapy, and attention to the anxiety, sleep or other problems that originally led to use.