Benzodiazepines for Anxiety Disorders | Dr. Jeffrey Knuppel

แชร์
ฝัง
  • เผยแพร่เมื่อ 31 ม.ค. 2025

ความคิดเห็น • 173

  • @JeffreyKnuppelMD
    @JeffreyKnuppelMD  ปีที่แล้ว +5

    What's your experience been with benzodiazepines and anxiety? Share your thoughts below! 👇

    • @SAMEntalhealth
      @SAMEntalhealth 10 หลายเดือนก่อน

      Honestly I would love to do an interview with you

    • @SAMEntalhealth
      @SAMEntalhealth 10 หลายเดือนก่อน

      Will you interview me but I would love to do that because I have things to say that would probably help the world of benzo withdrawal. Being as where it is now I don't have to tell you you already know how it's going with that

    • @oliversmith7820
      @oliversmith7820 10 หลายเดือนก่อน +3

      Sent me crazy for 3.5 years when I stopped.

    • @kellygray6504
      @kellygray6504 3 หลายเดือนก่อน +1

      Clonazapam helped me to be normal. I am on the lowest possible dose .25 a day and have been for 6 years.

    • @davidburrus3913
      @davidburrus3913 3 หลายเดือนก่อน

      On Xanax for 23 yrs. Starting at .5 up to 10 mg a day. I had to go to a private hospital to get off it.

  • @natalieturner-zs4bd
    @natalieturner-zs4bd 4 หลายเดือนก่อน +33

    I am 88 years young.I have been on alprazolam for 15 years,tried to wean off it did not work,Dr said because of my age I should stay on it, I have anxiety and panic disorders because of family issues. He said it cannot hurt me as being 88 a few more years will not hurt me. I am careful with standing up to fast, but I finally can sleep fine. This may not work for everyone,but each person has a different situation. Sometimes a benzo is necessary. Thanks guys

    • @Josh-eo9xj
      @Josh-eo9xj หลายเดือนก่อน +1

      I'm told by my doctor that when I'm older I'll need to wein off my medicine that elderly shouldn't be on benzos because of the risk of falls and dimentia

    • @frederickmuhlbauer9477
      @frederickmuhlbauer9477 24 วันที่ผ่านมา

      Glad you’re getting help with your anxiety I’m in a similar situation at 71 and have thought Benzos would help me with insomnia and at my age why not

  • @abelperez4876
    @abelperez4876 3 หลายเดือนก่อน +7

    I have suffered with panic disorder for many years,and after being ignored about my illness I was destined to be my own doctor and gave them a chance and lord behold I was able to do things I could never have imagined,I also used it for alcohol withdrawals as I went through a period of depression and anxiety so I turned to alcohol for many years thanks to these meds I feel much happier and free from anxiety depression and alcohol addiction

  • @SAMEntalhealth
    @SAMEntalhealth 10 หลายเดือนก่อน +22

    You are the only freaking person explaining this that well, because I've had panic disorder since I was nine years old, I have Trauma from seeing the first Tower get hit on 9/11, waking up literally 5 minutes after falling asleep hearing that Bang from the tower getting hit, it keeps me up all night sometimes for days, and constant panic, and it's PTSD . On top of that I can't even leave my freaking house, I have severe severe severe panic disorder, I used to throw up before getting on roller coasters, I used to throw up on Christmas day, I still do to this day throw up at times because of nervousness, my doctor today I saw her after waiting 3 months for this appointment, she insists on getting me on an anti-psychotic, I've already been on that one as well and others, along with every single SSRI and snri along with beta blockers which beta blockers actually landed me in the hospital because my brain is so hypersensitive to anxiety that it can tell the difference between low blood pressure and actual Panic anxiety, so she just insisted on going the SSRI route and tell me straight up you don't remember what the effects were when you were on the ssris, I said how are you going to tell me I don't remember if they worked or not. I was like I was on them for extended periods not just a month not just a week, years at a time, and at the same time I don't remember anything? I'm like they don't work for me, I said I'm depressed because I have panic disorder, I can't do anything at the age I am at now, I can't progress the way I want to, I start panicking when I leave the freaking house and I'm not even agoraphobic, my heart just starts to race and I get panicky and I have to go back in the house, but I know that if I had something as a safety blanket in case the Panic started, it could work almost like a placebo where I feel I would not have to actually take them, or as much I mean. I don't want to take them every day, no not at all I understand the pharmacokinetics of benzos, but at the same time to treat every patient the same, insisting they take what they've taken already, and then on top of that I don't know who the genius was that came out and said everybody needs to get off their benzodiazepines right now and these moronic people in this world decided to agree with it and say hey we all need to do this and start suing our doctors, it's like do you guys not remember why you got on them? You're ruining it for the people that actually need them and on top of it, people that are abusing benzos make it harder as well, it's just not fair and this whole world is Twisted I'm glad you posted this because you make a lot of logical sense, I'm at a stand still right now and it's honestly driving me freaking nuts😢

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  10 หลายเดือนก่อน +4

      Thanks for your comment. I sincerely wish you the best. It sounds pretty intense and distressing.

    • @SAMEntalhealth
      @SAMEntalhealth 10 หลายเดือนก่อน

      @@JeffreyKnuppelMD yeah she is pretty much trying to get me on a cocktail of ssris and antipsychotics and I am not doing that. It's not working it never has and I'm not going to submit my brain to another fluctuation that will cause rebound issues in the future. Of course we're looked at as people seeking out benzos but I don't even drink I don't like feeling drunk, if I ever do take a benzo it's given by a family member a certain amount maybe six or seven of them like stashed away for an emergency but I take the bare minimum, 0.5 of a clonazepam before bed or even a 0.25, I never raise my dose, but at the same time the doctors now are feeling like they're going to lose their licenses because of the fear-mongering going around and the World against benzos now, which in my opinion is making the healing process worse for people because in these groups people are saying, while some people say they didn't have many symptoms when they were tapering or even cold turkey, I even know my own mother was on 1 mg of Alprazolam for 32 years she stopped cold turkey had no withdrawal symptoms, I know other people and I've seen people that abused benzos that were tapered off quickly within 2 weeks and healed within a month after with no protracted symptoms. Entire jail / rehab where people abuse these benzos and get off rapidly, tend to not go back because they submit nor do they give in to the fear-mongering. A lot of these patients nowadays have never felt withdrawal before so it comes off as absolutely insane to them, whereas drug addicts or recovering addicts have been through opiate withdrawal, they can take pain so they can taper off rapidly. But in these groups there are people that say they didn't have any symptoms and they are bashed for saying that thank you, people say you're a liar you have never been on a benzo and all of this nonsense and I'm like how are you guys going to tell these people this? It's like if they don't suffer what you suffer they are liars? There are close to 9 billion humans on Earth and genetically / biologically / neurobiology not everybody is the same. And to expect that everybody is the same it's causing this Mass hysteria nowadays. And people are not healing because their brains are creating symptoms or mimicking symptoms that they read from other people and that is the problem in my opinion

    • @MontemorA-eb1ypy
      @MontemorA-eb1ypy 3 วันที่ผ่านมา

      Omg I’m so sorry 😢😢

  • @HM-ec5vi
    @HM-ec5vi 18 วันที่ผ่านมา +1

    It took me over a year to taper off of klonapin. Was a horrible experience.
    I changed my diet and anxiety went away.

  • @katierenae4848
    @katierenae4848 2 หลายเดือนก่อน +4

    I've CT 5 times off benzos in my life with no issues. Chronic stress and anxiety however has caused me loads of physical symptoms and increase in anxiety. In my opinion Chronic stress is way more damaging then the benzos ever were. SSRI never worked for me.

  • @Mintman83
    @Mintman83 11 หลายเดือนก่อน +7

    I’ve been on the same benzo for close to 20 years now. One time I ran out and forgot to fill it, it was crazy my mood went from happy to sad, I could not sleep I got 1 hour in 2 days, and I would get really warm then freezing cold. Finally I found out I was without it and went back on it.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน +2

      That's a great example of why people who take benzos regularly for many years shouldn't stop them abruptly (I realize you did this unknowingly).

  • @lam7402
    @lam7402 2 หลายเดือนก่อน +4

    I’m suffering from long term effects from taking klonopin for 30 years low dose , went paradoxal on me and I habe the most horrific life now, o can barley leave my home …..go into benzo support groups…..it’s sad

  • @Flaw-13
    @Flaw-13 11 หลายเดือนก่อน +4

    Thank you for the video. I was prescribed Prozac and gabapentin and clonazepam as needed. I only take Prozac and clonazepam, I am honestly scared to try gabapentin. My psych doesn't know. My panic disorder is daily and I been trying to find a proper solution without messing my brain any further.

    • @Flaw-13
      @Flaw-13 11 หลายเดือนก่อน +1

      i get panic attacks daily

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน +3

      You’re welcome. I’m sorry to hear you’re having panic attacks daily despite taking Prozac and clonazepam. Obviously this is something you should talk through with your prescriber, but if you’re still having them daily, it doesn’t sound like what you’re on is working very well and may need to be adjusted or changed. I certainly wouldn’t be satisfied with that result. As far as the gabapentin goes, I made a video recently about pregabalin and gabapentin for anxiety that might help you information-wise about the gabapentin, but whether or not gabapentin is likely to help you, your psychiatrist is in a better position to discuss that with you since they know you. If you haven’t already, you may want to discuss with them psychotherapy (it really does help panic) and exercise. Meds certainly aren’t the only option, but I know from experience that some people can get more “traction” with the non-medication approaches if they’re doing at least somewhat better from meds first if they’ve got moderate to severe panic disorder (since people with panic disorder are often terrified to do anything because they fear having more panic attacks).

    • @Flaw-13
      @Flaw-13 11 หลายเดือนก่อน +2

      @@JeffreyKnuppelMD thank you for the response, I will talk to my psych about this!

    • @gailcaplan7015
      @gailcaplan7015 10 หลายเดือนก่อน +1

      Thank you for the video. Now I have more anxiety

  • @ireneloring5199
    @ireneloring5199 3 หลายเดือนก่อน +4

    I have been taking Valium for many years,just the small dose of 2mg and only when needed.I am happy to take these with no high doses,my doctor is reluctant to prescribe them but I tell her at my age what the heck I’m 91

  • @Kingboo1081
    @Kingboo1081 ปีที่แล้ว +4

    Thank you for the video.
    I have refractory GAD and Agoraphobia.
    I have been on Diazepam for approximately 6 years, BUT, not daily. PRN only, which usually is 1-2 per week, and sometimes I’ll go for a few weeks without using it.
    It is moderately helpful and I tolerate it perfectly.
    I think benzodiazepines certainly have their place, but they need to be used appropriately, based on each individuals circumstances.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  ปีที่แล้ว +1

      Thanks for sharing that. I’m glad you found something that works for you. I 100% agree with your conclusion.

    • @hanafri8
      @hanafri8 9 หลายเดือนก่อน +2

      I'm glad that there's a MD that has a more open mindedness about the use of small dose benzodiazepines, some doctors made you feel so guilty about wanting it for severe anxiety.

  • @Josh-eo9xj
    @Josh-eo9xj หลายเดือนก่อน +4

    The medical community is so wrong about this issue .....benzodiazapines have a place just like any other medications .....if you can't work and no other meds are helping so be it......everyone is different

  • @stephencaudill2422
    @stephencaudill2422 25 วันที่ผ่านมา +3

    In my clinical experience, only about 20% of patients actually use the benzo's for a few weeks only, the other 80% get physically dependent, and also prolonged benzo use causes more anxiety, panic, and derealization than the original anxiety which was to begin with.

    • @frederickmuhlbauer9477
      @frederickmuhlbauer9477 24 วันที่ผ่านมา

      I took small dose Valium during my divorce for two months in 2004 and haven’t taken anything since 71 years old

  • @JamesSwiftakaFifiFrost
    @JamesSwiftakaFifiFrost 3 หลายเดือนก่อน +3

    I have severe CPTSD, ocd and agoraphobia. The only drug I have ever taken that help with my panic attacks is xanex. Moved and had to see a new psychiatrist. She instantly took me off of xanex and followed a long trend of treating my anxiety with blood pressure meds. At one point I was on 7 different blood pressure medications. So I started passing out.

  • @stephencaudill2422
    @stephencaudill2422 7 หลายเดือนก่อน +4

    28 years ago I had anxiety, panic, especially in crowds. I saw a psychiatrist who prescribed clonazepam for 3 months and did exposure therapy to crowded places. As far as Xanax, I know about 30 people who are addicted. The best euphoria is from Valium, imo

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  7 หลายเดือนก่อน

      Thanks for sharing. I hope the treatment you received years ago has helped you.

  • @janiceince1965
    @janiceince1965 ปีที่แล้ว +10

    I've had my prescription for years and I've never abused them.. A 30 day perscription would last me like 4 months. Only took half a pill of a low dose when needed.. I realize it's a bandaid and you really need a therapist to get at the root cause of the anxiety and fears and work from there but I'm thankful that I have them for rough times. Like when my mom passed last year and I had to plan everything... There good if you respect them and only take as needed. Dr should prescribe them like my Dr 1 refill for a 6 month period. That's 60 pills for 6 months..That way you don't get addicted to them....I see nothing wrong with that..

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  ปีที่แล้ว +3

      That makes perfect sense -- I'm glad to see it's working for you. I agree with your comments about benzos. Thank you for your comment.

  • @BrettBustamante
    @BrettBustamante 9 หลายเดือนก่อน +7

    Here's a good book on this topic: The Maudsley Deprescribing Guidelines: Antidepressants, Benzodiazepines, Gabapentinoids and Z-drugs (The Maudsley Prescribing Guidelines Series) 1st Edition.

  • @nickydaviesnsdpharms3084
    @nickydaviesnsdpharms3084 5 หลายเดือนก่อน

    Good video. The one aspect with regards to benzodiazepines which i almost never see content about at least on TH-cam, are the relative potencies equivalences between all of the various members of this class. Something i think is important because there are a wide range of potencies between them. For example Chlordiazepoxide (Librium) is approximately 5 times less potent than Diazepam (Valium) which its self is 10 times less potent than Lorazepam (Ativan) which again is it's self, half the potency of Alprazolam (Xanax) Clonazepam (Klonopin) & Triazolam (Halcion)

  • @mw12349
    @mw12349 11 หลายเดือนก่อน +2

    thankyou for this when used correctly they really do help. What do you say about the doctors that are refusing patients Benzos? Also could you please do a video on anxious patients starting new anti depressants please. It's very scary. I have to start a new one as my old one is making me sick in the stomach 😢

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน +2

      Thanks for your comment. I tried to explain in the video the dilemma doctors face about prescribing benzos as it’s not always an easy call, but as I mentioned, always and never are not usually the right answers in medicine including when it comes to benzos. I appreciate your video suggestion. Best wishes with your medication transition!

  • @avis4433
    @avis4433 29 วันที่ผ่านมา

    ❓❓Hello, Doc Knuppel, can you please tell me what you consider a high dose of Alprazolam? Thank you so very much!

  • @JAYREMY32
    @JAYREMY32 หลายเดือนก่อน +1

    They are lifesavers if used correctly. Very hard to do though. Going through it now. It’s so difficult cause the tolerance builds so fast.

    • @frederickmuhlbauer9477
      @frederickmuhlbauer9477 24 วันที่ผ่านมา

      Valium 2mg for a month saved my life during my separation Never used a higher dose Didn’t need it

  • @michelemunro5456
    @michelemunro5456 5 หลายเดือนก่อน +1

    Psychiatrist rx clonazepam for complex ptsd, as well as sertraline. Limotragine and aventil for trigeminal neuralgia. All are long-term without any plan to taper or stop. I have been on for 5+ years. I'm supposed to take 1.5 mg 2x a day. I used to (up until a few weeks ago) only take it at night. Now i take 1 mg in am and 1 mg pm as my mum has been struggling with lung cancer and post lobectomy/copd difficulties. Trauma is definitely activated, and extra help is needed. I never go above rx dose and take care of myself as best as I can. It's an absolute nightmare for me (and those who love me) without medication. I am personally very thankful this combination of medication really helps day to day/life as a whole.

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      Xanax, Adderall and others can help in taking care of Depression, Anxiety, ADHD and PTSD, have benefited so much from Adderall for my anxiety and depression to get some see below info they also guide newbies on dosage?

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      *@PHARMSTAIN?*

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      On Telegram also Instagrams?..

  • @frederickmuhlbauer9477
    @frederickmuhlbauer9477 24 วันที่ผ่านมา +1

    Xanax is a crazy drug Nearly lost my mind getting off that drug( went cold Turkey) from a low dose short duration

  • @joseph8468
    @joseph8468 11 หลายเดือนก่อน +1

    Thank you for sharing your expertise.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน

      You’re welcome! Thank you for watching.

  • @lisabreeden2295
    @lisabreeden2295 2 หลายเดือนก่อน +1

    I have bad anxiety can't go out in public does my anxiety is so bad yes I have to have them to function

  • @garypond3451
    @garypond3451 6 หลายเดือนก่อน +1

    Wish you were my psychiatrist. Since Covid, hard to get an appointment with any psychiatrist. I've suffered from GAD, Panic and mood swings for most of my adult life. Some days I can cycle thru feelings of feeling relatively normal and then severe anxiety / panic several times. Really the only thing that has ever helped was Clonazepam but having an addictive personality (alcohol abuse when younger), I try to take it sparingly and then mostly at bed time. I probably average 0.5 mg a couple times a week but sometimes go a few weeks without. But one thing I've noticed is, it's supposed to have a half life of something like 12 hours but when I take it during the day which isn't often, I would say, it takes a good hour to have an effect and then after maybe four or five hours it starts to wear off, I wonder why that is? Wish it lasted the whole day. I recently tried buspirone which helped a little but increased my dizziness as well as tinnitus. Now trying Gabapentin, not doing a thing.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  6 หลายเดือนก่อน

      Thank you, and best wishes with your situation. It's frustrating when you can't find a medication that works for you and agrees with you.

  • @joyless.
    @joyless. 2 หลายเดือนก่อน

    Very goodly explained thank you!!!

  • @deborahmoleman9671
    @deborahmoleman9671 4 หลายเดือนก่อน

    I have been on cymbalta for around 15years now and it fixed my depression and lessened my anxiety but i still have panic attacks occasionally which are quite horrible, wondering what to do next. My therapist quit and I have a new doctor, not sure i want to see another therapist and tell my story all over again

  • @benzapp1
    @benzapp1 7 หลายเดือนก่อน +2

    Isn't there a place for this class of drugs in bipolar disorder? Antipsychotics seem much worse so far as antimuscarinic effects, which most likely does lead to dementia. SSRIs and SNRIs are not an option for many due to mood instability. In my personal experience, withdrawal from antipsychotics is just as bad as benzos. I've often wondered if the anti-benzo stance of the past decade is a moral panic of sorts. Those with bipolar who are stable on lithium for example don't have many good choices for anxiety. Even anticonvulsants that can help have major cognitive side effects that for many make day-to-day life difficult. Can we really say quetiapine is safer than clonazepam?

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  6 หลายเดือนก่อน +2

      Benzodiazepines definitely have a role in some patients with bipolar disorder although I do believe that increased caution about prescribing them in recent years is legitimate. I agree that antipsychotics are definitely not benign drugs - you mentioned Seroquel - I see this overprescribed frequently. With the newer antipsychotics, the metabolic side effects are often overlooked. As I mention in many of my videos, care must always be individualized as each person is different. The side effects of these meds are frustrating to me as a psychiatrist, too. Thanks for your comment.

  • @fivestarservices-euronics2278
    @fivestarservices-euronics2278 8 หลายเดือนก่อน +1

    I would love you’re opinion on my case please. 🙏🏻.
    I have had pop a Nic disorder for over 20 years now. I barely drink alcohol nowadays. O can live my normal daily life with no anxiety and my panic and irrational thinking anticipatory anxiety only comes when I have to do something more out of my comfort zone. Such as long travels, shopping centres and Iv completely avoided flying for years so have missed many family holidays down to being too scared of getting in a plane and not being in control at all or able to get back to my safe place if I need too. Iv tried many ssri and currently take 20mg escitalopram which I have recently reduced to 10mg as daily im fine. I was out of comfort zone the other day and freaking out so I had a pint of lager, not recommended I know, but when you get like that u just need an out, and it did I had a great day and my thoughts were not on anxiety at all which was awesome. I was thinking if I had a benzo in these rare occasions or if I were to brave going on a holiday I could take them, fit not daily.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  8 หลายเดือนก่อน

      While I can't give individual medical advice, I can tell you that a common use case for a benzodiazepine is to have it available as-needed with the intention of taking it infrequently (as you mentioned) along with an SSRI (like the escitalopram you're on) or SNRI which is taken every day. So, yes, what you asked about is a good strategy for many people. Only you and your doctor/prescriber can figure what's right for you, though.

    • @laremabella
      @laremabella 7 หลายเดือนก่อน

      ​@@JeffreyKnuppelMDcan I take benzos while on fluoxetine? Im hoping I get them prescribed for me so I can actually be around a lot of people

  • @stevendavis5207
    @stevendavis5207 2 หลายเดือนก่อน

    What do you think of 1mg Xanax (as needed ) I do take it everyday . I never am short on meds each month and I’ve been on this dose close to 3 years with no need to up my dose. I’m prescribed bc I’ve had a traumatic experience in 2021 . I got covid and gave it too my mother who passed away from it . Which deep down I blame myself for jt since I gave it too here. This medicine is the only thing that keeps the noise down in my head when I need jt too . Do you think I’m a candidate for long term use.

  • @SAMEntalhealth
    @SAMEntalhealth 10 หลายเดือนก่อน +2

    And also, somebody can fall off the road after taking the seroquel, they can fall off the road while taking other non-narcotic or any type of mine altering substances, they can still have that same exact effect and I think it's overlooked, everybody always and I'm not talking about you or saying you said the wrong thing you're actually saying everything correctly, but at the same time people that truly need these medications as a safety blanket at the most or the least, these doctors nowadays it's so obvious that they are just not prescribing them because of the reasons like the benzo Holocaust we are in now, that's why they are not prescribing I'm not because these patients don't need them, it's just insane so somebody has to suffer and then develop a heart condition and then I have to go through extensive care in their life because their panic disorder was not taken care of properly😢

  • @kokalti
    @kokalti 3 หลายเดือนก่อน +8

    Yet I can go and buy as much alcohol as I want (which destroys lives) but doctors wont proscribe me the medication I might need because they care about addiction? Give me a break. This medication should be on a rare as needed bases, not taken every day.

    • @StdsRbop1
      @StdsRbop1 2 หลายเดือนก่อน +2

      🎯

  • @bensmith7212
    @bensmith7212 10 วันที่ผ่านมา

    Xanax is the true hard hitter I felt that kilonopin is the 2 nd tier but they work the same

  • @Superutubeking
    @Superutubeking 7 หลายเดือนก่อน

    Excellent video and well explained. I wouldn’t take them again too many problems

  • @MichaelDerousselle
    @MichaelDerousselle 9 หลายเดือนก่อน +1

    I have been on 1mg/day as needed for several years. They are still effective. I have never run out, I actually have a surplus. I also take Gabapentin. The combination works. I have been through the gamut of SSRIs and atypical anti psychotics. I work in IT. Amazingly, I can function well.

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      On Telegram also Instagrams?..

  • @sogaria3561
    @sogaria3561 7 หลายเดือนก่อน

    I am the patient C example. Tried many different medications and had to taper them off because of side effects / no effect for my severe social anxiety. Yet I am still scared to approach my doctor with the idea of benzos, it looks like to me it has a super bad reputation due to all abuse with it.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  7 หลายเดือนก่อน

      Thanks for sharing that. That’s gotta be a tough spot to be in. You could let your doctor know that you’ve done some more research on treatments and wondered whether a benzo might help. It’s best to just be honest that you’re hesitant to even bring up the topic because you don’t want to seen as drug seeking but feel desperate to get relief. This could at least start a conversation with them about the topic. The other thing to keep in mind is that cognitive behavioral therapy is very effective. Personally my experience in treating patients with anxiety disorders with medications has been that social anxiety is one of the more difficult types of anxiety to treat. I hope you find something that works for you.

  • @gailcaplan7015
    @gailcaplan7015 10 หลายเดือนก่อน +7

    I have been on Xanax for several years and it works well for me

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  10 หลายเดือนก่อน +2

      I’m glad to hear you found something that works for you, thanks for sharing.

    • @jurachi1180
      @jurachi1180 7 หลายเดือนก่อน +1

      Look up benzo withdrawal and Akathisia

    • @sharlenemckenzie9688
      @sharlenemckenzie9688 5 หลายเดือนก่อน +1

      Xanax the only drug that works for my anxiety
      When on it life is worth living
      Off it can’t cope with anything

  • @Sears111
    @Sears111 10 หลายเดือนก่อน +7

    What about all the doctors that just do not want to prescribe Benzos any longer, especially the younger doctors. You older guys are going to retire one of these days. Then what? This needs to be addressed pronto.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  10 หลายเดือนก่อน +3

      I explained in the video why, in my opinion, doctors are more cautious about prescribing benzos now than they were 10-20 years ago, but I wasn't aware of a particular trend among younger doctors who don't ever prescribe benzos. What has your experience been regarding this? I'm curious.

    • @Sears111
      @Sears111 10 หลายเดือนก่อน

      @@JeffreyKnuppelMDGeneral consensus among the benzo recovery forums is that doctors are no longer willing to prescribe Benzos beyond 2 or 3 weeks if at all and usually only in conjunction with an antidepressant or antipsychotic prescription which are being used now in lieu of a Benzo. The few weeks are to help with the usually terrible symptoms that come with starting an antidepressant. Abruptly stopping a benzo script is becoming more common as older doctors retire and younger ones take their place. I’m 71 and had to turn to the online forums when my physchiatrist of 25 years abandoned me because I hit tolerance and my benzo was no longer effective. He did not want to deal with withdrawal in the correct way and it took months to find another doctor. I finally found an older doctor willing to switch me over from Xanax to Valium per the Ashton Manual. General consensus is that older doctors are more willing to prescribe for longer periods of time and almost no doctors know how to taper correctly. Physchiatrists are seriously trying to tell their benzo patients to go to rehab which would be the worst medical advice ever given by a doctor who took an oath to first do no harm.

    • @TsStone
      @TsStone 10 หลายเดือนก่อน +5

      What about the hundreds of thousands of people worldwide, including myself, who suffers from benzodiazepine induced neurological dysfunction? Years of living in hell after getting off because the body have problems or can’t regulates the gaba a receptors back to normal. This can happen to people even on low-dose and on short term use. And before you go to the conclusion of “recreational use” and addiction only 0,2% of those who get harmed by benzo meet the criteria for abuse and 99,8% took the benzo as prescribed according to “the psychologist magazine “. Even the FDA updated their warnings last year. Please update yourself before lecturing people about this dangerous medication.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  10 หลายเดือนก่อน

      Thanks for explaining this.

    • @laremabella
      @laremabella 7 หลายเดือนก่อน +4

      ​@@TsStonechronic stress and anxiety can cause way more issues neurologically. Why are u taking them if they cause issues? Take them once or twice a week. Like how we're supposed to ration sugar

  • @dirkvandermerwe6027
    @dirkvandermerwe6027 9 หลายเดือนก่อน

    I've been on clonazepam 2mg for 4 consecutive months... How long wil tapering take?

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  9 หลายเดือนก่อน +1

      I just answered your question about this for another video here -- you said you're using it every 2-3 days. How long it takes to taper off a benzo depends to some degree on the person taking it, but if you're taking 2 mg/day every 2-3 days and have only been on it for 4 months, my best guess is that you can get off it over a few weeks. Please be sure to work with your prescriber in doing this.

    • @pinchegato3370
      @pinchegato3370 8 หลายเดือนก่อน +1

      At least a year

  • @Kingboo1081
    @Kingboo1081 ปีที่แล้ว

    Are you familiar with Maoi’s? Would love a video on them!
    There aren’t many videos on TH-cam about them!
    I am currently on Tranlycypromine.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  ปีที่แล้ว

      Yes I’m familiar with MAOIs. They’re not prescribed often today, but they’re very effective for some people. Thanks for your suggestion.

  • @vlosmaik
    @vlosmaik 17 วันที่ผ่านมา

    Hi, from Greece and here we can take the King of benzos, Flunitrazepam..

  • @cultfiction3865
    @cultfiction3865 ปีที่แล้ว +7

    I fully concur that benzo’s can be extremely helpful for some people. I took Clonazepam daily for about 5 or 6 years and it helped me out a lot. And eventually I decided to slowly wean myself off it, and I didn’t experience any kind of withdrawal symptoms at all. Of course, this isn’t everyone’s experience and I admit that they can cause bad withdrawal issues for people that are more predisposed that way. But the solutions to that are never far away. Either stay on them so withdrawal doesn’t happen, or taper off them very slowly. That way even if there are some withdrawal symptoms, they won’t be any worse than coming off your average antidepressant

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  ปีที่แล้ว

      Thanks for sharing your experience.

    • @dillonmangrum1083
      @dillonmangrum1083 ปีที่แล้ว +1

      That’s really assuring I’ve been on klonopin for almost 7 years it was the only thing to make me feel somewhat normal with high anxiety , dpdr ext
      I only take .5 and I had a bad anxiety setback here recently and take .5 2x a day which is what is prescribed but I’ll taper down ima. Couple weeks back to .5 a day good to know it’s not all horror stories ❤

    • @THXx1138
      @THXx1138 11 หลายเดือนก่อน +6

      There are no guarantees with any of this. I tapered off of 25mg of Temazepam over 1 year and continue to suffer 6 years on. My story is repeated hundreds of thousands of times over. Maybe more.

    • @cultfiction3865
      @cultfiction3865 11 หลายเดือนก่อน

      @@THXx1138 Temazepam is short acting so 1 year seems to short for withdrawal. I took about 3 years to withdraw from diazepam which is very long acting. If you are withdrawing and getting withdrawal symptoms then you should go back to the dose before and go more slowly. If you had withdrawal symptoms it honestly is because you rushed the process

    • @Sears111
      @Sears111 10 หลายเดือนก่อน

      @@THXx1138Much more.

  • @DonnaH-kc4rp
    @DonnaH-kc4rp 6 หลายเดือนก่อน +11

    Diazepam is the worse withdrawal I’ve ever done we don’t prescribe Xanax in the uk 🇬🇧 unless it’s a private prescription

    • @maribeladelantadoblanco4707
      @maribeladelantadoblanco4707 5 หลายเดือนก่อน +1

      Pues yo lo tomé mucho tiempo, lo dejé radical y no tuve abstinencia

    • @nickydaviesnsdpharms3084
      @nickydaviesnsdpharms3084 5 หลายเดือนก่อน

      Yeah, Xanax (Alprazolam) is rarely prescribed here in UK, although a psychiatric patient friend of mine received it one time instead of Diazepam for some reason recently. I commented above about how not many people tend to di8scuss the equivalences between the various benzodiazepines. Which is a important or even vital thing to be familiar with.

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน +1

      Xanax, Adderall and others can help in taking care of Depression, Anxiety, ADHD and PTSD, have benefited so much from Adderall for my anxiety and depression to get some see below info they also guide newbies on dosage?

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      *@PHARMSTAIN?*

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      On Telegram also Instagrams?..

  • @GoldfishTherapy
    @GoldfishTherapy 8 หลายเดือนก่อน +1

    Great video on Clonazepam.

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  8 หลายเดือนก่อน

      Thanks! I’m glad you liked it.

  • @stickybomb0016
    @stickybomb0016 3 หลายเดือนก่อน

    Sir how can I contact you ?

  • @babybop79fenn20
    @babybop79fenn20 ปีที่แล้ว +2

    Explained very well. Thanks Doc!

  • @funmimadet2475
    @funmimadet2475 ปีที่แล้ว

    What is the shortest time to be on Benzo for GAD

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  ปีที่แล้ว +3

      There isn't really a shortest time period, but I'll just say that in some situations such as when someone with an anxiety disorder also is going through a particularly stressful life situation, a few weeks may be helpful. The challenge with treating GAD for such a short time period, though, is that it's often a longstanding problem, and without any other treatment such as therapy, the anxiety is likely to come back.

    • @15RamSathya
      @15RamSathya 11 หลายเดือนก่อน

      Crore Thanks ​@@JeffreyKnuppelMD

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน

      You’re welcome!

  • @SAMEntalhealth
    @SAMEntalhealth 10 หลายเดือนก่อน

    See I would get my clonazepam from somebody I know, and yes they are prescribed to her, but I never went above 0.5, even when I figured they weren't working as well, I just didn't increase my dose I had to do the rest of it as self work in my mind, like if I said hey I can't fall asleep tonight that well the 0.5 isn't working as well so I'm going to have to do my own mindfulness with it and eventually I would fall asleep, but at the same time, I just refuse to raise my dose. I never felt the need to keep going up and up and up and up

  • @brendafountain8074
    @brendafountain8074 7 หลายเดือนก่อน +3

    Please people don’t take these pills eat healthy and exercise and yoga don’t go the pill route if you can help it

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  7 หลายเดือนก่อน +5

      I 100% agree that lifestyle and non-medication approaches are best if they work for a person. However, some people also need medication to function and be well (I think I explained this well in the video).

  • @nightowl5045
    @nightowl5045 7 หลายเดือนก่อน

    I switched psychiatrist was doing fine on ativan for sleep and val for panic now i have been diagnosed with cancer can't sleep burn off the ativan with the bad anxiety panic shaking cant calm down and he says lets try another ssri i been on and snri and old time doxepin,elvil most others ,and never overused they even checked in the cures db no problems i mean i have cancer and may not make it but i do know i wont even get into the ent drs office to talk if i cant sleep and iam in panic already and now make my remaining days the worst

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  7 หลายเดือนก่อน +2

      I’m so sorry to hear about your situation. It sounds enormously stressful to say the least. I hope you can work with your doctor to find something that helps, and I hope they’ll listen to you and work with you collaboratively.

    • @saren6538
      @saren6538 29 วันที่ผ่านมา

      Please call water fasting cut the sugar completely and introduced fats animal fats. Yes you might have more anxiety with this but it will starve your cancer.

  • @SCP_Foundation_Editsr
    @SCP_Foundation_Editsr 2 หลายเดือนก่อน

    I think this video was awesome

  • @Jahzeta
    @Jahzeta 8 หลายเดือนก่อน +19

    These meds should not be prescribed for anxiety. MAYBE if severe trauma occured, and then only for a week or 2. You will be worse off after quitting these meds.

    • @400drills
      @400drills 5 หลายเดือนก่อน +1

      If there was an easier way to get off these meds would be alot better

    • @MercyGrace.JC7
      @MercyGrace.JC7 4 หลายเดือนก่อน

      There is, try alternative medication there one in Arizona .
      Alternative to med center . They have one of the best site for information

  • @RE-pn5yq
    @RE-pn5yq 6 หลายเดือนก่อน +4

    Valium works yo relax my scoliosis and helps me stop bring anxious do I can focus to work. If I take more than 5mg at once I’ll feel drowsy and need to sleep. I have never gotten high from Valium. It’s useful and it seems to scare doctors to death (similar to prescribing morphine 😂). It’s a good drug. I am limited to 50 every 6 months only. I self regulate. Luckily I have a very good doctor.

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      Xanax, Adderall, Valium and others can help in taking care of Depression, Anxiety, ADHD and PTSD, have benefited so much from Adderall and Valium for my anxiety and depression to get some see below info they also guide newbies on dosage

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      *@PHARMSTAIN?*

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      On Telegram also Instagrams?..

  • @Tina-vm4uo
    @Tina-vm4uo 17 วันที่ผ่านมา

    Yea...everyone wants to feel numb to the pressures of living...but wait until you can't get them anymore...thats the issue....take a look at skid row, or Kengsington PA, etc. Drs. can give and take away. Life on lifes terms. There are other alternatives.

  • @PabloDiaz5DMusic
    @PabloDiaz5DMusic 7 หลายเดือนก่อน +10

    The worst drug in the planet.

    • @saren6538
      @saren6538 29 วันที่ผ่านมา +1

      Nope, Cipro antibiotics are

  • @bensmith7212
    @bensmith7212 10 วันที่ผ่านมา

    No the truth is EVERYONE gets a great euphoria it feels friggen great to everyone

  • @tommywallberg
    @tommywallberg หลายเดือนก่อน

    Oxazepam it’s a bit easier to get off. At least for my own experience. Old fashioned benzodiazepines

  • @roywolftechnodj8610
    @roywolftechnodj8610 8 หลายเดือนก่อน +10

    Benzo's destroid my life 😢

    • @Jahzeta
      @Jahzeta 8 หลายเดือนก่อน +6

      same here, absolutely horrible medication. they shouldn't even be called medicine.

    • @laremabella
      @laremabella 7 หลายเดือนก่อน

      Why? I'm trying to get my hands on some. I use to take codeine. I can't wait to try them bc anxiety and chronic stress is way worse than any pill I could take

    • @Jahzeta
      @Jahzeta 7 หลายเดือนก่อน

      You can but they are highly addictive, they will make you worse off during and after use, way worse. I strongly suggest healthy alternatives. Dr. Peter Joseph Witt Doering on youtube makes a lot of content on the topic of the dangers of benzodiazepines. " I can't wait to try them bc anxiety and chronic stress is way worse than any pill I could take" you say this with truth, but you haven't experienced the absolute horrors of benzo withdrawals. Good luck on your healing journey.

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      Xanax, Adderall and others can help in taking care of Depression, Anxiety, ADHD and PTSD, have benefited so much from Adderall for my anxiety and depression to get some see below info they also guide newbies on dosage?

    • @O4Alexander
      @O4Alexander 5 หลายเดือนก่อน

      On Telegram also Instagrams?..

  • @michaelcoughlin4534
    @michaelcoughlin4534 8 หลายเดือนก่อน

    Look into flotation therapy

  • @TheRealMc99
    @TheRealMc99 หลายเดือนก่อน +1

    Can somebody please like this comment so I can get back to this video?

    • @syntholshoulders1842
      @syntholshoulders1842 หลายเดือนก่อน

      Jennifer leigh Benzodiazepines withdrawal watch it

  • @MercyGrace.JC7
    @MercyGrace.JC7 4 หลายเดือนก่อน +2

    Do not do it my son is suffering because of this horrible medicine

  • @beetlejuice1209
    @beetlejuice1209 4 หลายเดือนก่อน +1

    30 odd years on diazepam ruined my life

  • @karenpeart5997
    @karenpeart5997 11 หลายเดือนก่อน +3

    Diazepam made my anxiety worse ,made me severely agitated and aggressive

    • @JeffreyKnuppelMD
      @JeffreyKnuppelMD  11 หลายเดือนก่อน

      Thanks for sharing your experience with diazepam.

    • @THXx1138
      @THXx1138 11 หลายเดือนก่อน +2

      Akathesia

    • @karenpeart5997
      @karenpeart5997 11 หลายเดือนก่อน

      Not sure what that is

  • @taketheredpill1452
    @taketheredpill1452 3 หลายเดือนก่อน

    my story is too long to go over here but if you're looking to detox, off benzo's, what worked for me was no-fap...

  • @oliversmith7820
    @oliversmith7820 10 หลายเดือนก่อน +8

    Don't do it

  • @DangerKeepcalmanddry-n9m
    @DangerKeepcalmanddry-n9m 2 วันที่ผ่านมา

    Buy Klonopin

  • @mfoley1479
    @mfoley1479 29 วันที่ผ่านมา

    Workout