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Treating anxiety while minimizing abuse and dependence

¹Department of Psychiatry, New York University Medical Center, N.Y.

The Journal of Clinical Psychiatry

|May 1, 1993

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Anxiety medications can be controversial due to abuse and dependence risks. This review explores factors contributing to anxiolytic drug dependence and offers strategies to minimize these risks for safer patient care.

Area of Science:

Psychiatry
Pharmacology
Clinical Psychology

Background:

Anxiety disorders are prevalent and can be debilitating.
Antianxiety medications offer effective treatment but face controversy.
Concerns regarding abuse and dependence associated with anxiolytic drugs are significant.

Purpose of the Study:

To address the factors contributing to anxiolytic drug dependence and abuse.
To examine patient characteristics and pharmacologic profiles influencing dependence.
To provide recommendations for minimizing abuse and dependence risks.

Main Methods:

Review of literature on anxiolytic drug dependence and abuse.
Analysis of patient-related factors and drug pharmacologies.
Development of clinical recommendations for risk mitigation.

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Main Results:

Anxiolytic drug dependence and abuse are influenced by patient-specific and drug-specific factors.
Concerns about risks can hinder appropriate treatment initiation.
Failure to identify dependence can lead to clinical challenges.

Conclusions:

Minimizing anxiolytic drug abuse and dependence requires careful diagnostic assessment.
Patient education regarding risks and benefits is crucial.
Strategic drug selection and comprehensive treatment planning are essential for safe and effective anxiety management.