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Addiction Treatment

Benzodiazepine Addiction Treatment in Los Angeles

Medically supervised tapering, CBT, and relapse prevention for Xanax, Klonopin, Ativan, and Valium dependence

Medically reviewed by Dr. Eric Chaghouri, MD — Medical Director, Golden State Rehab Updated August 2026
Benzodiazepine Use Disorder

When the Medication That Calmed You Won't Let Go

Benzodiazepines — Xanax (alprazolam), Klonopin (clonazepam), Ativan (lorazepam), and Valium (diazepam) — are among the most prescribed medications in America, and among the hardest to stop. The FDA's boxed warning on this entire drug class states it plainly: physical dependence can develop even when you take your medication exactly as prescribed, sometimes within weeks. And combining benzodiazepines with opioids or alcohol dramatically raises the risk of dangerous sedation and overdose.

One warning before anything else: never stop taking benzodiazepines abruptly, and never attempt a taper on your own. Unlike most drugs, benzodiazepine withdrawal can be medically dangerous — seizures are a real and documented risk, especially after high-dose or long-term use. Rebound anxiety, insomnia, and panic can also make an unsupervised quit attempt collapse within days. Getting off these medications safely is a medical process, not a test of willpower.

At Golden State Rehab in Westwood, we treat benzodiazepine dependence the way the evidence says it should be treated: a gradual, medically supervised taper managed by our psychiatry and medication-management team where clinically appropriate, combined with CBT and relapse-prevention therapy that treats the anxiety and insomnia the pills were masking. Care is outpatient — PHP or IOP — so most clients keep working while they recover. You can see all the conditions we treat in Los Angeles on our treatments page.

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Private individual therapy room at Golden State Rehab
Treatment Methods

Our Benzodiazepine Treatment Approach

Medically Supervised Tapering

Where clinically appropriate, our physicians design a gradual dose-reduction schedule — often over weeks to months — that keeps withdrawal symptoms manageable and seizure risk low. The pace adjusts to how your body responds, never to a calendar. If a clinical assessment shows you need medical detox first, we help arrange care at a licensed detox facility, and you step down to our PHP or IOP afterward.

Medication Management

Our psychiatric team meets with you regularly throughout the taper — monitoring symptoms, adjusting the plan, and treating the anxiety, panic, or insomnia underneath with safer, non-addictive alternatives when medication is still needed.

Cognitive Behavioral Therapy

CBT gives you what the pill provided chemically: a way to face anxiety and get through it. You learn to recognize catastrophic thinking, tolerate physical symptoms of anxiety, and rebuild confidence that you can cope without a benzodiazepine in your pocket.

Anxiety & Insomnia Treatment

Most benzodiazepine prescriptions started with anxiety or sleeplessness — and both tend to surge during a taper. We treat them directly with evidence-based anxiety treatment and behavioral sleep strategies, so the original problem doesn't pull you back to the original solution.

Group Therapy

Benzodiazepine dependence is isolating — many clients have never met anyone else going through it. Group sessions normalize the experience, share what actually helps during a taper, and rebuild the social confidence that long-term sedative use erodes.

Dual Diagnosis Treatment

Panic disorder, generalized anxiety, PTSD, and depression frequently sit underneath benzodiazepine dependence. Our integrated dual diagnosis program treats the substance use and the psychiatric condition together — because treating only one leaves the other to restart the cycle.

Group therapy room at Golden State Rehab in West Los Angeles
Signs of Benzodiazepine Addiction

When a Prescription Becomes a Dependence

Because benzodiazepines usually start as legitimate prescriptions, dependence often builds quietly — and NIDA notes it can develop even at prescribed doses. Signs that use has become a problem:

  • Needing a higher dose to get the same calm — or the prescribed dose "not working" anymore
  • Anxiety, shakiness, irritability, or trouble sleeping between doses or when a dose is late
  • Running out of a prescription early, or seeing multiple doctors to keep a supply
  • Using benzodiazepines with alcohol or opioids to strengthen the effect
  • Failed attempts to cut down — or feeling frightened by what happened when you tried
  • Memory gaps, daytime drowsiness, or feeling emotionally flat and disconnected
  • Organizing your day around when you can take the next dose

Related Conditions & Programs

Frequently Asked

Benzodiazepine Treatment: Common Questions

No — please don't. Stopping Xanax or any benzodiazepine abruptly can be medically dangerous: withdrawal can cause seizures, along with severe rebound anxiety, panic, and insomnia. The safe route off is a gradual taper designed and monitored by a physician. Our psychiatry team manages tapers as part of outpatient treatment, adjusting the pace to how you respond.

No — we are an outpatient facility and don't provide on-site medical detox. Many clients can taper safely under our psychiatry team's supervision while living at home. When a clinical assessment shows that medical detox is needed first — usually after high-dose or long-term use — we help arrange care at a licensed detox facility, and you step down to our PHP or IOP afterward for the therapy that makes recovery last.

It varies widely — commonly weeks to several months, depending on your dose, how long you've been taking it, which benzodiazepine it is, and how your body responds. A slower taper is usually a more comfortable and more successful one. Your physician sets the schedule and adjusts it with you; there's no prize for finishing fast.

Yes. The FDA's boxed warning on benzodiazepines states that physical dependence can develop even at prescribed doses, sometimes within a few weeks of regular use. Dependence isn't a moral failure or proof of misuse — it's how this drug class works. If your dose has stopped working or you feel unwell between doses, that's worth a conversation with a physician, not a reason for shame.

Most major plans may cover it. Under federal parity law and California's SB 855, health plans that cover medical care must cover medically necessary addiction treatment on comparable terms. What your plan pays depends on its type, deductible, and network rules — verifying your benefits is free, confidential, and usually takes about an hour.

Sources: NIDA — Prescription CNS Depressants, NIDA — CNS Depressants DrugFacts.

Benzodiazepine treatment is provided at our Westside center — visit our Westwood location and the areas we serve, including rehab near Santa Monica.

Paying for Treatment

We Work With Most Major PPO Plans

Coverage varies by plan. Our admissions team verifies your exact benefits for free and explains your options honestly, without pressure.