ASAM Pocket Guidelines and Patient Guide

Benzodiazepine Tapering

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22 Table 9. Adjunctive Psychosocial Interventions Brief description Papers/resources Behavioral interventions CBT Cognitive behavioral therapy is a structured psychological treatment that helps to change thoughts, feelings, and behaviors, to treat a variety of problems. CBT for panic (Otto et al [2010]; Otto et al [1993]; Spiegel et al [1994]) CBT for BZD withdrawal (O'Connor et al [2008]; Oude Voshaar et al [2003]) CBT for GAD (Gosselin et al [2006]) Digital CBT (Klein et al [2023]) CBT-I Cognitive behavioral therapy for insomnia is a structured psychological treatment that helps to change thoughts, feelings, and behaviors that are contributing to insomnia. Coteur et al (2022); Morin et al (2004); Baillargeon et al (2003) Behavior modification Behavior modification is a psychotherapeutic intervention used to eliminate or reduce unwanted behavior. Pottie et al (2018 ) Mental health counseling A variety of psychotherapy approaches are used in practice. Although CBT and behavior modification have the most evidence as adjunctive interventions for BZD withdrawal, other methods may be as or even more effective for specific patients. In general, any mental health provider who is comfortable addressing the reason for a patient's initial BZD prescription and managing symptoms that may develop during the withdrawal process (e.g., anxiety, insomnia) will likely be helpful for patients. American Counseling Association National Association of Social Workers National Alliance on Mental Illness

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