A self-help handout for benzodiazepine discontinuation using cognitive behavioral therapy

Although prescription rates may be declining, benzodiazepines (BZs) are still very commonly prescribed for the treatment of anxiety disorders. Because many anxiety patients require assistance in successfully discontinuing BZs, cognitive behavioral therapy (CBT) approaches have been specifically developed to target this issue, and an evidence base now exists to support their use in this manner. In this paper, we first provide the rationale for why BZ discontinuation is desirable. We then present a self-help handout that we have used productively in our cognitive-behavioral practice to assist patients in deciding whether they are ready to attempt discontinuation of their BZs, and to prepare them with strategies for successful discontinuation. The clinical use of this handout is discussed and suggestions offered for integrating it effectively into CBT for anxiety.