Insomnia: Treatment for Insomnia

Many insomniacs rely on sleeping tablets and other sedatives to get rest. All sedative drugs have the potential of causing psychological dependence where the individual cannot psychologically accept that they can sleep without drugs. Certain classes of sedatives such as benzodiazepines and newer nonbenzodiazepine drugs can also cause physical dependence which manifests in withdrawal symptoms if the drug is not carefully titrated down.

Alprazolam: Physical dependence and withdrawal

There is a consensus among psychiatrists today that alprazolam and other benzodiazepines cause withdrawal symptoms after long-term treatment and discontinuation should be done gradually over a period of months (or even up to a year) to avoid serious withdrawal symptoms such as agitation, panic attacks, rebound anxiety, muscle cramps and seizures.[citation needed] Some patients on alprazolam (Xanax) may benefit from a substitution with diazepam (Valium) or chlordiazepoxide (Librium) as these drugs remain in the bloodstream longer and therefore have less potential for abuse and dependence.

Alcohol dependence

Alcohol dependence, as described in the DSM-IV, is a psychiatric diagnosis describing a physical dependence on alcohol. For a person to meet criteria for Alcohol Dependence (303.90) within the criteria listed in the DSM-IV, they must meet 3 of a total 7 possible criteria within a 12 month period.