Anxiety and benzos
I had one of the worst years of my life, dealing with trauma and chronic migraines that were eventually diagnosed as vestibular migraines. I’ve been on antidepressants since I was 14, and I just turned 25. I’ve been through the whole process of trying different medications, and I’m currently on Viibryd. More recently, I’ve been taking Ativan, which I actually had a really hard time getting off of years ago. Back then, I ended up relying heavily on hydroxyzine just to get by.
Thankfully, my physical/medical issues are more under control now, and I’m finally starting to feel some sense of normalcy again. Being out of work because of my health created this horrible feedback loop of pain, anxiety, and isolation. Now that the medical side is more manageable, I feel like I’m mostly left dealing with the anxiety and depression. The depression seems to be helped by my medication, but I really don’t like being back on Ativan, even though it’s helping me get out in public again without experiencing the severe, body-altering anxiety I’ve been dealing with.
I also get blinking tics and make a lot of facial grimaces, which I’m not really sure how to explain. But Ativan seems to help with those as well, and honestly, it’s helping me feel like myself in public again.
My psychiatrist has told me the plan is to use Ativan temporarily, mainly to help me become functional again. But I’ve seen people who end up taking benzos for years or even the rest of their lives, while I’ve also seen people successfully come off them but struggle immensely in the process. On top of that, there’s been a lot of anti-psychiatry/anti-benzo rhetoric online lately. I understand why people are concerned about these medications, but it also feels complicated to me. This medication can save lives and also cause serious problems.
Right now, I’m trying to use Ativan as a bridge while continuing to expose myself to things that make me anxious. My therapist feels like jumping straight into the level of exposure therapy I was doing before is too big of a leap right now, so we’re taking smaller steps.
I guess what I’m wondering is: is it possible to come back stronger from this after eventually tapering off a benzo? Or am I setting myself up for a cycle of tolerance, increasing doses, and eventually feeling like I can’t function without it?
I’ve come out of these funks before, but I’ve never truly recovered from the anxiety without eventually relying on something like hydroxyzine or propranolol. My last major episode also left me pretty much housebound, and I think the vestibular migraines played a big role in that.
I’m still hopeful, but I’m also skeptical. Learning that vestibular migraines can contribute to anxiety and some of the experiences I’ve been having has helped me understand myself a little better. At the same time, I feel guilty almost every time I take Ativan, even though my friends and family can clearly see me starting to come back to life when I take it.
I’m not looking for medical advice as much as I’m looking to hear from people who have been in a similar situation. Have any of you used a benzo temporarily to get functional again and then successfully tapered off while continuing therapy/exposure? Did you feel like you were able to come back stronger afterward? I’d really appreciate hearing about your experiences.