Personalized Benzodiazepine

Tapering Plans and Support

We provide medically supervised patient-guided taper plans, one-on-one coaching, and educational resources to help you safely reduce or stop benzodiazepines.

Do you experience any of these symptoms even though you take your medication as prescribed?

Gastrointestinal Issues Doctors can’t explain Waking up very early, wide awake, or in a state of panic Sensory Sensitivity like Light or sound hurting you, Night sweats, Chills, Tremors, or, Shaking , Irritability, Tension, Anxiety Nervousness, and Jitteriness, Suffer from Medication-Resistant Depression Flat mood or mood swings Muscle Pain: Aches, stiffness, or spasms (especially neck and shoulders) Headaches and Dizziness, Have difficulties concentrating and have poor memory, Have trouble going to sleep, and staying asleep, Feel fatigued (tired), and have poor sleep quality, Heart Palpitations , Insomnia, or Vivid nightmares

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Gastrointestinal Issues Doctors can’t explain Waking up very early, wide awake, or in a state of panic Sensory Sensitivity like Light or sound hurting you, Night sweats, Chills, Tremors, or, Shaking , Irritability, Tension, Anxiety Nervousness, and Jitteriness, Suffer from Medication-Resistant Depression Flat mood or mood swings Muscle Pain: Aches, stiffness, or spasms (especially neck and shoulders) Headaches and Dizziness, Have difficulties concentrating and have poor memory, Have trouble going to sleep, and staying asleep, Feel fatigued (tired), and have poor sleep quality, Heart Palpitations , Insomnia, or Vivid nightmares 〰️

  • Gastrointestinal Issues Doctors can’t explain, Waking up very early, wide awake, or in a state of panic, Sensory Sensitivity like Light or sound hurting you, Night sweats, Chills, Tremors, or, Shaking, Irritability, Tension, Anxiety Nervousness, and Jitteriness, Suffering from Medication-Resistant Depression, Flat mood or mood swings Muscle Pain: Aches, stiffness, or spasms (especially neck and shoulders) Headaches and Dizziness, Have difficulties concentrating and have poor memory, Have trouble going to sleep, and staying asleep, Feel fatigued (tired), and have poor sleep quality, Heart Palpitations , Insomnia, or Vivid nightmares

  • If you've found yourself experiencing unusual symptoms while taking benzodiazepines—such as Xanax (alprazolam), Ativan (lorazepam), Valium (diazepam), Klonopin (clonazepam), or Restoril (temazepam)—you're not alone. Many people taking these medications long-term notice changes they can’t explain, from increasing anxiety to mysterious health complaints.

    Did you know benzodiazepines vary greatly in potency? For example, just 1 mg of Ativan (lorazepam) is equivalent in potency to 10 mg of Valium (diazepam). Similarly, 0.5 mg of Xanax (alprazolam) matches roughly 10 mg of Valium, making Xanax even more potent. This potency matters because even small dosage changes can significantly affect your body and brain.

    If you’ve started noticing symptoms like trouble falling asleep, frequent awakenings during the night, or suddenly waking wide awake hours before your alarm, you might be experiencing signs of benzodiazepine withdrawal—even if you're taking your doses exactly as prescribed. Many people report deep anxiety that feels physical, like an uncomfortable pressure in their gut or tightness in their chest. You may find yourself worrying constantly or feeling a sense of dread that's hard to shake.

    Missing doses or spacing them inconsistently—even by accident—can trigger what’s called interdose withdrawal, causing heightened anxiety and uncomfortable physical symptoms between scheduled doses. Even when taken exactly as directed, daily use of benzodiazepines can eventually lead to tolerance, where your usual dose stops working as effectively, leaving you feeling anxious, restless, or emotionally on edge.

    Have you also noticed mysterious digestive or gastrointestinal (GI) issues that doctors haven’t been able to pinpoint? Benzodiazepine withdrawal can cause puzzling GI complaints, from unexplained nausea, bloating, or stomach upset to appetite changes, which might have you visiting specialists without finding clear answers.

    If any of this sounds familiar, OffBenzos.com is here to help you understand these symptoms and create a safe, supportive tapering plan personalized just for you. You deserve clarity, support, and freedom from these challenging symptoms. Let's find the path forward together.

EMPOWERED TAPERS

(Eliminating Medications Through Patient Ownership of End Results)

You Drive Dose Reductions Based on Self-Reported Symptom Severity

If all of this is information overload. Don’t read it. We will set a plan and manage everything for you. If you like to know everything and take control, we can provide all the tools that can help you. 

A chart titled 'You Set the Pace' with three color-coded circles and descriptions of withdrawal symptoms: green circle for mild symptoms (1-20), yellow circle for moderate symptoms (21-40), and red circle for severe symptoms (41-60).
Text saying 'Taper Holiday No Problem' above an illustration of a small tropical island with a palm tree, and below that, text saying 'Want to pause your taper for a few months? You can.'

We Can Help

  • Welcome to OffBenzos.com, where we specialize in benzodiazepine tapering and support for anyone looking to reduce or stop benzodiazepines. Our friendly, clinically-informed team offers hope and guidance for a safe benzodiazepine withdrawal process. We know that coming off anxiety medications can be daunting, but you’re not alone. Benzodiazepines are typically only intended for short-term use (no more than 2–4 weeks), so many people benefit from expert tapering support when they’ve taken them long-term. OffBenzos.com provides personalized care to help you reduce anxiety meds safely, regain balance, and improve your quality of life.

    Clinical experts emphasize that benzodiazepines should never be stopped abruptly because withdrawal symptoms can be severe. Instead, we follow best-practice guidelines by developing a gradual, customized taper plan under medical supervision. Our approach combines evidence-based strategies with caring support: We work closely with you, adjust dosages slowly (often reducing by just 5–10% every few weeks or months), and monitor your progress. At OffBenzos.com, you’ll receive a taper schedule tailored to your needs, backed by clinical research, so you can feel confident about each step.

    • Personalized Taper Plans: Work one-on-one with clinicians to adjust your dosage gradually.

    • Prescribe Medications

      when warranted and for short durations to ease symptoms of dose reductions

    • Educational Resources: Access clear guides and videos on benzodiazepine withdrawal and anxiety management

    • One-on-One Coaching: Connect with our clinicians for encouragement and accountability.

    • Community Support: Join our online support group to share experiences and tips with others on the same journey

  • We will be taking insurance through a company called Headway starting in July-August of 2025, and will be working with these insurance companies:

    • Blue Cross Blue Shield of Massachusetts

    • Oxford (Optum)

    • Oscar (Optum)

    • United Healthcare (Optum)

    • Quest Behavioral Health

    • Carelon Behavioral Health

    • Cigna

    • Aetna

    • Anthem Blue Cross and Blue Shield New Hampshire

      Find out more by clicking here: Click Me

  • Good Faith Estimate of Costs for OffBenzos.com, operated by Six States Wellness PLLC, can be found at the link below.

    (Required under the federal No Surprises Act for self-pay / uninsured clients)

    Click Me

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Why Benzodiazepine Tapering Is Often Misunderstood

Unfortunately, many healthcare providers receive minimal training on how to safely taper benzodiazepines. This lack of training can unintentionally lead to patients experiencing unrecognized withdrawal symptoms for months, years, and even decades. We complement your existing healthcare providers, offering specialized knowledge to guide you through the tapering process safely and comfortably.

We collaborate directly with your prescriber or therapist, keeping everyone involved and informed about your care.

The History of Benzodiazepines

  • In the mid-20th century, doctors were desperate for safer alternatives to barbiturates, the harsh sedatives of the day. Barbiturates could knock out anxiety and insomnia, but they came with a high price: tolerance, dependence, and deadly overdose risk. The stage was set for a new kind of calmative – and that breakthrough came about almost by accident.

    It happened in a Hoffmann-La Roche laboratory in 1950s New Jersey. A chemist named Leo Sternbach had been tasked with finding novel tranquilizers. After months of disappointment, Sternbach’s boss pulled him off the project. But fate intervened: in 1957 an assistant cleaning up the lab found a forgotten flask of one last experimental compound. Rather than toss it out, Sternbach had it tested – and the results were stunning. The compound, chlordiazepoxide, produced a striking calm in test animals without the deep sedation of barbiturates. Roche knew it had something special.

    By 1960, Roche released this first benzodiazepine as Librium (named to evoke “equilibrium”). It was an instant hit in psychiatry. According to early ads, Librium promised anxiety relief “without the effects of tranquilizers and sedatives.” Doctors and patients saw it as a wonder drug – effective yet safer than previous central nervous system depressants. Encouraged by Librium’s success, Sternbach and Roche chemists continued to innovate. In 1963, they introduced diazepam, branded as Valium, which was even more potent. (The name “Valium” came from the Latin valere, meaning “to be strong“). Little did they know that Valium would soon become the emblem of an era.

  • Benzodiazepines quickly rose from medical marvel to cultural phenomenon. By the late 1960s, Valium was everywhere. Doctors loved its versatility – it treated anxiety, insomnia, muscle spasms, even seizures – and they prescribed it in droves. In 1968, Valium became the best-selling medication in America, a title it held through the 1970s. In fact, by 1977 benzodiazepines were the most widely prescribed drugs in the world. It’s hard to overstate their popularity; the little pills were a fixture in households across the socio-economic spectrum.

    Valium in particular entered the public lexicon as a symbol of stress relief. The Rolling Stones even immortalized it in their 1966 song “Mother’s Little Helper,” a tongue-in-cheek reference to the tranquilizer habit of a harried suburban housewife. The image of a “little yellow pill” helping people cope with daily life was everywhere – from TV shows (even family-friendly programs slyly referenced Valium use) to magazine covers. Roche’s marketing, led by the infamous ad man Arthur Sackler, aggressively pushed Valium as a safe, modern cure for anxiety. Doctors were told it wasn’t addictive in therapeutic doses, and many believed it. Throughout the 1960s and early 70s, prescriptions soared as patients embraced the promise of calm without worry.

    Behind the scenes, however, the seeds of trouble were quietly being sown. A familiar pattern was beginning to repeat: as had happened with barbiturates before, tolerance to benzodiazepines could develop and patients found themselves needing higher doses for the same effect. Some who tried to stop the medication experienced strange, frightening symptoms – surges of anxiety, insomnia, tremors, and worse. Such withdrawal symptoms were often dismissed or misdiagnosed in those early days. After all, Valium and its cousins were the “good guys,” the miracle cure. For a time, nearly everyone – the pharmaceutical industry, doctors, and the public – were willing to overlook any dark side in exchange for peace in a pill.

  • As millions of people happily took benzodiazepines through the 1970s, reports of problems began to surface. Tolerance and dependence – the very issues benzodiazepines were supposed to avoid – were rearing their heads. Patients on long-term Valium or Xanax prescriptions found that if they missed a dose, their anxiety roared back worse than before. Some developed panic attacks, severe insomnia, or strange sensations that seemed to have no cause. These were withdrawal symptoms, though few in the medical community recognized it yet. By the late ’70s, however, the cracks in the façade were hard to ignore: stories of Valium addiction and difficult withdrawal started making headlines. The public’s perception of benzos shifted from miracle pills to something more complicated.

    A turning point came with high-profile personal accounts of benzodiazepine dependence. In 1979, television journalist Barbara Gordon published I’m Dancing As Fast As I Can, a memoir detailing her harrowing Valium addiction and breakdown during withdrawal. Her story – which was made into a film a few years later – opened many eyes. It suddenly became clear that “mother’s little helper” could also become a crutch, even a curse, when used for too long.

    Regulators and politicians also took note. In 1979, U.S. Senator Ted Kennedy led hearings on the growing benzodiazepine problem. The hearings, however, struggled to enact change – the drug manufacturers positioned Valium as a scapegoat, claiming newer benzos like Xanax and Ativan were different and “safe.” While this industry spin stalled stronger regulations in the U.S., other countries forged ahead. In the 1980s, Britain and other nations issued firm guidance limiting benzodiazepine prescriptions to short-term use only. By 1988, the UK’s Committee on Safety of Medicines and the Royal College of Psychiatrists warned doctors to restrict benzodiazepines to no more than 2–4 weeks of use (except in rare cases),. It had become official: these drugs carried a real risk of drug dependence even at normal doses.

    Patients who had unwittingly been on benzos for years were now in a bind. Many doctors, suddenly wary, told long-term users to discontinue the pills – but stopping benzodiazepines abruptly can trigger severe withdrawal. Throughout the 1980s, countless individuals faced a nightmare: they wanted off the medication, but when they tried to taper down or quit, they experienced debilitating symptoms – from crushing anxiety and insomnia to palpitations, hallucinations or seizures. The medical establishment, caught off guard, had little advice on how to help these patients safely come off the drugs. The tide had turned on benzodiazepines’ image, and public sentiment in many places shifted to see long-term benzodiazepine use as a problem to be solved, not a cure-all.

  • By the early 1990s, it was clear that a benzodiazepine withdrawal crisis was unfolding for a subset of patients. Surveys in the UK estimated that over a million people were long-term benzo users by that time. Many had been dutifully taking their prescribed Xanax, Valium, Ativan, or other benzo for a decade or more – only to discover they could not easily stop without suffering dreadful symptoms. Doctors, for the most part, had never been trained to handle benzodiazepine dependence. In fact, some were reluctant to even acknowledge it, still clinging to outdated assurances that these drugs were benign. Patients often felt alone and afraid, unsure where to turn for help in escaping the dependence cycle.

    Fortunately, a few medical pioneers began shining a light on the way forward. One of them was a British psychopharmacologist, Dr. Heather Ashton, who would go on to fundamentally change the approach to benzo withdrawal. In 1982, Professor Ashton established a dedicated benzodiazepine withdrawal clinic at Newcastle University. Over the course of 12 years, she personally helped over 300 people taper off long-term benzodiazepine prescriptions. By listening to patients and closely monitoring their symptoms, Ashton developed a gentle, systematic tapering protocol that prioritized the patient’s comfort. She discovered that switching to a longer-acting benzodiazepine (usually Valium) and then reducing the dose very gradually over many months allowed even high-dose, long-term users to come off with minimal withdrawal effects. This approach was in stark contrast to the rapid, one-size-fits-all tapers that many had tried (and failed).

    As word spread of Ashton’s success, doctors and patients alike sought her guidance. She began publishing her findings in medical journals and distributing detailed taper schedules to colleagues. In 1990, the American Psychiatric Association finally acknowledged the issue, reporting that a stunning 80% of patients on benzodiazepines experience withdrawal symptoms upon stopping. Dr. Ashton, drawing on her clinic data, warned that about 1 in 6 long-term users could develop protracted withdrawal syndromes – symptoms that persist for many months or even years after cessation. Such voices of expertise were critical in shifting medical opinion. Still, comprehensive guidance for practitioners was lacking – so Ashton took it upon herself to write a manual.

  • In 1999, Heather Ashton published “Benzodiazepines: How They Work and How to Withdraw”, which soon became known simply as “The Ashton Manual.” Released online in 2002 for free access, the manual was a revelation. Here was a step-by-step tapering method based on science and extensive clinical experience. It laid out withdrawal symptom explanations, advised on coping techniques, and most importantly, provided taper schedules converting one’s current benzo dose to an equivalent dose of diazepam, then reducing that dose by tiny increments over time. The Ashton Method emphasized going as slow as needed – often months or even over a year – to allow the body and brain to readjust with minimal distress. Ashton famously noted that there is no rush: what matters is that the patient feels as comfortable as possible during the taper, with control over the pace.

    The Ashton Manual rapidly gained worldwide renown. Doctors who had never been taught how to handle benzodiazepine dependence suddenly had a roadmap. Patients, too, found solace in its pages – it validated their withdrawal experiences and gave them concrete hope that a strategic taper could set them free. To this day, the Ashton Manual remains a trusted resource for tapering protocols. Its influence also helped spur the creation of peer support groups and charities (like Britain’s “Battle Against Tranquillisers” and others) that provide benzo withdrawal counseling based on Ashton’s principles.

    Heather Ashton’s work demonstrated a key insight: with patience, compassion, and knowledge, benzodiazepine dependence can be overcome. People who had felt trapped on these drugs for years were able to taper off and reclaim their lives. Ashton’s legacy lives on not only in her writings but in a more informed medical community. Increasingly, prescribers became aware that long-term benzodiazepine use was to be avoided, and if a patient did develop dependence, a slow taper was the solution – not a harsh detox.

    It took time, but the medical field slowly caught up. By the 2010s, professional guidelines in some places echoed Ashton’s advice: use benzodiazepines only for short durations whenever possible, and always taper gradually if discontinuing. In 2016, the U.S. FDA added a black box warning about using benzodiazepines alongside opioids (due to deadly respiratory depression), and in 2020 the FDA finally updated benzodiazepine safety labels to explicitly warn of the risks of abuse, dependence, and withdrawal. These measures, albeit late, validate what patients like Barbara Gordon and experts like Ashton had been saying for decades.

  • Today, the story of benzodiazepines is one of hard-earned lessons. These drugs, once hailed as a panacea for anxiety, taught the world that even “safe” medicines can have a dark side if overused. Yet it’s also a story of resilience and hope. Millions of people have successfully navigated benzodiazepine dependence and come out the other side – especially with proper guidance. It’s estimated that roughly one in eight adults in the U.S. still takes a benzodiazepine each year, often unaware of the potential pitfalls. But now there is far greater awareness and a growing network of support for those who need help coming off these medications.

    Organizations like OffBenzos.com exist because of this very history. We recognize that benzodiazepine dependence is a medical issue, not a moral failing. The journey off benzos can be challenging, but it is a journey you don’t have to take alone. With a compassionate, patient-centered tapering plan, and one-on-one support, recovery is not only possible – it’s likely. Every individual’s story is unique, but many who have been through benzodiazepine withdrawal will tell you that on the other side lies a return of clarity, confidence, and genuine calm.

    If the invention of benzodiazepines was a story of scientific serendipity, the aftermath has been a story of human perseverance. We have learned to respect the power of these drugs and to treat them with care. The Ashton tapering method and similar science-backed approaches give us a blueprint to help people safely come off long-term benzodiazepines. Equally important, a whole community of survivors and professionals are there to encourage and guide – proving that healing is possible.

    As we move forward, the legacy of benzodiazepines serves as a caution and an inspiration. It reminds us that even a medication that brings relief can carry hidden risks. But it also shows how a determined community can come together to solve a problem and support those in need. Whether you’re someone tapering off benzos after years of use, or a loved one helping them, remember this: there is hope. With slow and steady steps, armed with knowledge and surrounded by support, you can reclaim your life from benzodiazepines – and we are here to walk that journey with you, one day at a time.

    You are not alone, and you are not powerless. The history of benzodiazepines has taught us much, but perhaps the most important lesson is the power of perseverance and the importance of support. From the accidental discovery in a Roche lab to the compassionate tapers of the Ashton method and beyond, the benzodiazepine story continues – and its next chapter is one of recovery. Together, we’ll ensure that those who seek freedom from these drugs can find it and write their own hopeful ending, on the right side of benzodiazepines' complicated history. 

What Our Patients Are Saying

Megan S., New Hampshire-

“After 10 years of struggling with Xanax, OffBenzos gave me the personalized support and careful plan I needed. For the first time in years, I feel hopeful and truly understood.”

David L., Massachusetts-

“I’d tried tapering on my own and felt hopeless each time. With OffBenzos, the difference was immediate. The support, compassion, and expertise made my journey not only possible but successful.”

Text image with the words 'Veteran Owned' and a red star within a partial circle.

OffBenzos was founded by Army veteran Casey Brachvogel, CRNA, PMHNP-BC, after he repeatedly saw his ketamine-clinic patients suffering from unrecognized benzodiazepine withdrawal, some for decades, even while taking their medication exactly as prescribed.

Determined to close this blind spot in psychiatric care, Casey pursued advanced training in psychopharmacology, earned an additional board certification, and built a service devoted solely to safe, compassionate, and evidence-based benzodiazepine de-prescription.