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.

Serving NH & MA (telehealth + in-person)

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.

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.

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

Long-term benzodiazepine use can be associated with a wide range of symptoms that often feel unexplained or out of proportion. Common patterns include:

  • Gastrointestinal problems that don’t show up on routine testing

  • Sleep disruption: trouble falling asleep or staying asleep, waking very early, waking up wide-awake or panicked, vivid dreams/nightmares, insomnia

  • Autonomic symptoms: night sweats, chills, tremors/shaking

  • Sensory sensitivity: light or sound feels painful or overwhelming

  • Mood and anxiety changes: irritability, tension, anxiety, nervousness, jitteriness, flat mood or mood swings

  • Depression that doesn’t respond well to meds (“medication-resistant” depression)

  • Muscle pain: aches, stiffness, or spasms—especially in the neck and shoulders

  • Headaches and dizziness

  • Cognitive symptoms: poor concentration, “brain fog,” and memory issues

  • Fatigue and poor sleep quality

  • Heart palpitations

If you’re experiencing a cluster of these symptoms—especially alongside long-term benzodiazepine use—it may be a sign to explore a careful, individualized taper plan with professional support.

What We Offer

EMPOWERED TAPERS

We Eliminate Medications Through Patient Ownership of End Results

You Drive Dose Reductions Based on Self-Reported Symptom Severity

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

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The History of Benzodiazepines

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.”