- Contributors
- 1 Addiction: Definition, Epidemiology, and Neurobiology
- 2 Overview of the Addiction Recovery Industry
- 3 Food Addiction
- 4 Integrative Approach to Alcohol Use Disorder
- 5 Integrative Approach to Sedative-Hypnotic Use Disorder
- 6 Integrative Approach to Cannabis-Use Disorder
- 7 Integrative Approach to Stimulant-Use Disorder
- 8 Integrative Approach to Opiates, Opioids, and Opiate Use Disorder
- 9 Integrative Approach to Nicotine Use Disorder
- 10 Integrative Approach to Behavioral Addictions: Internet Gaming Disorder (IGD) and Compulsive Buying Disorder (CBD)
- 11 Hallucinogens: Spiritual and Therapeutic Use, Overuse, and Complications
- 12 Psychiatric Assessment and Co-Occurring Disorders
- 13 Psychosocial Treatment Approaches for Substance Use
- 14 Homeopathic Approach to Addiction
- 15 Ayurvedic Approach to Addiction
- 16 Traditional Chinese Medicine (TCM) and Acupuncture Approach to Addiction
- 17 Nutritional Support and Addiction
- 18 Functional Medicine Approach to Addiction
- 19 Exercise for Addiction and Recovery
- 20 Nutraceutical Treatments for Addiction Recovery
- 21 Interaction of Spirituality and Religion with Health, Mental Health, and Substance Abuse
- 22 Three Dynamic Healing Modalities for the Treatment of Substance Use and Co-Occurring Disorders: Aromatherapy, Equine Therapy, and Creative Arts Therapies
- 22.1 Creative Arts Therapies: An Integrative Modality for Addiction and Trauma Treatment
- 22.2 The Role of Aromatherapy in the Treatment of Substance Use and Co-Occurring Disorders
- 22.3 Equine-Assisted Psychotherapy for Substance Use and Co-Occurring Disorders
- 23 Shamanism: Addiction and Soul Sickness
- 24 Ibogaine: History, Pharmacology, Spirituality, & Clinical Data
- 25 Group Therapy and Support in Addiction Treatment
- 26 Integrative Approaches to Healing
- 27 Integrative Approaches to the Management of Chronic Pain and Substance Abuse
- 28 Integrative Approaches to Post-acute Withdrawal and Relapse Prevention
- 29 The Future of Addiction and Recovery Healing Arts
- Index
(p. 81) Integrative Approach to Sedative-Hypnotic Use Disorder
- Chapter:
- (p. 81) Integrative Approach to Sedative-Hypnotic Use Disorder
- Author(s):
Gayla Rees
, Benjamin Shapiro
, and Matthew Torrington
- DOI:
- 10.1093/med/9780190275334.003.0005
Sedatives, hypnotics, and anxiolytics are CNS depressants with GABAergic activity that are potentially habit-forming due to their activity in brain reward pathways. They are central in the drug overdose epidemic with benzodiazepines (BZD) being involved in approximately 31% of all fatal overdoses. There are 4 withdrawal syndromes: High dose minor and major withdrawal, low dose withdrawal, and protracted withdrawal. Benzodiazepines are chemically related positive allosteric modulators of the GABA at the GABA-A receptor. In differential expression 5 different receptor subunits play a role in acute and prolonged withdrawal syndromes. Benzodiazepines have supplanted barbiturates for treatment of anxiety and insomnia due to their wider therapeutic index. Barbiturates can be helpful managing opiate and benazodiazapeine withdrawal. Traditional Chinese Medicine can improve hypnotics-dependent insomnia. Mindfulness-based relapse prevention and yoga may offer benefits but are poorly studied.
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- Contributors
- 1 Addiction: Definition, Epidemiology, and Neurobiology
- 2 Overview of the Addiction Recovery Industry
- 3 Food Addiction
- 4 Integrative Approach to Alcohol Use Disorder
- 5 Integrative Approach to Sedative-Hypnotic Use Disorder
- 6 Integrative Approach to Cannabis-Use Disorder
- 7 Integrative Approach to Stimulant-Use Disorder
- 8 Integrative Approach to Opiates, Opioids, and Opiate Use Disorder
- 9 Integrative Approach to Nicotine Use Disorder
- 10 Integrative Approach to Behavioral Addictions: Internet Gaming Disorder (IGD) and Compulsive Buying Disorder (CBD)
- 11 Hallucinogens: Spiritual and Therapeutic Use, Overuse, and Complications
- 12 Psychiatric Assessment and Co-Occurring Disorders
- 13 Psychosocial Treatment Approaches for Substance Use
- 14 Homeopathic Approach to Addiction
- 15 Ayurvedic Approach to Addiction
- 16 Traditional Chinese Medicine (TCM) and Acupuncture Approach to Addiction
- 17 Nutritional Support and Addiction
- 18 Functional Medicine Approach to Addiction
- 19 Exercise for Addiction and Recovery
- 20 Nutraceutical Treatments for Addiction Recovery
- 21 Interaction of Spirituality and Religion with Health, Mental Health, and Substance Abuse
- 22 Three Dynamic Healing Modalities for the Treatment of Substance Use and Co-Occurring Disorders: Aromatherapy, Equine Therapy, and Creative Arts Therapies
- 22.1 Creative Arts Therapies: An Integrative Modality for Addiction and Trauma Treatment
- 22.2 The Role of Aromatherapy in the Treatment of Substance Use and Co-Occurring Disorders
- 22.3 Equine-Assisted Psychotherapy for Substance Use and Co-Occurring Disorders
- 23 Shamanism: Addiction and Soul Sickness
- 24 Ibogaine: History, Pharmacology, Spirituality, & Clinical Data
- 25 Group Therapy and Support in Addiction Treatment
- 26 Integrative Approaches to Healing
- 27 Integrative Approaches to the Management of Chronic Pain and Substance Abuse
- 28 Integrative Approaches to Post-acute Withdrawal and Relapse Prevention
- 29 The Future of Addiction and Recovery Healing Arts
- Index