Ian, like always makes very knowledge insights and really good points. Great Post Ian!
Been down this road now, with my children who are in 20's and 30's, elderly parents in their late 80's...
IMHO - from experience and dealing with doctors, you might want to talk to your doctor about the option to move you to Valium or Klonopin - since doctors less reluctant to prescribe these longer-lasting benzopines
Keep in mind most AD's and SSRI's will likely produce sexual side effects - most doctor's seem very reluctant to tell you before prescribing these medications - like Lexapro... Just something you may want to consider...
On a side note: The doctors keep trying to reduce the dosage for mother's Lorazepam to reduce the likelihood of Doctor's getting sued by lawyers. There are now new reports of increasing auto accidents involving people taking benzopines which are making doctors very reluctant to prescribe these medications.
For what's it worth - Just an opinion....I posted this earlier today:
Klonopin and Valium are two gold standards for providing "Full day shield" with a single dose, in many cases.
Xanax and Lorazepam have always been good - especially for Panic Attacks and server Anxiety attacks, but you need to take it several times per day for it versus just a a single dose of klonopin or valium (the two longest lasting benzos).
If you are like me, I am very paranoid about taking any medications, unless I have to, and then I will spend days researching information before I will take any medication or even health supplement... I just want to have access to best and latest research findings myself, and not have unfounded misinformation crammed down my throat by uninformed Doctors and companies who are trying to make money from the suffering of others.
Also, new compelling current research is showing again and again - that for Anxiety and Panic Attacks - Benzodiazepines have a better profile of efficacy and less initial side effects, and safer for long time usage than the newer AD and SSRI.
People who use these medications responsibly do not to fear dependence or so called 'addiction' - that gets thrown around by doctors and anti-medication people. These are wonderful medications that help you tremendously.
Even back in 1990 ...there were some reputable studies done - that have reinforced the safety of Benzodiazepines.
The report of the American Psychiatric Association's Task Force on Benzodiazepine Dependence, Toxicity and Abuse ... This document tries to dispel some popular misconceptions about benzodiazepines. ... "There is no evidence to suggest that the therapeutic use of benzodiazepines leads to abuse except in those persons who also abuse other substances." (29)
1990 Dr. Robert DuPont, a former director of the [United States] National Institute of Alcoholism and Drug Abuse, suggests, "the concept of using the lowest possible dose of a benzodiazepine for the shortest period of time is inconsistent with sound clinical practice. This concept needs to include the important qualification that our goal is to maximize the patient's ability to function well and to enjoy life. Benzodiazepines are among the safest and most effective treatments in all of medicine, including their role in the treatment of panic disorder." (29)
(29) William D. Kernodle, MD, "Panic Disorder; The Medical Point of View,"
I agree with you.
In fact, recent studies have shown that for many people SSRI's and SNRI's are not much more effective than a placebo. A placebo is fine, if it works, but for so many, like a sugar pill, they do not work, whereas bensos have been proven to have a quick (and for many) lasting effect on their anxiety, until they can understand anxiety through Cognitive Restructuring or they make the life change they have to or they simply calm down.
Benzo hysteria started in the UK, has spread to the US, and shows no sign of abating. In fact, this anti-medication hysteria is also spreading to anti-depressants, which, as I mentioned, do help some people, whether or not we know why.