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Psychiatry29 papers

Episode of harmful use of anxiolytic

Last edited: 4/15/2026

Overview

Harmful use of anxiolytic medications refers to the excessive or problematic consumption leading to adverse health outcomes, often seen in contexts where stress and mental health issues are prevalent, such as correctional facilities 1.

Diagnosis

  • Clinical assessment identifying patterns of misuse or dependence 1.
  • No specific laboratory tests; diagnosis primarily based on history and behavioral observations 1.
  • Grading typically involves assessing the severity of symptoms and functional impairment 1.

    • Management

  • First-line treatments: Cognitive-behavioral therapy (CBT) and motivational interviewing to address underlying psychological issues 1.
  • Adjunctive treatments: Consideration of non-pharmacological interventions such as mindfulness and stress management techniques 1.
  • Pharmacological interventions: Limited evidence in abstracts; cautious use of alternative medications if necessary, avoiding further anxiolytic dependence 1.

    • Special Populations

  • Prison populations: Tailored mental health interventions crucial due to unique stressors and limited resources 1.
  • Comorbidities: Integrated care addressing both substance misuse and other psychiatric conditions is essential 1.

    • Key Recommendations

  • Implement structured psychological interventions like CBT for individuals with harmful anxiolytic use patterns (Evidence: Expert opinion 1).
  • Prioritize non-pharmacological approaches in managing withdrawal and relapse prevention in correctional settings (Evidence: Expert opinion 1).
  • Provide integrated mental health services addressing both substance misuse and comorbid psychiatric conditions (Evidence: Expert opinion 1).

    • References

    1 Trent. Prison became second home for psychiatrist (George Scott). CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1996. link

    Original source

    1. [1]
      Prison became second home for psychiatrist (George Scott). — Trent CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne (1996)
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