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Distress Tolerance - Benzodiazepine Discontinuation (DT-BD) is a multi-modal therapeutic intervention developed by Boston Medical Center specifically for patients receiving opioid agonist therapy (OAT) who are seeking to discontinue benzodiazepine use. The intervention combines a psychosocial behavioral program with a structured pharmacological taper. The behavioral component integrates elements of Acceptance and Commitment Therapy (ACT), Relapse Prevention (RP), and interoceptive exposure techniques to enhance a patient's ability to tolerate the physical and emotional distress associated with withdrawal. The pharmacological component involves a medically supervised 9-week gradual reduction of the patient's benzodiazepine dosage, with specific anchor points for dose reduction to ensure a systematic discontinuation process.
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