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Distress Tolerance - Benzodiazepine Discontinuation

Development stage
Unknown
Lead developer
Boston Medical Center
Modality
Small Molecules
01

Overview

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.

Other names
benzodiazepine-Boston Medical CenterBZD discontinuation protocolDistress Tolerance and Benzodiazepine Discontinuation in Opioid Agonist Therapy
02

Targets

GABAA (Gamma-aminobutyric acid receptor)

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