{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T20:31:23Z","timestamp":1784925083740,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Though clinical guidelines and policies discourage the chronic prescribing of benzodiazepines, rates of prescribing have continued to rise in the United States with an estimated 65.9 million office visits per year made for this purpose. Quietly, we have become a nation on benzodiazepines. There are numerous reasons for this discrepancy between official recommendations on the one hand, and actual clinical practice on the other. Drawing from the literature, we argue that while patients and providers both shoulder some of the responsibility, they cannot be solely blamed. Rather, policies and guidelines regarding benzodiazepine prescribing have become out of touch with the clinical reality that benzodiazepines are now deeply entrenched in modern medicine. We propose that guidelines regarding benzodiazepines need to reconsider how to apply concepts such as harm reduction and other lessons learned in the opioid epidemic in order to help physicians manage this increasingly pressing problem affecting millions of Americans.<\/jats:p>","DOI":"10.1177\/00912174231166252","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T19:29:20Z","timestamp":1679945360000},"page":"426-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Chronic use of benzodiazepines: The problem that persists"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7836-7222","authenticated-orcid":false,"given":"Dexter L","family":"Louie","sequence":"first","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6772-7149","authenticated-orcid":false,"given":"Oluwole O","family":"Jegede","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, CT, USA"},{"name":"APT Foundation, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen L","family":"Hermes","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, CT, USA"},{"name":"APT Foundation, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"bibr1-00912174231166252","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1715050"},{"key":"bibr2-00912174231166252","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38623.768588.47"},{"key":"bibr3-00912174231166252","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.01.013"},{"key":"bibr4-00912174231166252","unstructured":"National Institute on DrugBenzodiazepines Abuse., Bethesda Opioids.MD: National Institute on Drug Abuse; 2022 [cited 2022 Aug 23]. 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