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Benzodiazepine dependence: Avoidance and withdrawal.

Benzodiazepine dependence remains a shadowy concept. Dependence undoubtedly exists but also acts as an umbrella concept for the underlying chronic morbidity associated with neurosis. Treatment should be directed at early detection and vigorous treatment of anxiety disorders; and an acceptance that long-term treatment may be necessary. Once benzodiazepine dependence is established, each patient requires careful evaluation to establish their unique problem and to institute individual treatment plans. Strategies for benzodiazepine withdrawal are documented but each has its own problems and success can only be achieved if underlying problems are dealt with as well as simply providing tranquilliser withdrawal.