The Prescription That Changed Everything: A Conversation About Benzodiazepines, Dependency, and Hope

The Prescription That Changed Everything: A Conversation About Benzodiazepines, Dependency, and HopeThere are some conversations that hit different when you’ve lived through similar experiences. My recent interview with D E Foster on Lens of Hopefulness with John Passadino was one of those conversations where two people who’ve traveled similar difficult roads can speak the same language without having to explain everything.D (as everyone calls him) is a medical researcher and the author of “Benzo Free: The World of Anti-Anxiety Drugs and the Reality of Withdrawal.” But those credentials don’t tell you what you really need to know. What you need to know is this: D was prescribed clonazepam (Klonopin) by his doctor in 2002 and took it for 12 years without any warning about the risks. When he discovered he was dependent on it and tried to withdraw, it became “the hardest and most challenging experience” of his life—one he’s still dealing with today.I know something about this journey because I’m on it myself.When Anxiety Becomes InvisibleOne of the first things D said that resonated with me was this: “One of the key problems with mental illness is its innate invisibility.”And isn’t that the truth? You can’t see anxiety. You can’t take a blood test for panic disorder. There’s no X-ray that shows your fear. And because it’s invisible, people—including doctors—don’t always take it seriously enough. Or conversely, they may rush to prescribe medication without fully explaining what that medication does or the risks involved.As D explained, anxiety becomes a real problem “when it becomes consistent, when it becomes chronic, and when it becomes something that affects our lives significantly.”I felt that deeply. Because I’ve lived there—in that place where anxiety isn’t just occasional worry but a constant companion that makes it hard to function.My Story Meets D’s StoryI admitted to D during our conversation that I’m a lifelong anxiety sufferer. I have what I jokingly call my collection of acronyms: GAD (General Anxiety Disorder), PD (Panic Disorder), HD (Hypochondriacal Disorder). I put the phobias as a cherry on top.“They’re special,” D said, and we both had to laugh. Because sometimes you have to laugh at the absurdity of it all, even though it’s incredibly intense.I told D about my own medication journey—how I resisted taking anything for the longest time. I kept telling my psychiatrist, “No, no, no. I don’t want to take anything. I don’t want to get addicted.” Then a neurologist finally said to me, “You need to be on medication.”That was decades ago. And here’s what I want to be clear about: I actually needed something at the time. The panic attacks were overwhelming. I would get them at work, at family gatherings—anywhere really. You feel like you’re dying. It’s incredibly intense.But here’s the thing that D’s story highlights so powerfully: I can’t say I was fully aware about what I was being prescribed.The Prescription Without WarningD’s experience is even more striking. He wasn’t even given Klonopin for anxiety initially—it was prescribed for stomach distress.“I was never diagnosed with an anxiety condition,” he told me. “I finally went to a GP around 2002 who decided to try me on clonazepam, which is generic for Klonopin.”He started at one milligram, eventually worked his way up to two, and took it for 12 years “not even thinking there was any problem with it.”“It’s just a drug my doctor told me to take, so I kept taking it,” he said. “I think it helped me a little bit, but it wasn’t dramatic.”Then tolerance set in. And when he discovered what had happened and tried to withdraw, his “whole world basically crashed down.”In summary, per D: His doctor prescribed him a benzodiazepine for 12 years without warning him about dependency, tolerance, or the potential complications of withdrawal.What We’re Not Being ToldThis is where the conversation gets really important for anyone who has been prescribed a benzodiazepine or knows someone who has.Benzodiazepines work on GABA receptors in the brain—they’re part of what D calls the “brakes” in our system that calm us down when glutamate (the “exciter”) gets us hyped up. They can be helpful in the short term. But long-term use changes your brain chemistry in ways that can create dependency.And here’s the critical part: Many doctors may not be warning patients about these risks today, and that is why it is important to question, research, and assess alternatives.D has spent over a decade researching benzodiazepines, withdrawal, and anxiety. He read and catalogued over one thousand articles, books, and videos on these subjects. He co-authored multiple research papers, including the 2023 study that introduced the term BIND—benzodiazepine-induced neurological dysfunction.BIND describes the protracted state of neurological changes...