The distinction between "dependency" and "addiction"

http://panicdisorder.about.com/od/tr...s/a/AddDep.htm

There are real and albeit, subtle differences behind "dependency" and "addiction". In a nutshell, many drugs cause dependency (think you can just stop taking your SSRI without getting the classic SSRI "withdrawal syndrome")? Would one say that they are "addicted" to their SSRI because every time they miss a dose they feel nauseated, feel dizzy, and/or have the dreaded "brain zaps"? I feel most would answer "no".

Benzodiazepines do cause dependency when taken for longer than 4 weeks. Signs of dependency include an adverse physical reaction when missing a dose or tapering down too quickly. Anyone who has experienced benzo withdrawal symptoms knows exactly what I am talking about. It's a horrible experience.

Addiction on the other hand is a psychological process which involves abuse and the continued abuse despite negative consequences. "Doctor shopping" to get more prescriptions and possibly buying the drug on the street. Life becomes centered around how much drug do I have left and how can I get more?

Benzos can be addictive particularly in those who abuse alcohol and/or other drugs. However, long term benzo use has been found to be safe and effective in those people who do not have a history of drug and/or alcohol abuse.

It is the physician's responsibility to inform his or her patient of the probability of "dependency" in long term benzo use and what this really means. ("If you stop taking your benzo cold turkey you will really feel like *****" - don't ever do that without consulting me). Hopefully, this discussion takes place before handing over the prescription so that the patient can really think it over. I never had this conversation when I first started on benzos, but I hold no grudges because benzos got me out of 24/7 panic mode.

I have been on 1 tab of clonazepam since 2000. I have been through withdrawals 1 time in 10 years (forgot to take my meds at bedtime). I still remember how awful that night was. When the times comes, it will be a really slow taper.

Laurie