Managing Xanax Overuse and Alcohol Addiction: A Guide for Young Professionals

Excessive Xanax dosage and alcohol abuse issues?

Hello, doctor.
Recently, I have been under a lot of stress at my new job, and my supervisor's management style is very demanding.
I am also a highly motivated graduate.
I work over 11 hours a day.
In the past, I experienced mild depression and obsessive symptoms.
About two years ago, I took Stilnox before bed, and I used Xanax for anxiety.
I often have insomnia during the week and take Xanax, and on Friday and Saturday nights, I drink alcohol until dawn, sleeping until the afternoon.
On Sundays, I feel extremely empty and experience symptoms such as talking to myself, reminiscing about past failures, and making involuntary movements like making strange noises and clapping my hands.
I feel lost and have no appetite.
My lifestyle has changed; I have lost all my interests, leaving only work and drinking.
Due to my new job after graduation, I resumed taking the medication I had stored away for two years, taking Xanax.
One night, to ensure I could go to work the next day, I took four Xanax before I felt any effect and was able to sleep.
The side effects worsened: I experienced involuntary muscle twitching.
Today, I took 1.5 pills, but the result was persistent wakefulness; my mind was racing with work-related thoughts, and although I was tired, something kept me awake.
I cannot sleep.
I realize that I cannot continue taking Xanax haphazardly, and I cannot drink so much alcohol anymore.
When feelings of emptiness and aimlessness arise (usually on Sundays, during the transition from partying to work), I feel that dying would be without fear.
My insomnia is also a significant issue now.
I am afraid that taking more Xanax will lead to more side effects or further uncontrollable thoughts.
What should I do?

Sean Lin, 20~29 year old female. Ask Date: 2009/10/14

Dr. Su Zongwei reply Psychiatry

If you are experiencing anxiety and insomnia, relying solely on medications like Stilnox (zolpidem) or Xanax (alprazolam) may not be sufficient.
It may be necessary to add an SSRI (selective serotonin reuptake inhibitor) to maintain therapeutic efficacy.
While alcohol may provide temporary relief, it can exacerbate anxiety and insomnia in the long run, so it is advisable to avoid it.
Regarding medication adjustments, please consult a physician for proper monitoring in order to tailor the medication to your specific situation.

Reply Date: 2009/10/14

More Info

Managing stress, anxiety, and substance use, particularly in the context of a demanding job, is a complex issue that requires a multifaceted approach. It’s commendable that you recognize the need to address your reliance on Xanax and alcohol, as well as the impact of your work environment on your mental health. Here’s a comprehensive guide to help you navigate these challenges.

Understanding Your Situation
1. Recognizing the Problem: You’ve identified that your work stress is contributing to anxiety and a reliance on substances like Xanax and alcohol. This is a crucial first step. The cycle of using substances to cope with stress can lead to increased anxiety and dependence, creating a vicious cycle.

2. The Role of Xanax: Xanax (alprazolam) is a benzodiazepine that is effective for short-term relief of anxiety symptoms. However, it can lead to tolerance, dependence, and withdrawal symptoms if used long-term or in high doses. Your experience of needing to take multiple pills to achieve the desired effect is a warning sign of potential overuse.

3. Alcohol Use: While alcohol may provide temporary relief from stress or anxiety, it often exacerbates these issues in the long run. The depressive effects of alcohol can worsen feelings of emptiness and anxiety, particularly after binge drinking on weekends.

Steps to Manage Anxiety and Substance Use
1. Seek Professional Help: It’s essential to consult with a healthcare provider, preferably a psychiatrist or a psychologist, who can help you develop a tailored treatment plan. This may include therapy (such as cognitive-behavioral therapy) and possibly medication adjustments.
2. Medication Management: If you are currently taking Xanax, discuss with your doctor the possibility of transitioning to a long-term solution, such as an SSRI (selective serotonin reuptake inhibitor), which can help manage anxiety without the risk of dependence associated with benzodiazepines. Your doctor can also guide you on tapering off Xanax safely to minimize withdrawal symptoms.

3. Addressing Alcohol Use: Reducing alcohol consumption is crucial. Consider setting limits on how much you drink, or seek support groups like Alcoholics Anonymous (AA) if you find it difficult to cut back on your own.
4. Develop Healthy Coping Mechanisms: Engage in activities that promote relaxation and well-being. This could include:
- Physical Activity: Regular exercise can significantly reduce anxiety and improve mood. Start with moderate activities like walking or yoga.

- Mindfulness and Meditation: Practices such as mindfulness meditation can help you manage stress and anxiety more effectively.

- Sleep Hygiene: Establish a regular sleep schedule and create a restful environment to improve your sleep quality. Avoid using Xanax as a sleep aid without medical supervision.

5. Building a Support System: Reach out to friends, family, or support groups. Sharing your experiences can alleviate feelings of isolation and provide emotional support.

6. Work-Life Balance: Given your demanding work schedule, it’s vital to establish boundaries. Ensure you allocate time for relaxation and activities that you enjoy outside of work. This can help mitigate feelings of emptiness and disconnection.

Conclusion
Managing anxiety and substance use is a journey that requires patience and commitment. By seeking professional help, making lifestyle changes, and developing healthier coping strategies, you can regain control over your mental health and well-being. Remember, it’s okay to ask for help, and taking the first step towards change is a significant achievement. You are not alone in this, and with the right support and strategies, you can navigate through these challenges effectively.

Similar Q&A

Managing Anxiety and Medication: Understanding the Risks of Xanax Use

I visited a cardiologist due to discomfort in my heart and was diagnosed with mitral valve prolapse and autonomic nervous system dysfunction. I often experience rapid heart rates, and the doctor mentioned that my stress levels are too high. Subsequently, the doctor prescribed Ent...

Dr. Wu Enliang reply Psychiatry
Hello, netizen: Indeed, Xanax is a short-term solution and not a cure, and it is not advisable to take it daily for an extended period. Academic pressure can be quite distressing, but it is something we must face. I wonder if the counseling teacher has taught any relaxation techn...

Is Xanax Addictive? Understanding Anxiety Medication Risks

Hello Doctor, I am currently taking the anti-anxiety medication Xanax, which was prescribed by my doctor. My main concerns are that my hands tremble involuntarily, and I experience unexplained fear and anxiety. The doctor mentioned that this medication is for treating anxiety. I ...

Dr. Zheng Jingming reply Psychiatry
Hello, the anti-anxiety medication Xanax is indeed effective in treating symptoms such as tension and anxiety. However, long-term use can lead to dependence and may cause drowsiness. Psychiatrists will assess the patient's symptoms to determine the appropriate diagnosis and ...

Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments

Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking include: one Sulmatyl tab 50m...

Dr. Wu Enliang reply Psychiatry
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....

Struggling with Anxiety: Four Years on Xanax and Deanxit

Director Chen: When I was young, I lived in a household with domestic violence, constantly worrying about when the violence would occur again. During middle school, I would get so nervous in open male restrooms that I couldn't urinate, and I had to sneak into locked restroom...

Dr. Chen Wenke reply Psychiatry
Hello Dandelion: From your description, it is clear that you frequently experience symptoms of anxiety. I believe this type of condition is indeed classified as a chronic illness, meaning that the likelihood of recurrence is quite high. Therefore, when you face significant stress...