How Much Benzodiazepine Prescribing is the Right Amount of Prescribing?
Resource Availability
This course material was originally created by SMI Adviser, now rebranded as SMI CalAdviser. The content in this course material is still current and relevant, yet, please be aware that some external resources and links may no longer be active or available. 
Overview

While the introduction of benzodiazepines was rightly welcomed given their enhanced safety profile relative to barbiturates, their use has come under increased scrutiny as evidence of potential risks has accumulated. In this activity, we will first review the epidemiology of benzodiazepine prescribing—to whom are they prescribed and why? Next, we will review the available evidence about both the risks associated with and evidence base supporting their use, including available evidence focused specifically on those with serious mental illness. Finally, we will consider the approach to deprescribing a benzodiazepine when clinicians and patients have decided this is the appropriate course.  

Format 

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.  

This presentation was recorded on March 5, 2021. 

Learning Objectives  

Describe basic epidemiology of benzodiazepine use.  

Identify most common indications for and risks of use, including evidence specifically related to those with serious mental illness.  

Outline an approach to tapering a benzodiazepine.  

Outline 

  • Introduction and Learning Objectives 
  • Epidemiology of Benzodiazepine Use 
  • Risks Associated with Benzodiazepines 
  • Evidence for Common Indications 
  • Benzodiazepines in Serious Mental Illness 
  • Tapering Benzodiazepines 
  • Tapering Protocols & Examples 
  • Clinical Pearls 
  • Closing & Q&A 

Target Audience 

Psychiatrist, Physician (Non-Psychiatric), Physician Assistant, Nurse, Nurse Practitioner, Pharmacist 

Instruction Level 

Intermediate 

Estimated Time to Complete  

Estimated Duration: 1.0 hour  
Program Start Date: July 30, 2025
Program End Date: July 30, 2028 

Ongoing Interdisciplinary Discussion Board  

After completing the course, engage with colleagues in the mental health field through the Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.  

How to Earn Credit 

After completing the evaluation, participants will have the opportunity to claim their hours of participation and download the appropriate certificate. Physicians may obtain an official CME certificate, other healthcare professionals may receive a CE certificate (as applicable), and all other attendees may generate a certificate of participation. Each certificate will reflect the event date and total hours earned. 

Continuing Education Credit 

In support of improving patient care, American Psychiatric Association (APA) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  

Physicians   

The APA designates this live event for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   

 

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME's Standards for Integrity and Independence in Accredited Medical Education. Any individuals in a position to control the content of a CME activity - including faculty, planners, reviewers, or others - are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.  

Faculty  

  • Donovan Maust, MD, is a geriatric psychiatrist at University of Michigan and VA Ann Arbor with two primary research interests. First, he is exploring the determinants and outcomes of potentially inappropriate psychotropic prescribing to older adults, with a particular focus on benzodiazepines. In addition, he is interested in the factors that drive overuse of medical services by older adults with dementia. Dr. Maust reports no financial relationships with commercial interests.  

Program Planners 

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.  
  • Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.  

Reviewers 

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. (Reviewed on 1/9/2024)  
  • John Torous, MD, MBI, Beth Israel Deaconess Medical Center. Reports no financial relationships with commercial interests. (Reviewed on 1/9/2024  

Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance. 

Technical Requirements 

This internet-based CME activity is best experienced using any of the following: 

The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari 

Internet Explorer 11+ 

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration: 

Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version) 

Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version) 

Internet Connection: 1 Mbps or higher 

Minimum Requirements: 

Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content 

Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content 

For assistance: Contact educme@psych.org for questions about this activity |  

Contact support@smicaladviser.org for technical assistance 

 

Summary
Availability:
On-Demand
Expires on Jul 30, 2028
Credit Offered:
1 CME Credit
1 COP Credit
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