Ativan Addiction Guide

   Dec. 7, 2014
   5 minute read
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Last Edited: October 6, 2025
Author
Patricia Howard, LMFT, CADC
Clinically Reviewed
Mark Frey, LPCC, LICDC, NCC
All of the information on this page has been reviewed and certified by an addiction professional.

Ativan (lorazepam) is a powerful prescription drug used to treat anxiety, insomnia, and panic disorders — but it also has a dark side. When misused or taken for too long, Ativan can cause dependency and addiction that’s incredibly difficult to overcome. Ativan addiction is one of the most common forms of benzodiazepine misuse in the United States, affecting people from all walks of life. According to the National Institute on Drug Abuse (NIDA), more than 12.5% of U.S. adults have used benzodiazepines like Ativan, and nearly 2% develop an addiction that can lead to withdrawal, overdose, or even death.

“Addiction is a disease that makes you too selfish to see the havoc you created or care about the people whose lives you shattered.” — Unknown

This guide explains what makes Ativan so addictive, how it changes the brain, what withdrawal looks like, and how evidence-based Ativan abuse treatment can help you or your loved one recover safely.

What Is Ativan and How Does It Work?

Ativan belongs to a class of drugs known as benzodiazepines, or “benzos.” It works by enhancing the neurotransmitter GABA (gamma-aminobutyric acid), which slows activity in the brain and central nervous system. This produces a calming effect that can relieve anxiety and help people sleep — but it also creates a powerful sense of relaxation that some misuse for euphoria or escape.

Ativan is prescribed for:

  • Generalized anxiety disorder (GAD)
  • Panic attacks
  • Seizure control
  • Short-term insomnia treatment
  • Pre-surgical sedation

Unfortunately, tolerance can build quickly. Within weeks, people often find they need higher doses to achieve the same effect. When the drug wears off, anxiety, irritability, or insomnia often return stronger than before — a phenomenon known as rebound symptoms. This cycle of relief and rebound traps users in dependency.

Street names for Ativan include “Candy,” “Downers,” “Tranks,” and “Benzos.” When combined with alcohol or opioids, the risk of overdose increases dramatically.

The Science of Ativan Addiction

Like other benzodiazepines, Ativan rewires how the brain processes stress, pleasure, and sleep. Over time, the brain becomes reliant on the drug to function normally. When you try to stop taking Ativan, your nervous system overreacts, causing painful and sometimes dangerous withdrawal symptoms.

Common signs of Ativan addiction include:

  • Taking higher doses than prescribed
  • Needing Ativan to feel “normal” or relaxed
  • Lying to doctors to get more medication
  • Mixing Ativan with alcohol or other drugs
  • Memory loss, slurred speech, or disorientation
  • Neglecting responsibilities or relationships

According to SAMHSA, benzodiazepine-related emergency room visits have more than tripled since 2004, and the majority involve people using Ativan or similar medications without a prescription.

Because Ativan affects both the body and the mind, addiction develops through physical dependence and psychological craving — making recovery more complex than simply “quitting.”

Withdrawal and the Dangers of Stopping Suddenly

One of the most dangerous aspects of Ativan addiction is withdrawal. Unlike some drugs, benzodiazepine withdrawal can be life-threatening without medical care.

Symptoms of Ativan withdrawal may include:

  • Intense anxiety and panic attacks
  • Sweating and shaking
  • Muscle cramps and weakness
  • Insomnia and nightmares
  • Hallucinations or paranoia
  • Seizures (in severe cases)

The FDA warns that stopping Ativan suddenly can lead to seizures, psychosis, and death, especially for people who have used it long-term. A supervised medical detox program is crucial for safely tapering off the drug while managing symptoms.

Medical professionals gradually reduce Ativan doses under close supervision, sometimes prescribing longer-acting benzodiazepines or non-addictive medications to ease the transition.

Ativan Abuse Treatment and Recovery Options

Recovering from Ativan addiction is entirely possible — but it requires professional support, structure, and patience. The first step is often medical detox, followed by therapy-based treatment designed to heal both the body and mind.

1. Medical Detox
This stage helps you safely eliminate Ativan from your system while managing withdrawal. Detox typically takes 5–14 days, depending on how long and how much Ativan was used.

2. Inpatient Rehab
Inpatient treatment provides 24-hour care, therapy, and relapse prevention strategies in a safe environment. It’s especially effective for those with co-occurring mental health conditions like anxiety or depression.

3. Outpatient Treatment
Outpatient programs offer flexibility for people who cannot pause work or family obligations. Patients attend scheduled therapy sessions and group meetings while living at home.

4. Behavioral Therapies

5. Holistic Therapies
Yoga, meditation, and exercise promote relaxation and rebuild mind-body connection — critical for long-term recovery.

According to NIDA, people who complete structured treatment and follow up with outpatient care or support groups are 70% more likely to stay sober long-term.

True Stories of Addiction: Hope Beyond Ativan

At Detox to Rehab, we believe in the power of personal stories to inspire recovery. Our True Stories of Addiction series showcases individuals who overcame devastating addictions and rebuilt their lives through courage, treatment, and support.

Hearing others share their pain — and their victory — often gives people the strength to begin their own healing journey.

Finding Help for Ativan Addiction

If you or someone you love is struggling with Ativan addiction, know this — you are not alone, and recovery is possible. Addiction doesn’t define you, and help is available right now.

“You can’t go back and change the beginning, but you can start where you are and change the ending.” — C.S. Lewis

The first step is reaching out for support. Search our treatment directory or call our 24/7 confidential hotline at (866) 578-7471 to connect with a compassionate professional who can guide you to the right care.

Freedom from addiction begins with one brave decision. Start today — your recovery is waiting.

Frequently Asked Questions
What is Ativan addiction?
Ativan addiction occurs when a person becomes physically or psychologically dependent on the drug lorazepam. Over time, tolerance builds, leading to cravings, withdrawal symptoms, and compulsive use even when it causes harm.
How addictive is Ativan compared to other benzodiazepines?
Ativan is highly addictive because it acts quickly and has a short half-life, which increases the urge to take it more often. It’s just as addictive as other benzos like Xanax and Valium, especially when used for longer than two weeks.
What are the warning signs of Ativan abuse?
Common signs include drowsiness, memory loss, slurred speech, mood swings, and using Ativan without a prescription. Mixing it with alcohol or opioids is especially dangerous and can cause overdose or death.
Can you quit Ativan on your own?
No — stopping Ativan suddenly can be life-threatening. Withdrawal symptoms can include seizures, hallucinations, and severe anxiety. Always detox under medical supervision for safety and comfort.
How long does Ativan withdrawal last?
Withdrawal symptoms usually begin within 1–2 days after the last dose and can last 1–4 weeks. However, post-acute symptoms like anxiety or insomnia may persist longer. Medical detox and therapy help ease this process.
What is Ativan abuse treatment like?
Ativan abuse treatment typically begins with medical detox, followed by therapy like Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT). These treatments help patients rebuild coping skills, manage anxiety naturally, and prevent relapse.
Can Ativan addiction be cured?
While addiction isn’t “cured” in the traditional sense, recovery is possible with the right treatment and long-term support. Millions of people have successfully recovered from benzodiazepine addiction through rehab, therapy, and continued care.
Where can I get help for Ativan addiction?
You can search our treatment directory or call our 24/7 confidential hotline at (866) 578-7471 to connect with licensed detox and rehab centers that specialize in Ativan and benzodiazepine addiction.
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