Outpatient Xanax & Benzodiazepine Detox
Physician-managed benzo taper — safe withdrawal from Xanax, Klonopin, Valium, and Ativan
Benzodiazepine withdrawal is one of the most medically dangerous detox processes — potentially life-threatening due to seizure risk. Unlike opioid withdrawal (uncomfortable but rarely dangerous in healthy adults), benzo withdrawal from high doses requires a carefully managed medical taper. Dr. Agresti's outpatient protocol uses a structured, physician-supervised taper that makes home detox safe for appropriate candidates.
Medications & Clinical Support
- Diazepam (Valium) taper — long-acting benzo used to smooth the tapering process
- Anticonvulsants — seizure prevention during the taper
- Beta-blockers — cardiovascular symptom management
- Hydroxyzine — adjunctive anxiety support
- Sleep aids as needed during the taper
- Daily monitoring calls during high-risk taper phases
Withdrawal Timeline
Week 1–2
Initial dose reduction with monitoring; anxiety, insomnia, and irritability expected
Weeks 3–6
Gradual taper continues; symptoms fluctuate — taper pace adjusted as needed
Weeks 7–12
Final taper phase; protracted withdrawal symptoms (anxiety, insomnia) common
Months 3–12
Post-acute withdrawal: symptoms gradually resolve; many patients report eventual improvement beyond pre-benzo baseline
Why Outpatient Detox?
Not all benzo-dependent patients require inpatient detox. Candidates for outpatient management are those who: (1) are not at high seizure risk, (2) have a stable home environment, (3) are highly motivated, and (4) have a supportive person available. Dr. Agresti evaluates each patient individually and will recommend inpatient admission when clinically appropriate.
The Concierge Difference
During detox, you have Dr. Agresti's direct cell number. If symptoms become concerning at 2 AM, you call — not an answering service. This level of access is what makes outpatient detox safe and what separates concierge psychiatric care from standard treatment.
24/7
Direct physician access
No ER
Avoid unnecessary hospitalizations
Private
No inpatient admission record
Frequently Asked Questions
Is cold turkey benzo withdrawal dangerous?
Yes — abrupt cessation of high-dose benzodiazepines can cause seizures, delirium, and in rare cases death. NEVER stop benzodiazepines abruptly without medical supervision. A properly managed taper eliminates this risk.
How long does Xanax withdrawal last?
Acute Xanax withdrawal peaks at 2–4 days (Xanax is short-acting). However, protracted withdrawal syndrome can persist for months. A slow, physician-supervised taper significantly reduces the severity and duration of withdrawal symptoms.
Can I taper at home?
Many patients with appropriate medical supervision can safely taper at home. Dr. Agresti conducts a thorough assessment to determine candidacy. Patients with history of benzo withdrawal seizures or complex medical conditions may require inpatient management.