A scattered pile of white oblong Xanax pills lies on a smooth, light-colored surface. The focus is on the foreground, showing detailed textures of the pills, while the background is softly blurred.

Xanax Addiction Treatment

Alprazolam (commonly known by the brand name Xanax) has become one of the most widely used drugs in the United States, with thousands of Americans being prescribed it to treat mental health conditions.

While effective when used as directed, alprazolam can be misused, increasing the risk of adverse effects such as addiction, overdose, and death. Seeking Xanax addiction treatment can help reduce these risks.

Tree House Recovery understands that substance use disorders are a complex issue, but understanding what this alprazolam is, learning the short- and long-term effects of Xanax and the various treatment options can help those experiencing addiction rediscover a sober, fulfilling life.

What Is Xanax?

Xanax is a type of Benzodiazepine and central nervous system (CNS) depressant that has sedative and hypnotic effects1. They are typically prescribed to relieve acute (sudden-short-lived) anxiety and panic attacks. It is a triage medication typically prescribed for 2-4 weeks.

Xanax is not intended for long-term use unless under strict medical supervision. Like all benzos, abrupt discontinuation poses a risk of death due to seizures. It is important that you do not try to get off Xanax on your own if you are considering quitting. Safely quitting requires medical supervision.

Help is a phone call away (855) 202-2138.

Is Xanax Addictive?

Classified as a Schedule IV2 controlled substance, Xanax is a prescription drug that has medical use but has the potential to be misused. People with a history of substance abuse disorders or have a history of alcohol or opioid use are at high risk for developing a Xanax dependence.

People who have developed an addiction to Xanax could start using Xanax bars, also called “zanies” or “planks.” These small, pill-sized Xanax bars, which are typically two milligrams per dose, can be broken down and taken individually. 

However, those with higher tolerance may take the entire Xanax bar, which can create aggression, hyperactivity, and irritable behavior. Many will consume this form of alprazolam to avoid Xanax withdrawal symptoms.

Signs of Xanax Abuse

There are several signs that could indicate that someone is experiencing Xanax abuse. Some of these signs can include3

  • Taking more than the prescribed 
  • Inability to reduce dosage
  • Doctor shopping to get more Xanax
  • Asking family, friends, and significant others for their prescription pills
  • Buying Xanax or other sedatives on the street
  • Engaging in risky behaviors 
  • Spending an excessive amount of time using Xanax, obtaining it, or recovering from its effects.

If you notice any of these behaviors in yourself or a loved one, seeking Xanax addiction treatment can be a crucial step toward a healthy, fulfilling, sober life.

Xanax Withdrawal

The brain is always trying to find balance and can develop a Xanax dependence by decreasing its natural production of calming neurotransmitters (like GABA) to maintain a balanced state. Withdrawal happens when you suddenly stop taking it because the brain has reduced the production of essential neurotransmitters resulting in withdrawal effects and symptoms. 

Xanax (alprazolam) withdrawal symptoms range from mild to severe discomfort and even deadly seizures. Symptoms vary depending on the length of use, the amount used, and individual health factors.

Common Xanax Withdrawal Symptoms

Psychological Withdrawal Symptoms:

  1. Anxiety: Anxiety is often worse than the original anxiety for which Xanax was prescribed.
  2. Panic Attacks: Intense and sudden episodes of fear and panic.
  3. Insomnia: Difficulty falling asleep or staying asleep.
  4. Restlessness: Unable to relax or feeling on edge.
  5. Irritability: Heightened sensitivity to minor frustrations.
  6. Depression: Feelings of sadness, hopelessness, or a lack of energy.
  7. Confusion: Difficulty concentrating or thinking clearly.

Physical Withdrawal Symptoms:

  1. Headaches: Persistent or severe headaches.
  2. Nausea and Vomiting: Gastrointestinal upset is common.
  3. Sweating: Profuse sweating, often at night.
  4. Muscle Pain and Stiffness: Discomfort or cramps in muscles.
  5. Tremors: Shaking, particularly in the hands.
  6. Heart Palpitations: A rapid or irregular heartbeat.
  7. Dizziness: Feeling lightheaded or off-balance.
  8. Blurred Vision: Visual disturbances can occur.

Neurological Withdrawal Symptoms:

  1. Seizures: The most severe symptom, which can be deadly.
  2. Tingling Sensations: Pins-and-needles feelings in extremities.
  3. Hyperreflexia: Exaggerated reflexes.

Treatment for Xanax Addiction

Getting off Xanax can be mentally and physically challenging as well as life-threatening, and a well-thought-out treatment plan can help you get through it successfully and safely. It is important to understand that the first phase of treatment should be detox.

Medical supervision is critical for safety and it should be followed by an addiction treatment program and aftercare to optimize a successful long-term recovery. This section outlines the key elements of a safe, comprehensive, and effective treatment plan. 

Xanax Recovery Treatment Plan Should include:

  1. Detox
  2. Addiction Treatment
  3. Aftercare 
A therapist in a gray sweater is talking to a man sitting on a couch about Xanax addiction treatment options.

1. Xanax Detox

Detoxing from benzos like Xanax can be complex and should be done under medical supervision due to the potential for life-threatening seizures.  Typically medical detox time frames last one to two weeks or longer in some cases.

  1. Assessment: A medical professional will evaluate the person’s health, duration of use, and dosage, as well as any occurring conditions. They will then create a personalized detox plan.
  2. Taper: The medication taper is overseen by the doctor. You will be put on a tapering schedule to gradually reduce the dosage so your brain can begin adapting. This helps the brain restore its natural balance of neurotransmitter activity, such as GABA signaling and reduces the severity of withdrawal symptoms. This helps the brain restore its natural balance of neurotransmitter activity, such as GABA signaling and reduces the severity of withdrawal symptoms.
  3. Medication: Medications will typically be administered to help manage withdrawal symptoms, such as meds to manage seizure risk and controlled medications to manage uncomfortable symptoms like anxiety and insomnia.
  4. Monitoring: Monitoring with a medical staff for 24 hours is essential to address any complications immediately. 
  5. Support: Psychological support, including therapy or counseling, can help during the detox process by starting the process of discovering and processing the underlying issues connected to addiction. 

2. Addiction Rehab For Xanax

Inpatient Care

Inpatient care provides a level of care that can help promote a sober lifestyle. Treatment programs, such as counseling, group therapy, coping skills, and relapse prevention, are offered while living in a facility with 24-hour care. 

These types of programs often confiscate cell phones during their stay and require semi-frequent drug tests to ensure those in the facility are actively working toward sobriety.

For those with severe or long-term addictions, inpatient care is always recommended4.

Outpatient Care

Outpatient care is a level of care that allows those in recovery to return home in the evenings. Those in an outpatient program can continue working, attend school, and remain close to family and friends.

These programs often include many treatments in inpatient care but do not offer 24-hour on-hand medical care or psychotherapy. Outpatient care is a great option for those who have graduated from inpatient care and are ready to apply their skills to life while maintaining the network of support and community that promotes sober living.

Some facilities, like Tree House Recovery, offer an intensive outpatient program (IOP) in the evenings to help clients maintain their normal schedules outside of treatment. 

3. Aftercare

Sobriety is a lifelong process, and graduating from rehab is only the beginning. To avoid relapse, you must use what you’ve learned in treatment and maintain healthy habits. This includes:

  • Recognizing and trying to avoid things that trigger the urge to use.
  • Using coping skills to recognize and deal with stress or anxiety.  
  • Eating healthy foods that boost mood.
  • Exercising to improve mood and self-esteem.  
  • Finding support networks such as Alcoholics Anonymous or Narcotics Anonymous. 

Tree House Recovery's Xanax Addiction Treatment in Orange County

At Tree House Recovery, we offer holistic, evidence-based treatment built to create sustainable sobriety by focusing on the mental, physical, and social aspects of recovery.

To learn more about our levels of care and if our program is the best addiction treatment program for you, speak with our admissions team today at (855) 202-2138.

  1. SAMHSA. (n.d.-a). Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health. Section 1 PE tables – results from the 2020 national survey on drug use and health: Detailed tables, Samhsa, CBHSQ. 
  2.  DEA. 10 July, 2018. Drug Scheduling. Retrieved from https://www.dea.gov/drug-information/drug-scheduling on 18 February, 2025.
  3. Ait-Daoud, N., Hamby, A. S., Sharma, S., & Blevins, D. (2018). A Review of Alprazolam Use, Misuse, and Withdrawal. Journal of addiction medicine, 12(1), 4–10. https://doi.org/10.1097/ADM.0000000000000350
  4. McKay J. R. (2021). Impact of Continuing Care on Recovery From Substance Use Disorder. Alcohol research : current reviews, 41(1), 01. https://doi.org/10.35946/arcr.v41.1.01
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