Certified Addiction Counselor (CAC) Practice

Benzodiazepines are classified as Schedule IV psychoactive substances, which indicates that they have a lower potential for abuse compared to substances in higher schedules, like Schedule II. They are primarily prescribed for their anxiolytic (anti-anxiety) effects, as well as for the treatment of insomnia and other related conditions. The mechanism of action for benzodiazepines primarily involves enhancing the effects of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain, producing a calming effect. The classification as Schedule IV is significant because it reflects a recognized medical use while acknowledging the risk of dependence and abuse that can accompany their use. This understanding is crucial for addiction counselors, as they need to be aware of the potential for misuse and the importance of careful monitoring when clients are prescribed these medications.