Tranquilizers & dependence risk
When Everything Falls Apart: First Steps at Risk of Tranquilizer Dependence
Extended edition: deeper, with a practical breakdown.
Tranquilizers are a serious matter, and they deserve a civilized approach. The danger isn't the fact of taking something — it's when a substance starts replacing the work of your psyche while the dose keeps climbing. This brochure is about the first steps: understanding what's happening to you, so you don't face the "monkey brain" alone.
What actually counts as dependence
The doctor is very precise: dependence is when you need more and more to get the same effect. At first one dose helps, then it's not enough, then you need even more — and so it escalates. But if the substance simply helps and you feel good, with no urge to numb yourself and no race for a higher dose — that's something else. It's important to tell these apart honestly, not to measure everyone by "the average temperature in the hospital."
A tranquilizer isn't only a pill
A core idea: anything can become a tranquilizer — an act, a habit, a behavior. A person uses it to switch off thoughts, the spiraling, fear and anxiety — and that physiological effect works like a medication for them. This is how dependence on "anything" arises: on YouTube, on comments, even on biting your nails. So the first step is to see what exactly you're "treating" yourself with, and what inner state you're running from.
Don't confuse it with illness
The doctor warns separately: there's the habit of "self-medicating" (eating to soothe, defusing anxiety), and there's painful obsessiveness within a disorder — a different mechanism, of the same kind as "tearing out hair, biting nails." Feeling this difference matters, because the approach differs. If an obsessive state and mental spiraling drive the behavior, "willpower" won't solve it — you need a specialist who approaches you individually.
When everything falls apart: where to point yourself
When "everything falls into the abyss," the doctor suggests not grabbing an external crutch, but first switching off the monkey brain and restoring the basics: movement, sleep, recovery. The goal is to enter the state where the neocortex works — that's what starts telling you what to do next. If you can't restore the basics on your own, that's the moment to go to a proper specialist.
Practice: first steps
- Name the thing. Honestly identify what works as a tranquilizer for you — a pill, a behavior, a feed, comments.
- Check for dose creep. Ask yourself: do I need more and more for the same effect? Rising dose/frequency is a signal.
- Separate it from spiraling. Is this defusing a habitual anxiety, or a painful obsessive thought that keeps returning? That changes whom you turn to.
- Switch off the monkey brain. Movement, walks, recovery, sleep — restore the base first.
- Go to a specialist. If sleeping and recovering won't come on their own, let a proper specialist tailor help to you — without clichés.
Educational material. Not a diagnosis or a substitute for an in-person consultation; in an acute state, seek a doctor (emergency — 112).
Андрис Саулитис, M.D.