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When Not To Taper: Signs of Stress-System Overwhelm
Sleep collapse, escalating autonomic flares, sensory overload, or severe reactivity signal that the stress system is destabilized.
vmadhava
9 hours ago1 min read


Stabilization = A Calmer, More Regulated Stress System.
Week 8 of my 12-week Benzodiazepine Withdrawal Biology series. It does not mean zero symptoms. It means predictable patterns, preserved sleep, and reduced volatility across stress-responsive systems. Stabilization is the foundation that allows tapering to proceed safely.
vmadhava
Jan 271 min read


Axis 5: Mast-Cell / Immune Stress Reactivity in Benzodiazepine Withdrawal
Week 7 of my 12-week Benzodiazepine Withdrawal Biology series. Mast cells are highly stress-responsive immune cells. When GABA-mediated inhibition is unstable, stress signaling can lower mast-cell activation thresholds, increasing immune reactivity. Common expressions of Axis 5 include: • Flushing, itching, rashes • Food or environmental sensitivities • Throat or chest tightness • Histamine-mediated reactions Axis 5 represents mast-cell / immune stress reactivity — not primar
vmadhava
Jan 211 min read


Axis 4: Basal Ganglia / Cerebellar Motor Gating in Benzodiazepine Withdrawal
Week 6 of 12-week Benzodiazepine Withdrawal Biology series. Motor agitation, inner restlessness, pacing, and imbalance can reflect stress-sensitive basal ganglia and cerebellar motor-gating circuits. When GABA inhibition becomes unstable, these motor control loops lose inhibitory precision and become overreactive, allowing state-dependent motor phenomena—including akathisia-like restlessness and coordination disturbances—to emerge. These are expressions of circuit instability
vmadhava
Jan 131 min read


Axis 3: Autonomic Instability in Benzodiazepine Withdrawal
Loss of GABA restraint disrupts sympathetic–parasympathetic balance, destabilizing autonomic regulation.
vmadhava
Jan 61 min read


Axis 2: Excitatory–Neuroinflammatory Patterns in Benzodiazepine Withdrawal
Week 4 of my 12-week Benzodiazepine Withdrawal Biology series. When GABA restraint falls, excitatory signaling increases, and neuroimmune pathways are activated. Common Axis 2 symptoms include: Burning or tingling sensations “Brain on fire” feeling Deep nerve pain Pressure, internal heat Sensory overload Axis 2 symptoms often worsen with stress load, screens, heat, illness, or exertion, reflecting heightened excitatory–inflammatory reactivity rather than psychological distres
vmadhava
Dec 30, 20251 min read


Axis 1: CRH–Adrenergic Activation Morning spikes, surges, tremor, “wired-but-tired.”
Axis 1 reflects activation of CRH and sympathetic stress pathways.
vmadhava
Dec 22, 20251 min read


Introduction to the Five Neurobiologic Axes
Withdrawal Behaves Like a Systems Disorder — Because It Is One
vmadhava
Dec 17, 20251 min read


Benzodiazepine Withdrawal Isn’t About Dose—It’s About Stress-System Activation
Dose changes alone cannot explain benzodiazepine withdrawal. In our 39-patient dataset, symptoms mapped to five distinct neurobiologic axes rather than linear dose effects.
vmadhava
Dec 9, 20251 min read
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