This is how ativan works and why it is so hard to stop it.
Ativan is a Benzodiazapine as is Xanax and Valium. They are all for short term use because of how they work. To know how they work you have to know how knowledge is gathered and passed to the brain where it is used or stored.
The synapses that pass information along look something like an open hand with a bunch of fingers gathering information and passing it along to a single point that feeds it into a finger on the next synapse where it is processed. Now obviously the billions of pieces of information from eyes, ears ,skin , etc., can't all go through or your brain would explode and some times when too much goes through it feels like it.
Now each one of these finger like collection points has a guard that decides if the information is worth passing on. Most of it isn't so in a normal day only what you need to know to survive goes through with the odd bit of random information thrown in so that we can continue to learn. Even most of that gets discarded down stream.
So now along comes a programming glitch and the guards aren't doing their job. In stead of listening to your body that is telling you that you need to rest the guards so they can do their job you take an Ativan. If it is the sublingual then it does its job instantly. AHHH. peace. What it has done is block all that extraneous information and make the guards unnecessary. So they go to sleep and rest till they are needed again. This is where the rebound comes in. Some times they are a little slow to get back on the job and the tendency is to take another Ativan. Ativan has a one hour half life. Xanax is twelve or twenty-four, I'm not sure any more. Any way so in one hour half the ativan has cleared and in another hour half that half is cleared till after four hours it is virtually out of your system. Every one knows that four times four does not make twenty-four! So there is a period when there is very little in your system. Ok this is fine for short term use to give the overworked guards a rest. (up to one month). When you pass this point the guards are no longer asleep, they have gone into a coma and will be hard to bring back out. Not impossible just time consuming. But the biggest problem with Ativan is that it has been controlling the information going through and it has been using the same path way. In effect building a pathway directly to your mind. Not good if there is no Ativan to control it. This is dependancy. The easiest way to get off Ativan is to switch to Xanax with its longer half life and do withdrawal from it. This way the guards have more time to wake up and get back to work and the rebound isn't as bad. So to do the withdrawal instead of cutting down the dose which will just leave the guards in a half asleep state you want to take the regular dose but stretch it out as long as possible till you find all the guards are awake again and you don't need it. Simple?
Oh but we have one problem your body is used to using the ativan road. Without very vigilant guards it will open up and a flood of information will race down it. Anxiety and if you can't close the gait then Panic which just props the gait open more.
Eventually bits and pieces of this road will crumble but for a while it will be there just waiting for you to give in and run back to the Ativan. Ativan's job is to block and it is not particular what it blocks. Pleasure, pain, taste, sound, memory , etc. After you quit it these blocked things get to compete for acceptance which is why a piece of music can be both beautiful and annoying at the same time. But for the most part things taste better and sound clearer , etc.
Now why did you have to take the Ativan in the first place? Information overload? Negative thoughts like worry for example tend to replay themselves over and over again. Positive thoughts like pleasure get accepted and stored right away where you can pull them back out at you leisure and enjoy them. For some reason they also fade faster than negative and have to be reinstalled again. Hence the search for pleasure. Not so with negative. You don't have to look for them. They are a hold over from the days when hyper vigilance was necessary for survival. Think about it all your negative thoughts are trying to protect you. When you have too many they get warped. You go into Fight or Flight mode and because it can't recognize the danger it won't shut down till it realizes there is no danger. In the mean time it has loaded you with adrenaline in preparation. SEE! So now if you can replace the negative thoughts with positive there will be less load and your body will have no need to go into fight or flight mode.
So what about the people that do this on purpose? They know how to shut it down when they want to. So you need to learn how to do this also, and you need to know how and when to relax. And you need to know that some things are going to interfere with you doing that. Stimulants, Medication and health problems. I didn't say the fight would be easy. I just said you can win.