Question: I have been experiencing what feels like my right eye lid is twitching, however others don't observe this. When I put my finger on the eye lid, I can actually feel a pulsing on my eye ball. It started about 2 weeks ago in a fairly minimal fashion but has become more consistent and lasting through out the day.

Thank you, Dr. XXXXXXX
I am relieved to know this is a benign issue. I understand and was fortunate to be able to sleep 12 hours last night.

I do want to mention that I am licensed by the State of NH as an alcohol and drug counselor and a master level clinician. I have been in the field of addictions since 1998. The research shows that clonazepam (any benzodiazepine,actually) is highly addictive and not best practice. This is reinforced by board certified medical doctors who have ASAM credentials (american society of addictive medicine). Every addiction conference I attend, MD's who present say, "Why you providers continue to prescribe benzo's... will never understand....It is a bad medicine."

There was a time when I would never challenge a physician, but as the ex wife of a physician who became addicted to opiates, I have dedicated the past 15 years to helping those with addictions. Before prescribing a benzodiazepine, always ask: Is there any family history of addiction? With one parent = 87% chance of addiction, two parents = 97%. Even with no family history, XXXXXXX MD states they are contraindicated especially for anyone with a trauma history.

I have been more specialized as a trauma therapist since 2012 and when I have clients with PTSD sx, Clonidine can be prescribed (off label) prn at a 0.1 level dose. Of course, as the prescribing physician, you would have to determine if this medication is appropriate. Also used: Buspar and certain anti-depressants such as Paxil.

Last, but not least...I have been in recovery from alcoholism for 24 years. My education tells me that taking a benzodiazepine can trigger the alcoholism as that medication impacts the same receptor sites as alcohol.

I mean no disrespect at all, but I have an issue with medical physicians not getting adequate training in addictions when they are the ones who write the prescriptions. Please prescribe responsibly.

Respectfully,
XXXXXXX