National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

Which of the following is a psychological side effect of benzodiazepines?

1. Drowsiness

2. Hostile and erratic behavior

3. Impaired memory

4. Muscular weakness

The correct answer is: Hostile and erratic behavior

Benzodiazepines, which are commonly prescribed to treat anxiety and insomnia, can have various psychological side effects. Among these, hostile and erratic behavior can occur as a result of their impact on the central nervous system. This reaction is particularly concerning because it represents a complex interplay of the drug's sedative effects and the individual’s vulnerability to alterations in mood and behavior. While benzodiazepines are often associated with drowsiness, impaired memory, and muscular weakness, these effects are more physical in nature. Drowsiness refers to a sedation effect that can lead to decreased alertness; impaired memory pertains to issues with the formation of new memories or recall; and muscular weakness refers to decreased strength or coordination. Hostile and erratic behavior, however, is a distinct response that manifests in shifts in emotional regulation and social behavior, which are purely psychological effects. Individuals may react differently to benzodiazepines based on existing mental health conditions and environmental factors. In some cases, rather than promoting relaxation, the drug can cause agitation or aggression, leading to the described hostile behaviors, particularly in individuals predisposed to such reactions. This emphasizes the need for careful monitoring in clinical practice, especially when treating populations at risk for significant behavioral changes.