Hello, I was wondering if you folks from Psych could give me a little perspective in regards to what you think of the rationale for chronic benzo usage. I'm a doc in Canada with a family medicine and chronic pain practice. My patient / referral population is typically one that is taking benzos and opioids ( i.e. previously prescribed ). These folks have usually been on benzos for a number of years for initial insomnia, yet STILL continue to complain of poor quality sleep. I myself don't understand the use of benzos in this situation, particularly in the above situation (i.e. failure of efficacy, and potential co-morbid respiratory depression due to synergistic effect from opioids / benzos, fall risk , etc.). Comments? Treatment suggestions?