A Guide to Post-Acute Withdrawal Syndrome PAWS

Create a calm pre-sleep routine to improve sleep quality, such as reading or taking a warm bath before bedtime. These lifestyle changes collectively enhance coping mechanisms against PAWS symptoms. Engaging in regular physical activity can significantly aid recovery from PAWS. Exercise helps to boost mood, reduce stress, and improve overall well-being. Additionally, maintaining a balanced diet rich in nutrients can stabilize blood sugar levels, which may mitigate mood swings and cravings. Managing PAWS effectively is vital because symptoms like irritability, fatigue, and cognitive difficulties can persist for an extended period, impacting overall recovery outcomes.

What Is Post-Acute Withdrawal Syndrome

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What Is Post-Acute Withdrawal Syndrome

This article will help you learn more about protracted withdrawal symptoms, including how to recognize them and when to seek help. Drugs and alcohol make your brain think it needs more of its feel-good chemicals. These create the high or relaxed feeling you get when you drink or use drugs. https://www.focusongrowth.co.uk/business-advice-aylesbury When you keep abusing a substance, it makes your natural supply of those chemicals go down. Your brain starts to depend on alcohol or drugs to produce chemicals that are needed for the body to work correctly. For individuals experiencing PAWS, the persistence of symptoms may feel like a setback.

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The more a person uses a substance, the more likely they are to become severely dependent, and therefore they are more likely to develop PAWS. Psychological cravings may continue even after physical dependence is gone, especially during stressful or emotional moments. However, PAWS can often disrupt sleep patterns, leading to insomnia or other sleep disturbances. It’s important to prioritize good sleep hygiene to ensure the body and mind are getting the rest they need to heal. Family therapy and couples counseling can also be beneficial for strengthening relationships and improving communication skills. Dr. Lembke notes, “Addiction and PAWS can strain relationships, so it’s essential to work on rebuilding trust and fostering healthy connections with loved ones.”

  • The absence of the substance can lead to feelings of sadness, hopelessness, and a lack of interest in previously enjoyable activities.
  • There is still no official diagnosis for PAWS, and it has not been recognized on the DSM-5.
  • However, the condition is common enough to be recognised worldwide by professionals in addiction treatment and withdrawal management.
  • Research-based addiction treatment like cognitive behavioral therapy (CBT) can help you regulate your emotions and address unhealthy thinking patterns that can trigger a relapse.
  • Medications aim to relieve specific symptoms, especially where emotional and cognitive symptoms persist.

Can you develop PAWS even if you only used substances for a short time?

  • Marijuana is not generally considered a substance that would cause withdrawal, but when someone stops taking this drug, they could experience things like insomnia that could continue long enough to be considered PAWS.
  • This guide features in-depth information on the causes, symptoms, and available treatments for post-acute withdrawal syndrome.
  • Staying committed to treatment and getting support plays a big role in recovery.

But for others who have more severe addictions, or who have been abusing substances for a longer period of time, withdrawal symptoms can continue to arise on and off for a long time. Post-Acute Withdrawal Syndrome (PAWS) is a condition in which someone who has a prolonged history of substance abuse experiences severe withdrawal symptoms as a result of cutting their intake. If PAWS symptoms become overwhelming, interfere with daily functioning, or trigger strong cravings, it’s important to reach out for help. A mental health or addiction professional can offer strategies, medication, or therapeutic support to help you stabilize and stay on track.

Acute withdrawal phase

Animal models https://ecosober.com/blog/post-acute-withdrawal-syndrome-what-is-paws/ indicate that atrial natriuretic peptide (ANP) inhibits the effects of CRF, corticotrophin, and cortisol (Ibanez-Santos et al., 1990; Mutschler et al., 2010). However, chronic alcohol consumption and acute withdrawal suppress ANP (Kovács, 2000). Although ANP levels gradually improve over 2 weeks of sustained abstinence, they remain lower relative to healthy controls even after 12 weeks of abstinence. These persistent deficits may sustain the cravings, low mood, and anxiety characteristic of PAWS (Kiefer et al., 2002). Although these symptoms typically last a few weeks to months, some subtle residual effects often remain for up to a year of abstinence (Vik et al., 2004).

What Is Post-Acute Withdrawal Syndrome

The Challenges of Managing PAWS

This blog will provide an overview of PAWS, identify its symptoms, and outline effective strategies to manage it for sustained recovery success. If you’re navigating alcoholism recovery or supporting someone through it, understanding PAWS is essential. Extended outpatient treatment programs offer a bridge between intensive treatment and independent living. It’s important to note that not everyone who undergoes withdrawal will experience PAWS, and the specific symptoms they do experience can vary widely among individuals. Even though PAWS can take a toll on you and your family and friends, it will eventually fade away.