Understanding Post-Acute Withdrawal Syndrome (PAWS): Your Guide to Long-Term Recovery

Imagine recovering from addiction, a virtuous quest that numerous individuals strive for. Months later, you might face new and unforeseen complications while navigating recovery. Though you’re going to meetings, counseling with counselors, and determined to remain sober, something can still be “off.” Those mood swings, lack of focus, and sleep issues that won’t permit refreshing sleep could be Post-Acute Withdrawal Syndrome (PAWS).
We understand that it is frustrating to experience PAWS in Midwest Recovery Center recovery. It is a natural part of the recovery process from addiction. You can navigate this challenging time and emerge stronger with the right support. A solid support network and an understanding of PAWS will enable you to manage symptoms and keep moving forward.
What is Post-Acute Withdrawal Syndrome?
Post-acute withdrawal syndrome (PAWS) is a prolonged withdrawal condition that follows the acute phase, which lasts days to weeks and mainly involves physical symptoms. PAWS, however, consists of mainly psychological and emotional issues that may last for months or even years following substance discontinuation.
PAWS occurs when the brain begins to recover and readjust to a normal chemical balance following drug use. It is a “resetting” process requiring time and tolerance as individuals learn to live without drugs. They may experience difficulties such as mood swings, anxiety, and depression as their brains struggle to level out.
Common PAWS Symptoms and Their Impact
Post-acute withdrawal Syndrome (PAWS) can emerge after substance withdrawal, with symptoms varying by individual. Understanding these symptoms is crucial for those affected and their support systems.
Emotional and Psychological Symptoms
PAWS leads to emotional challenges, causing mood swings and heightened social anxiety. Individuals may feel depressed, irritable, or hostile, while anhedonia reduces interest in enjoyable activities.
Cognitive Symptoms
PAWS interferes with memory and routine functioning; it is hard to remember recent events and focus. The ‘brain fog’ confuses clear thinking and speech and may even interfere with the body’s physical coordination, making everyday activities problematic.
Physical Symptoms
PAWS symptoms may manifest as daytime tiredness and insomnia due to poor sleep. Emotional reactions may become exaggerated, leading to greater sensitivity to stress. People may also have headaches, upset stomachs, and changes in appetite, leading to greater or lesser hunger.
What to Expect in Recovery
Understanding the timeline of Post-Acute Withdrawal Syndrome (PAWS) is crucial for recovery, helping individuals prepare for challenges during this process.
Months 1-2: Initial Stage
In the initial two months of PAWS, people often face intense withdrawal symptoms that impact both their physical and emotional health. Typical challenges include sleeplessness, disrupted sleep patterns, and emotional fluctuations characterized by mood swings. These symptoms are a standard aspect of the recovery process.
Months 3-6: Improvement Begins
As individuals progress from months three to six of recovery, many notice improvements in PAWS symptoms. However, intermittent “waves” of symptoms can arise unexpectedly and persist for some time.
Practical Treatment Strategies for PAWS
Post-acute withdrawal Syndrome (PAWS) needs a holistic treatment for physical and psychological healing. There must be expert treatment by addiction experts and mental health professionals. They diagnose, monitor symptoms, manage medication, perform individual counseling, and apply group therapy to enable peer support.
Lifestyle plays a significant role in PAWS symptoms. Consistent sleep regulates rhythms, and a balanced diet promotes healing. Regular exercise maintains health. Stress management builds resilience and routine offers stability in recovery.
Holistic therapies help many people. Meditation and mindfulness reduce stress and anxiety, while yoga and light exercise improve balance. Acupuncture and massage therapy ease physical discomfort; some find healing through art or music therapy.
Supporting Someone with PAWS
It requires patience and empathy to care for an individual with Post-Acute Withdrawal Syndrome (PAWS). PAWS is an actual medical condition that should be recovered from with time.
Support the practice of recovery routines, including regular therapy, support groups, and personal goals. These activities provide the framework and encouragement needed to continue to recover.
Please help them to recognize and steer clear of triggers that can trigger their symptoms or cravings. Triggers can be situations, individuals, or places that recall drug taking. Knowing these triggers beforehand will help them avoid relapse.
Encourage them for every progress and achievement, no matter how minor, such as attending a support group session or going one day without craving. Acknowledging these milestones boosts morale and strengthens their determination to overcome.
It’s helpful to know about Post-Acute Withdrawal Syndrome (PAWS). The more you do, the better you can assist and empathize with them. Providing them with professional assistance, like therapy or counseling, can significantly aid their rehabilitation. Professional counseling offers advice on dealing with symptoms and feeling better.
Hope and Healing at Midwest Recovery Centers
Post-acute withdrawal Syndrome (PAWS) is very infuriating for individuals who experience it, but it is good to understand that the disorder is temporary and can be treated. Midwest Recovery Centers has experts committed to assisting individuals as they battle the challenges of PAWS. It is not only to help you in this difficult period but also to help you set a good groundwork that will promote long-term health and recovery.
If you or the one you love are experiencing PAWS, we strongly encourage you to look for assistance. Our experienced and compassionate team has an in-depth understanding of the unique challenges of post-acute withdrawal syndrome. We offer support and counseling to lead you or your loved one to a successful and long-term recovery journey.
Share this article with others who might benefit from understanding PAWS, and contact us today to learn more about our comprehensive treatment programs. Together, we can build a path to lasting recovery.
“When I came through MRC as a patient, the only program they had was long term inpatient. I committed to just that because I knew in my heart that I needed a time of professionals around me, whose job it was to keep me from relapsing. I had dug myself into a very deep and dark hole with my addiction and felt there was no hope without a treatment center. The owners first developed MRC to help people like myself who had relapsed multiple times, struggled to maintain sobriety after 30 days of treatment, and had failed to launch back into life successfully. Our long term program is perfect for patients facing PAWS and many other issues that may arise with the process of getting sober. Typically there are stages of growth throughout the first year of recovery. I noticed big changes in my emotions and ability to cope at 3 weeks, 90 days, 6 months and a year. Those each represented periods of growth and increase in my resilience to adapting to a life of sobriety. This is why our long term addiction program is so ideal for anyone looking to truly commit themselves to a life in recovery. We take our clients to outside 12 step meetings, encourage them to build a network of peers, work with their therapist to build treatment plan goals, live an active lifestyle with exercise, have follow up medical care, and process groups to help them cope with life’s ups and downs. If you or a loved one are struggling today, call us!”
-Taylor Brown, CRADC
FAQ’s
How long does Post-Acute Withdrawal Syndrome typically last?
PAWS can last anywhere from a few months to two years, depending on factors such as the substance used, duration of use, and individual health factors. Most people experience significant improvement within the first year of recovery.
Can PAWS cause a relapse?
While PAWS symptoms can increase the risk of relapse, understanding and preparing for these symptoms can help prevent relapse. Having proper support and coping strategies is crucial during this time.
Is PAWS different for alcohol versus drug withdrawal?
Yes, while there are common symptoms across all substances, the specific symptoms and duration of PAWS can vary depending on the substance used. Alcohol, benzodiazepines, and opioids often produce more pronounced PAWS symptoms.
Do all people in recovery experience PAWS?
No, not everyone experiences PAWS. The likelihood and severity of PAWS symptoms can depend on various factors, including the type and amount of substance used, duration of use, and individual physical and mental health factors.
What’s the difference between acute withdrawal and PAWS?
Acute withdrawal typically occurs immediately after stopping substance use and involves primarily physical symptoms lasting days to weeks. PAWS develops after acute withdrawal and involves mainly psychological and emotional symptoms that can last months to years.