Following medically supervised detox from alcohol, opiates, marijuana, cocaine, benzodiazepines or other highly addictive substances, most people experience a short phase of enabling behavior definition physical discomfort, otherwise known as acute withdrawal. Symptoms often include muscle ache, nausea, headache and increased heart rate. Acute withdrawal can produce more dangerous health consequences—even life-threatening complications—if detox isn't done in a supervised setting. But there's more to drug and alcohol withdrawal than physical symptoms of discomfort.
This can make it difficult for you to participate in counseling and therapy sessions productively. The prognosis (outlook) for someone with alcohol withdrawal depends greatly on its severity. The main management for severe symptoms is long-acting benzodiazepines — typically IV diazepam or IV lorazepam. It’s important to be honest about your alcohol use — and any other substance use — so your provider can give you the best care. Alcohol withdrawal can range from very mild symptoms to a severe form, known as delirium tremens. Regular physical activity is another key component of managing PAWS symptoms.
With 24-hour care, this is the most intensive form of treatment and typically entails 30, 60 or 90-day programs. These physical symptoms not only create discomfort but can also make individuals feel as though they are still in the acute phase of withdrawal, which can be disheartening during recovery. Setting realistic recovery goals and focusing on long-term abstinence can provide motivation and a sense of purpose. Recognizing the risk factors that may trigger cravings or other PAWS symptoms can also aid in planning preventative strategies.
Building a strong support network
- Using the Cochrane Risk of Bias tool ratings (Table 2), only 6 of the 16 studies received a low overall risk of bias rating.
- They may be more psychological than physical, including mood swings and difficulty with sleep and memory, for example.
- You will overcome Post-acute Withdrawal Syndrome by staying on track and working toward your recovery.
- Because he is a member of a support group that stresses the importance of anonymity at the public level, he does not use his photograph or his real name on this website.
After the initial alcohol withdrawal symptoms have subsided, some people may experience prolonged side effects. This phase is less common and is known as post-acute withdrawal syndrome (PAWS). PAWS involves withdrawal symptoms that occur after acute withdrawal and can make post-rehab life challenging for some individuals. Depending on the severity of your alcohol abuse, PAWS can last anywhere from a few weeks to a year.
It's important to note that not everyone who undergoes withdrawal from these substances will experience PAWS, but it is a relatively common occurrence among those with a history of prolonged or heavy substance use. If you or a loved one has battled substance addiction, you may think the hardest part is over once you've completed detox. But for many, the real struggle begins after the initial withdrawal phase, when a condition called Post-Acute Withdrawal Syndrome (PAWS) sets in. Pay attention to the different situations that may bring about withdrawal symptoms. Write them down, keep them with you, and always remind yourself that what you’re feeling is nothing more than your brain rewiring itself.
Crucial Things to Know About the Alcohol Withdrawal Timeline
By maintaining stable blood sugar levels, individuals can reduce the likelihood of experiencing intense mood swings or fatigue, making it easier to manage PAWS symptoms. Aftercare and ongoing support are essential components of a comprehensive PAWS management plan. These services help individuals maintain their recovery progress, prevent relapse, and build a strong support network.
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These activities can help boost self-esteem, provide a sense of accomplishment, and create positive experiences that replace the role substance use once played in an individual's life. Cognitive-behavioral therapy (CBT) is a form of psychotherapy that helps individuals identify and change negative thought patterns and behaviors. In the context of PAWS, CBT can be particularly effective in managing symptoms such as anxiety, depression, and insomnia. Recognizing that PAWS is a normal part of the recovery process can help individuals and their loved ones maintain realistic expectations and avoid feelings of frustration or despair.
Using substances for a long time or using a heavy amount will lead to more severe PAWS symptoms. Some people experience prolonged withdrawal symptoms, like insomnia and mood changes, that can last for weeks or months. By understanding the symptoms, timeline, and coping strategies, you can better navigate this phase and maintain your progress.
If you or a loved one is in need of help managing PAWS in addiction recovery, or seeking treatment for co-occurring mental health or substance use disorders, there is help and there is hope for you at the Hazelden Betty Ford Foundation. Although alcohol withdrawal can be a dangerous and painful process, it is a necessary step on the road to recovery. When conducted under the supervision of medical professionals, alcohol withdrawal is a much safer and easier process. Contact a treatment provider today to find out what options are available to you.
