Post Acute Withdrawal Syndrome (PAWS): An Easy To Understand Explanation

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What Is Post Acute Withdrawal Syndrome or PAWS?

Well you have finally achieved abstinence from your drug of chioce, my sincere congratulations. You are certainly making the right choice. So everything will be easy from here on in....ummm...maybe not.

Post Acute Withdrawal Syndrome is a group of withdrawal symptoms that arise as a drug addict or alcoholic attempts abstinence from their chosen mood altering chemicals. These withdrawal, or possibly relapse symptoms, can include sleeplessness, unclear thinking and stress, generally appear 7 to 14 days into abstinence during the stabilization phase.

This impairment is recognized as PAWS or Post Acute Withdrawal Syndrome and can last 6 to 18 months after the addicts' last use.

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Different views of Post Acute Withdrawal Symptoms

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What Are The Symptoms of Post Acute Withdrawal Syndrome? 

While in active addiction the addict/alcoholic experiences a disruption to normal brain activity which impairs clear thinking and emotion expression. Additionally, short-term memory loss, lack of coordination, sleep disturbances and stress are all part of PAWS and can make the recovery process sometimes long and difficult.

As a result of continued abuse of drugs and/or alcohol the brain needs to make an adjustment in order to 'right itself' as neurotransmitters return to normalcy and acclimate to a life without mood altering chemicals. This sometime takes time and that is where post acute withdrawal symptoms come in, they are like lingering withdrawal.

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How Do post Acute Withdrawal Symptoms Affect Me? 

Essentially there is 3 major ways that Post Acute Withdrawal Syndrome can impact a recovering person.

They are:

1. Cognitive - racing or recycling thoughts with impaired concentration and intention span.

2. Emotional - either an absence or an excess of emotions with a tendency towards hyper reaction.

3. Memory - - short-term (30 minutes) memory loss is often the most noted problem

These issues usually affect a person early in recovery so it is imperative that family, friends and colleagues recognize there presence.

Another factor that greatly affects the addict is stress. As a result, the recovering individual needs to understand that the lowering of stress is vital and that specific lifestyle changes need to occur. Healthy habits such as limiting caffeine, getting 8-10 hours of sleep, eating three balanced meals per day and exercising 3+ times weekly will reap great benefits.

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Addiction Treatment Challenges 

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4 Stages of Recovery From Cocaine Addiction 

Withdrawal Phases, Acute And Post Acute Withdrawal

Dr. Richard Rawson and his colleagues, who developed the neuro behavioral model of recovery from cocaine addiction, identified four different stages of recovery that are commonly experienced by people during their recovery. These stages are rough guidelines for the recovery process.

Each of these four stages involves potential changes in your behavior, emotions, thinking, and interpersonal relationships. Following is a brief summary of symptoms or behaviors associated with each stage.

Stage 1: Withdrawal (0-15 days) You may sleep more, act impulsively, or feel depressed, anxious, shameful, fearful, confused, or self-doubt.Cravings to use cocaine are strong, and you may have trouble concentrating or coping with stress. You may become irritated easily with other people.

Stage 2: Honeymoon (16-45 days)You begin to feel better physically, your energy increases, and you feel more optimistic and confident about your life. You may even begin to feel your cocaine problem is "under control" or "over," and, as a result, you may want to drop out of treatment early or stop your recovery activities, such as attending NA, CA, or AA meetings or stop following the disciplines of recovery. This may contribute to your use of cocaine or other substances again.

Stage 3: The Wall (46-120 days)This is seen as the major hurdle in recovery. You become more vulnerable to relapse as you feel reduced physical or sexual energy, depressed, anxious, irritable, or bored; have trouble concentrating; and feel strong cravings or thoughts about using cocaine.

Stage 4: Adjustment (121-180 days)If you get through the previous stages, you may feel a great sense of accomplishment. Life begins to feel like it's getting back to normal as you adjust to changes in your lifestyle. Although your mood improves, you still continue to feel bored and may even feel more lonely than you did before. Cravings for cocaine occur less frequently and intensely, and you may begin to question whether you have an addiction. You may even put yourself in high-risk situations that increase your relapse risk.

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Comments, Suggestions? 

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  • Reply
    dopelesshopefiend dopelesshopefiend Sep 6, 2009 @ 3:29 am
    OMG!!!!! Why didn't anyone ant any of my treatments facilities, any councelors, any psychologist, anyone at na/aa ever tell me about PAW (post Acute Withdrawl) I though I was the only one having these crazy mood swings, emotional breakdowns, and anhedonia (normal pleasurable things do not impact me at all-no emotional change).
    I am doing all I can to stay sober and not relapse- and the knowledge of this syndrome gives me so much hope!!!!!! spread the word-tell other people in recovery! This too shall pass! AMEN! Thank You God- I've been sober for 55 days now, It's a miracle!!!!!!!!!!!!
  • Reply
    denman4 denman4 May 9, 2007 @ 9:57 am
    Great lens! I'm building a lens about Alcohol Withdrawal - Take a look at this lens and rate it for me! Thanks, denman4
  • Reply
    The_Lang_Report The_Lang_Report May 8, 2007 @ 10:54 pm
    Great lens with some extremely enlightening information. I beleive it will helo me deal better with some issues that have been causing me difficulty. Knowing about PAWS answers some questions I've had for some time now. Thanks!

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Hello. I'm Bill Urell,an addictions therapist at a leading residential treatment center. I teach healthy life styles and life skills. I have 15 y...

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