Understanding Post-Acute Withdrawal Syndrome (PAWS)

Recovering from addiction can be challenging, especially if you experience Post-Acute Withdrawal Syndrome (PAWS) after detoxing. PAWS symptoms can persist long after the acute phase of withdrawal, but knowing what to expect can help you stay on track toward recovery.

At Buckhead Behavioral Health in Atlanta, Georgia, we offer aftercare programs, peer support groups, medication-assisted treatment (MAT), and outpatient therapy to help you overcome PAWS and succeed in long-term recovery.

What is PAWS?

PAWS refers to withdrawal symptoms that linger beyond the initial detox phase. While acute withdrawal symptoms are often physical, such as headaches or nausea, PAWS symptoms are typically emotional and psychological, lasting weeks, months, or even years in some cases.

Causes and Risk Factors of PAWS

PAWS occurs because the brain needs time to recover from addiction. Substance abuse disrupts your brain’s reward system, making it harder to function normally without drugs or alcohol. Risk factors for PAWS include:

• Long-term or severe addiction
• Polysubstance abuse
• History of trauma or chronic stress
• Co-occurring mental health disorders
• Poor overall health

Symptoms of PAWS

PAWS symptoms can affect both mental and physical health, including:

• Anxiety and depression
• Mood swings and irritability
• Difficulty concentrating or remembering
• Insomnia and fatigue
• Cravings and urges
• Digestive problems or headaches

These symptoms can make recovery challenging, increasing the risk of relapse.

PAWS Symptoms Timeline

PAWS symptoms often persist for weeks to months after acute withdrawal. For some, symptoms may last years or come and go in cycles. Factors like the type of substance abused, duration of addiction, and underlying mental health conditions influence how long PAWS lasts.

• Alcohol PAWS Timeline: Symptoms may persist for up to two years or longer, with sleep disturbances lasting one to three years.

Treatment for PAWS

Although PAWS isn’t an official diagnosis, its symptoms can be managed with professional help. Treatment options include:

• Medication-Assisted Treatment (MAT): Helps manage symptoms of opioid and alcohol withdrawal.
• Therapy and Support Groups: Mental health therapy and peer support groups provide guidance and encouragement.
• Sober Living Homes: These can help reduce the risk of relapse during early recovery.

Tips for Managing PAWS

You can take steps to ease PAWS symptoms and stay focused on recovery:

• Stick to your therapy and support group schedules.
• Practice self-care, such as eating well, exercising, and getting enough sleep.
• Identify triggers that worsen symptoms.
• Explore creative outlets like journaling, art, or music.
• Be patient and kind to yourself during recovery.

Remember, PAWS is temporary. With the right support and tools, you can overcome it and build a healthy, fulfilling life in recovery.