Post-Acute Withdrawal Syndrome (PAWS)
Post-Acute Withdrawal Syndrome
What Is Post-Acute Withdrawal Syndrome (PAWS)?
Post-acute withdrawal syndrome (PAWS) is a set of symptoms that can occur after quitting alcohol or drug use. These symptoms can persist for several months to two years.
Unlike the acute withdrawal symptoms that occur in the first few days or weeks after stopping drug or alcohol use, PAWS is more psychological and emotional.
Understanding the Two Stages of Withdrawal: Acute and Post-Acute
When a person with a substance use disorder (SUD) stops taking drugs, they go through two stages of withdrawal.
Acute Withdrawal (Detox)
Acute withdrawal is the first stage of detox. During this phase, you will likely experience physical withdrawal symptoms like shaking, nausea, or sweating.
In addition to physical withdrawal symptoms, acute withdrawal can also cause emotional distress and intense cravings. Once the acute withdrawal phase is over, individuals typically transition to the second withdrawal stage.
Post-Acute Withdrawal
The second phase of detox is post-acute withdrawal syndrome. During this phase, you will likely experience a collection of psychological and mood-related symptoms that occur as the brain recovers from the effects of active addiction.
People also refer to PAWS as prolonged withdrawal syndrome, post-withdrawal syndrome, or protracted withdrawal syndrome. Despite the discomfort, it’s important to know that PAWS is temporary. Over time, the symptoms will fade, and individuals will feel better.1
Symptoms of PAWS
PAWS can manifest in a variety of ways and can differ from person to person. Some common symptoms of PAWS include:
- Mood swings and irritability
- Anxiety and panic attacks
- Depression
- Insomnia or other sleep disturbances
- Lack of energy and motivation
- Difficulty concentrating and making decisions
- Cravings for drugs or alcohol
Furthermore, these symptoms can occur at any time during the PAWS period and can last for several days or weeks.
PAWS and Relapse
One of the most dangerous aspects of PAWS is that many people are unaware of it. There is a common belief that after detox, when all the drugs are out of the system, everyday life will resume.
However, this is not the case. Those who experience the recurring and prolonged discomfort of PAWS without understanding it can become demoralized, depressed, anxious, and prone to relapse. Watch the video above to learn more.
Getting Help with PAWS
At Tree House Recovery in Denver, Colorado, we understand that PAWS can be a challenging obstacle in the recovery process. Our team of experienced and compassionate addiction counselors has helped countless individuals manage the symptoms of PAWS and overcome addiction.
Evidence-Based Therapies
Firstly, we offer various treatments to help individuals in their recovery journey, including individualized recovery plans tailored to each person’s unique needs.
Secondly, we provide evidence-based therapies, like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). These therapies help address and manage the emotional and psychological challenges of addiction. We also offer one-on-one therapy, group therapy, and support groups, which provide a safe and supportive environment for individuals to share their experiences and receive encouragement from others going through similar struggles.
Research has shown that exercise can help shorten the duration of PAWS and improve overall physical and mental health. A study conducted by Meeusen and De Meirleir (1995) found that regular exercise can help increase the production and release of certain neurotransmitters in the brain, such as dopamine, serotonin, and norepinephrine, which help alleviate some of the symptoms associated with PAWS. To help manage the symptoms of PAWS, we provide nutritional support and fitness programs to help rebuild physical health and improve mental and emotional resilience.2, 3
To help manage the symptoms of PAWS, we provide nutritional support and fitness programs to help rebuild physical health and improve mental and emotional resilience.
Lastly, we incorporate mindfulness and meditation practices into our treatment programs, which can help individuals manage stress and improve their overall well-being.
At Tree House Recovery, we believe in treating the whole person and addressing the underlying issues that contribute to addiction. Our goal is to help individuals achieve long-term recovery and lead fulfilling lives.
Summary: Post-Acute Withdrawal Syndrome (PAWS) occurs when withdrawal symptoms such as mood swings, anxiety, or sleep disturbances occur. PAWS symptoms can last for weeks or months after the last use of a substance. Tree House Recovery Co offers effective treatment to manage PAWS and support lasting recovery.
FAQs About PAWS
PAWS stands for Post-Acute Withdrawal Syndrome. It’s a condition that can present itself after the initial detox phase, bringing on lingering symptoms like anxiety, irritability, low mood, and sleep issues. These symptoms can occur because the brain needs time to heal and function normally without substances.
Each individual’s experience with PAWS is unique. For some, PAWS symptoms can be felt for weeks, and for others, several months. The duration often depends on the type of substance used, how long someone has been using it, and their overall health. PAWS is temporary, and with the proper support, symptoms will subside.
Several approaches can ease the symptoms of PAWS. Cognitive behavioral therapy (CBT), regular routines, exercise, mindfulness, and strong support systems play a role. These tools help stabilize mood, reduce cravings, and support the brain’s healing process.
We do. While we don’t have a program dedicated solely to PAWS, our outpatient model addresses it. At Tree House Recovery, we combine holistic therapy, fitness, nutrition, and peer support to help you manage symptoms and build long-term recovery.
PAWS is common for those struggling with addiction to experience after quitting substances like alcohol, opioids, benzodiazepines, or stimulants, especially after long-term use. Many programs can help with withdrawal management, like that of Tree House Recovery Colorado. Contact us today for more information.
Find a New Way Forward at Tree House Recovery
Our addiction resources are only the beginning. At Tree House Recovery in Denver, CO, we offer an intensive outpatient program (IOP) that gives you the support and structure needed to overcome addiction and establish a foundation for long-term sobriety. If you’re ready to start living a life you truly love, reach out to our team today at (720) 640-0202.
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- Heilig M, Egli M, Crabbe JC, Becker HC. Acute withdrawal, protracted abstinence and negative affect in alcoholism: are they linked? Addiction Biology. Published 2010;15(2):169-184. doi:https://doi.org/10.1111/j.1369-1600.2009.00194.x
- Meeusen R, De Meirleir K. Exercise and brain neurotransmission. Sports medicine (Auckland, NZ). Published 1995;20(3):160-188. doi:https://doi.org/10.2165/00007256-199520030-00004
- Bastioli G, Rice ME. Exercise Boosts Dopamine Release, and this Requires Brain-Derived Neurotrophic Factor. NYU Langone Health. Published 2022. https://med.nyu.edu/departments-institutes/neuroscience/research/journal-club/journal-club-2022-articles/exercise-boosts-dopamine-release-this-requires-bdnf