What is PAWS (Post-Acute Withdrawal Syndrome)?
Advance Minds Blog
A safe space to explore subjects within the community such as mental health, substance abuse and personal identity.
Our safe space also provides the opportunity for real individuals to express their hardships and success through writing.
PAWS, or Post-Acute Withdrawal Syndrome, refers to a set of persistent withdrawal symptoms that can last for weeks, months, or even years after someone stops using drugs or alcohol.
Unlike acute withdrawal, which happens immediately after stopping use, PAWS affects the brain and body long after detox is complete.
Understanding PAWS is crucial for anyone in recovery—it helps explain mood swings, cravings, and why relapse can occur even when physical symptoms are gone.
1. What Causes PAWS? 🧬
- PAWS is caused by chemical imbalances in the brain after long-term substance use.
- Drugs and alcohol disrupt the brain's reward, stress, and emotional regulation systems.
- Once the substance is gone, the brain needs time to relearn how to function normally.
2. Common Symptoms of PAWS 😣
- Mood swings or emotional numbness
- Anxiety, panic, or irritability
- Depression or hopelessness
- Sleep disturbances (insomnia or vivid dreams)
- Fatigue or low energy
- Cognitive issues (poor concentration or memory problems)
- Drug cravings despite no longer physically dependent
3. Substances Linked to PAWS 🚫
PAWS is more common after quitting:
- Alcohol
- Benzodiazepines (like Valium or Xanax)
- Opiates (like heroin, oxycodone, or fentanyl)
- Stimulants (like cocaine or methamphetamine)
- Antidepressants or antipsychotics (if stopped suddenly)
4. How Long Does PAWS Last? ⏳
- PAWS can begin after the first few weeks of sobriety.
- Symptoms may come and go unpredictably.
- Duration varies, but symptoms typically fade over 6 to 24 months depending on the substance and personal health.
5. Coping With PAWS: What Helps? 💪
- Therapy: Talk therapy or CBT can help manage emotional symptoms.
- Support groups: Connection with others in recovery reduces isolation.
- Exercise: Boosts endorphins and supports brain healing.
- Nutrition: Healthy food improves brain and body recovery.
- Routine: Daily structure reduces stress and emotional instability.
- Patience: Understanding that healing is gradual can reduce frustration.
6. Is PAWS Dangerous? 🚨
- PAWS itself is not life-threatening, but it can be mentally and emotionally challenging.
- If left unaddressed, symptoms can lead to relapse, depression, or even self-harm.
- Professional support is key to navigating this phase safely.
Final Thoughts: PAWS Is a Phase—Not Forever 🌅
PAWS can make recovery feel overwhelming, but it’s a temporary stage.
With the right tools, support, and mindset, the brain heals—and life without substances becomes not just possible, but fulfilling.
If you or someone you love is struggling with long-term withdrawal symptoms, don’t give up.
Healing is happening, even when it’s hard to feel. 💙🌟
