Post-Acute Withdrawal Syndrome (PAWS) refers to a group of symptoms that can occur after the initial withdrawal from addictive substances, often lasting for weeks or even months after someone has stopped using drugs or alcohol. Unlike acute withdrawal, which typically involves intense, immediate symptoms such as shaking, sweating, and nausea, PAWS involves long-term psychological and emotional symptoms that can make the recovery process more challenging.

PAWS is a common experience for individuals recovering from addiction, and it can be particularly difficult because the symptoms may not be as immediately noticeable as those during the acute withdrawal phase. For many individuals, the emotional and psychological impact of PAWS can trigger relapse, making effective treatment and support crucial in the early stages of recovery.

Symptoms of Post-Acute Withdrawal Syndrome (PAWS)

Symptoms of PAWS vary from person to person but often include:

• Mood swings: Irritability, anxiety, depression, or feelings of hopelessness.
• Fatigue: Extreme tiredness, difficulty sleeping, or feeling emotionally drained.
• Difficulty concentrating: Trouble focusing or completing tasks, commonly referred to as “brain fog.”
• Low energy: Persistent feelings of lethargy or lack of motivation.
• Cravings: Intense urges to use substances again as a way to cope with the discomfort of withdrawal symptoms.
• Sleep disturbances: Trouble falling or staying asleep, or experiencing vivid dreams and nightmares.
• Anxiety: Feelings of nervousness, panic, or restlessness.

These symptoms can vary depending on the substance that the person has been using, how long they used it, and the individual’s health.

What Substances Cause Post-Acute Withdrawal Syndrome?

PAWS is most commonly associated with substances that create a physical dependence, and while it can occur with a variety of drugs, it is especially prevalent among individuals who have abused alcohol, opioids, benzodiazepines, and stimulants. Here’s a breakdown of the substances that most often lead to PAWS:

Alcohol

Heavy, prolonged alcohol use can lead to physical dependence. Once the individual stops drinking, PAWS symptoms such as irritability, anxiety, and sleep disturbances can occur.

Opioids (Heroin, Prescription Painkillers)

Opioid withdrawal is infamous for causing both acute and long-lasting symptoms, including depression, anxiety, and cravings. Even after the physical withdrawal symptoms subside, PAWS can set in, prolonging the emotional struggles of recovery.

Benzodiazepines (Xanax, Valium)

Benzodiazepines can lead to physical dependence and PAWS symptoms like anxiety, depression, and insomnia, which can last much longer than acute withdrawal symptoms.

Stimulants (Cocaine, Methamphetamine)

After stimulant use, individuals may experience fatigue, depression, and intense cravings as part of PAWS, making it difficult to stay sober in the long term.

Can PAWS Occur with Marijuana?

Unlike the substances mentioned above, marijuana is not typically associated with severe physical dependence or intense withdrawal symptoms. However, regular and heavy marijuana use can still lead to psychological dependence and cause symptoms that can be categorized as milder forms of PAWS.

While marijuana withdrawal is generally not as severe as withdrawal from alcohol or opioids, it is still possible for individuals to experience symptoms like:

• Irritability
• Sleep disturbances
• Decreased appetite
• Mood swings
• Anxiety

These symptoms are typically shorter in duration and less intense but can still be challenging for individuals in recovery. For individuals who have used marijuana heavily or for long periods, especially in a way that interferes with their daily functioning, the symptoms of withdrawal and PAWS can be significant.

How to Manage PAWS in Recovery

Managing PAWS requires a combination of medical treatment, therapy, and support systems. At Silver Ridge Recovery, we understand that dealing with post-acute withdrawal symptoms can feel overwhelming, but our comprehensive treatment programs are designed to support individuals throughout the recovery process.

Our approach includes:

• Medical Detox: If needed, we offer medically-supervised detox programs that help manage withdrawal symptoms safely, including managing the initial stages of PAWS.
• Therapeutic Support: Cognitive-behavioral therapy (CBT) and other therapies can help individuals address the emotional and psychological challenges that come with PAWS.
• Holistic Approaches: Our recovery programs incorporate mindfulness, nutrition, and fitness to improve overall well-being, which can reduce the intensity of PAWS symptoms.
• Relapse Prevention: We teach coping strategies to deal with cravings, mood swings, and stress, which are often exacerbated by PAWS.

Why PAWS Treatment is Important

Without treatment, the symptoms of PAWS can undermine long-term sobriety, leading to relapse. Early intervention and effective treatment can help manage these symptoms, allowing individuals to regain stability and continue their path toward lasting recovery. At Silver Ridge Recovery, we provide a safe, compassionate environment for individuals to detox, recover, and thrive without the fear of PAWS taking control of their journey.

Start Your Recovery Journey Today

If you or someone you care about is struggling with addiction or dealing with the emotional and psychological symptoms of Post-Acute Withdrawal Syndrome, Silver Ridge Recovery is here to help. Our treatment programs are designed to support individuals through every phase of recovery, helping them manage symptoms and build a foundation for a healthier future.

Contact Silver Ridge Recovery today to learn more about how we can support you or a loved one in overcoming addiction and the challenges of PAWS.