Recovering from alcohol use disorder is not always a linear process. While the most intense withdrawal symptoms usually resolve within the first few days or weeks of quitting, some people experience lingering effects that last much longer. This constellation of symptoms, known as post-acute withdrawal syndrome, can be a significant challenge when you’re working to maintain your sobriety.
What Is PAWS?
Unlike acute withdrawal, which includes physical effects like shaking, nausea and insomnia, PAWS involves subtler, longer-lasting symptoms that are primarily emotional and psychological. PAWS occurs because your brain needs time to rebalance its chemistry after prolonged alcohol use.
In some cases, PAWS can last several months or even years. This extended adjustment period can be frustrating and may trigger cravings or a relapse if you don’t manage it.
Symptoms of PAWS
PAWS symptoms can come and go, often appearing suddenly and lasting for days or weeks at a time.
- Mood swings
- Irritability or anger
- Anxiety and panic attacks
- Depression or apathy
- Fatigue or low energy
- Insomnia or vivid dreams
- Difficulty concentrating or memory problems
- Cravings for alcohol
- Sensitivity to stress
- Low motivation or feelings of hopelessness
Coping With PAWS
Long-term alcohol use affects how your brain produces and regulates neurotransmitters like dopamine and serotonin, which are essential for mood, motivation and emotional balance. When you quit drinking, your brain needs time to restore its usual function. PAWS reflects this ongoing neurochemical process.
Managing PAWS is an essential part of long-term recovery. The good news is that your symptoms should become less intense over time. Until then, you can ease unwanted side effects with these coping strategies.
- Recognize the symptoms: Being aware that this experience is a normal part of the recovery process for many people will reduce fear and frustration.
- Stick to a routine: A consistent daily schedule provides structure and stability, which can regulate your mood and sleep.
- Practice stress management: Techniques like deep breathing, meditation and yoga can reduce the impact of PAWS symptoms.
- Get regular exercise: Physical activity releases endorphins that combat depression, anxiety and low energy.
- Eat a balanced diet: Nutritious meals support neuroplasticity and well-being.
- Improve your sleep hygiene: Establishing a healthy bedtime routine can improve your sleep quality, even when insomnia is a problem.
- Avoid triggers: Stay away from situations or people that may tempt you to drink, especially during periods of heightened PAWS symptoms.
- Seek support: Talk to a therapist, join a support group or lean on understanding friends and family.
The Importance of Ongoing Treatment
Because PAWS can increase your risk of relapse, you should continue receiving care even after completing detox. Outpatient counseling, 12-step meeting attendance and relapse prevention planning are vital components of a successful recovery. At Pine Grove, we’ve designed our treatment program to meet the specific needs of adults with alcohol use disorder.
Our experienced clinicians understand that maintaining your sobriety is not merely a matter of willpower. The combination of physical and mental obstacles makes comprehensive, professional intervention and personalized recovery plans essential. Contact us today if PAWS makes it challenging for you to stay on track.
