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What is post-acute withdrawal (PAWS), and is it real?

Early recovery1 answer · asked 2 days ago
From the RecoveryHome team. We write some questions from situations people often ask us about, and answer them with general information from public health sources. Been through this yourself? Your answer could help the next person who finds this page. How we write team posts
RH
RecoveryHome team Team
asked 2 days ago

Some people hear that withdrawal symptoms can last for months. What is post-acute withdrawal, and what can you do about it?

RH
RecoveryHome team Team
answered 2 days ago · general information, not medical advice

"Post-acute withdrawal" describes symptoms that linger after the first, acute phase of withdrawal, such as trouble sleeping, low mood, anxiety, irritability, poor concentration, and cravings that come and go. It's commonly described in treatment, though it isn't a formal diagnosis, and how long it lasts varies a lot from person to person.

What's well established is that the brain needs time to recover after long-term substance use, and many people notice gradual improvement over weeks to months.

What helps:

  • A regular sleep schedule, meals, and daily exercise
  • Support from counseling and from groups such as AA or NA
  • Lower stress where you can, and patience with yourself
  • Seeing a doctor if symptoms are severe or not improving. Depression, anxiety, or sleep disorders may need their own treatment.

Knowing these symptoms are common, and usually improve, can make them easier to ride out.

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What is post-acute withdrawal (PAWS), and is it real? · RecoveryHome