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Understanding PAWS: Post-Acute Withdrawal Syndrome

  • John Michael Lim
  • Jun 29
  • 3 min read

Updated: Jun 30

Detoxification is often thought of as a short-term process, lasting a few days or weeks. However, for many individuals, withdrawal symptoms can persist long after the acute phase ends. This lingering condition is known as Post-Acute Withdrawal Syndrome (PAWS). Understanding PAWS: Post-Acute Withdrawal Syndrome is essential for anyone on the journey to recovery, as it prepares individuals for the long-term emotional and physical hurdles that may arise. With the right knowledge and support from a professional rehabilitation center in Beverly Hills, like Synergy Empowering Recovery, individuals can manage PAWS effectively and maintain lasting sobriety.

What Is PAWS and Why Does It Happen?


PAWS refers to the set of persistent withdrawal symptoms that continue even after the body has eliminated the addictive substance. While acute withdrawal typically involves severe but short-lived symptoms, PAWS can last for months or even years. These symptoms are often less physically intense but can significantly impact emotional stability and quality of life.


PAWS occurs because addiction changes the brain’s chemistry, structure, and function over time. Even after substances are cleared from the system, the brain’s ability to regulate mood, stress, sleep, and cognitive functions remains impaired. Healing the brain’s neurochemical balance is a slow process, and PAWS is a reflection of that ongoing recovery.


Common signs of Post-Acute Withdrawal Syndrome include:

  • Mood swings

  • Depression

  • Anxiety

  • Irritability

  • Low energy and fatigue

  • Sleep disturbances

  • Poor concentration

  • Cravings

  • Increased sensitivity to stress


These symptoms can emerge suddenly, even after weeks or months of feeling stable, making PAWS one of the most frustrating and misunderstood aspects of recovery.


Without proper education about PAWS: Post-Acute Withdrawal Syndrome, many individuals mistakenly believe they are experiencing a relapse or think their recovery efforts have failed. Recognizing PAWS for what it is — a normal part of brain healing — is key to staying motivated and committed to sobriety.


Managing PAWS: Long-Term Strategies for Recovery


Successfully managing PAWS requires a combination of patience, resilience, professional support, and proactive self-care. Here are some proven strategies that help individuals cope:

  • Therapy and Counseling: Ongoing therapy provides critical emotional support during PAWS. Cognitive Behavioral Therapy (CBT), in particular, helps individuals challenge negative thought patterns and develop healthier coping skills.

  • Medication Management: In some cases, temporary use of antidepressants, mood stabilizers, or sleep aids may be recommended to manage severe PAWS symptoms under careful medical supervision.

  • Routine and Structure: A consistent daily routine supports brain healing and reduces stress. Setting regular times for waking, eating, working, and sleeping helps stabilize mood and energy levels.

  • Stress Management Techniques: Mindfulness meditation, yoga, breathing exercises, and progressive muscle relaxation techniques are invaluable tools for handling emotional turbulence during PAWS.

  • Physical Exercise: Regular exercise boosts endorphin production, helping to combat depression and anxiety naturally. It also improves sleep quality and overall health.

  • Balanced Nutrition: Nutrient-dense foods provide the vitamins and minerals the brain needs to rebuild. Staying hydrated and eating well can significantly reduce the severity of PAWS symptoms.

  • Support Groups: Connecting with others who understand the experience of PAWS reinforces resilience and offers a sense of belonging. Groups like AA, NA, or SMART Recovery can provide ongoing encouragement.

  • Self-Compassion and Patience: Recovery is not a straight line. Being gentle with oneself, acknowledging small victories, and accepting occasional setbacks without self-judgment are vital to long-term success.

  • Awareness of Triggers: Identifying and avoiding triggers — whether people, places, or situations — that provoke cravings or emotional instability can prevent setbacks during vulnerable periods.


With professional help from a respected rehabilitation center in Beverly Hills, individuals dealing with PAWS are equipped with customized tools, therapies, and medical resources to navigate this extended withdrawal phase without losing hope.


Building a Foundation for Long-Term Healing


PAWS can be discouraging, but it is not permanent. Most symptoms gradually fade as the brain continues to heal, typically over a period of six months to two years depending on the severity of addiction and overall health. The critical factor is to stay committed to recovery strategies even when progress feels slow.


Facilities like Synergy Empowering Recovery understand the complex journey that PAWS represents. By providing not just immediate detox care but long-term emotional and psychological support, they create a pathway where clients can weather the ups and downs of healing without feeling isolated or defeated.


Overcoming PAWS: Post-Acute Withdrawal Syndrome is about recognizing that recovery extends far beyond detox. It’s a life-long rebuilding process that deserves compassion, patience, and expert care.


At Synergy Empowering Recovery, located at 9665 Wilshire Blvd., Beverly Hills, CA 90212, we specialize in comprehensive addiction treatment that addresses every phase of healing — from acute detox through long-term recovery challenges like PAWS.


If you’re ready to invest in a future free from the lingering effects of addiction, call Synergy Empowering Recovery today at (323) 488-4114. Our expert team is ready to walk beside you every step of the way, offering hope, healing, and enduring support.

 
 

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