{"id":173439,"date":"2024-03-25T13:45:15","date_gmt":"2024-03-25T17:45:15","guid":{"rendered":"https:\/\/screening.mhanational.org\/?post_type=article&#038;p=173439"},"modified":"2025-11-18T16:41:50","modified_gmt":"2025-11-18T21:41:50","slug":"how-do-i-cope-with-post-acute-withdrawal-syndrome-paws","status":"publish","type":"article","link":"https:\/\/screening.mhanational.org\/es\/content\/how-do-i-cope-with-post-acute-withdrawal-syndrome-paws\/","title":{"rendered":"\u00bfC\u00f3mo puedo lidiar con el s\u00edndrome de abstinencia postaguda (PAWS)?"},"content":{"rendered":"<p>It may seem like you\u2019re on a rollercoaster when you stop using substances. Suddenly stopping or drastically reducing your intake of <a href=\"https:\/\/screening.mhanational.org\/content\/why-cant-i-stop-using-drugs-or-alcohol\/\">alcohol or drugs can be very challenging<\/a>, because your mind and body are learning to adjust to living without something you were dependent on for a long time. Withdrawal can lead to physical discomfort as well as life-threatening health conditions. But remember, you were strong before your <a href=\"https:\/\/screening.mhanational.org\/addiction\/\">addiction<\/a> and can triumph in your <a href=\"https:\/\/screening.mhanational.org\/content\/what-is-recovery-like\/\">recovery<\/a>.<\/p>\n<h2>What is PAWS?<\/h2>\n<p><strong>PAWS, or Post-acute Withdrawal Syndrome<\/strong>, refers to the more lasting effects of withdrawal that may make it very hard to stay sober. Using substances for a long time or using a heavy amount will lead to more severe PAWS symptoms. However, this is not a sign of failure. It just means you\u2019re in recovery. PAWS symptoms show up as the brain resets from alcohol or drug use.<\/p>\n<p>Symptoms of PAWS may include:[1]<\/p>\n<ul>\n<li>An inability to think clearly, short-term memory lapses<\/li>\n<li>Emotional outbursts, irritability, anger and mood swings<\/li>\n<li>Sleep problems such as insomnia or disturbed sleep<\/li>\n<li>Low energy, dizziness<\/li>\n<li>Coordination issues, sluggish reflexes, balance problems<\/li>\n<li>Overreaction to stress with panic attacks<\/li>\n<li>Headaches, physical aches and pains<\/li>\n<\/ul>\n<p>In addition, lingering symptoms may occur based on the substance of choice.\u00a0 For example, alcohol withdrawal may take 6 months to a year, while opioids can take up to 2 years. But gradually, your brain chemistry will return to normal. [2]<\/p>\n<h2>PAWS does go away over time<\/h2>\n<blockquote><p>You don\u2019t really deal with life while you\u2019re using. For me it was almost like a shock to the system when I had to start feeling things.<\/p>\n<footer>Bill, Georgia<\/footer>\n<\/blockquote>\n<p>While the symptoms you experience in your recovery journey may be scary\u2014even terrifying, PAWS will go away.\u00a0 It may take days, weeks, months, or years, but it gets better as time goes on.\u00a0 Time and patience will help you overcome the unpredictability of symptoms that may occur.<\/p>\n<p>Different people have different experiences with withdrawal. One person may experience unsettling dreams about using.\u00a0 Another person may experience brain fog that feels like brain damage.\u00a0 Others may<a href=\"https:\/\/screening.mhanational.org\/content\/how-do-i-deal-with-anger-in-recovery\/\"> experience anger problems<\/a> for the first week, months, or even years of their recovery and lash out as if still addicted to alcohol or drugs. But they will be able to come out of it.<\/p>\n<p>The tricky thing is that symptoms of PAWS are lingering \u2013 they come and go\u2014but they are different for everyone.\u00a0 You may feel you\u2019re on the right track, and then a symptom appears, and you feel you are back to square one.<\/p>\n<p>It will get better if you remain free from substances.\u00a0 The thoughts, feelings, and sensations that go with withdrawal and PAWS are not permanent. It may seem like a long time to wait before you get better, but it will happen.<\/p>\n<h2>Ways to cope<\/h2>\n<blockquote><p>For me, learning about PAWS in early recovery and being aware was helpful, so when I felt these things I knew that it was going to happen and pass.<\/p>\n<footer>Jill, New York<\/footer>\n<\/blockquote>\n<p>As you make progress in your recovery, the occurrence of symptoms will be less and less as long as there is continued abstinence. Practicing <a href=\"https:\/\/screening.mhanational.org\/content\/how-can-i-manage-my-emotions-without-drugs-or-alcohol\/\">healthy coping strategies<\/a> for managing PAWS can help you to overcome the symptoms you may be experiencing.<\/p>\n<p>People have found working on their health by exercising and eating better makes it easier to process and deal with their experiences. Others have found talking to their sponsors every day or attending<a href=\"https:\/\/www.nonviolentcommunication.com\/learn-nonviolent-communication\/4-part-nvc\/?doing_wp_cron=1693256554.7719841003417968750000\"> anger management classes<\/a> beneficial. Others may find <a href=\"https:\/\/screening.mhanational.org\/content\/how-keep-mental-health-journal\/\">journaling<\/a> works \u2013 making lists about the consequences of using helps.<\/p>\n<p><a href=\"https:\/\/screening.mhanational.org\/content\/what-does-self-care-look-like-in-recovery\/\">Self-care is essential in your journey<\/a>. You may try positive affirmations, such as, \u201cI am strong.\u201d Or you may also find that getting into <a href=\"https:\/\/screening.mhanational.org\/content\/taking-care-of-yourself-spiritually\/\">your spirituality<\/a> and who you are as a spiritual person may help you cope. Remember to have self-compassion and take many breaks throughout the day to be good to yourself.\u00a0 Practice relaxation techniques like meditation.\u00a0 And take it one day at a time and try not to worry about the past or future. Put the focus on today and what you can successfully accomplish.<\/p>\n<p>Talking to a mental health professional who can help you<a href=\"https:\/\/screening.mhanational.org\/content\/your-mind-and-your-body\/\"> find support, therapy, or more medication may help as well<\/a>. It\u2019s crucial to<a href=\"https:\/\/screening.mhanational.org\/content\/how-can-i-identify-triggers-that-make-me-want-to-use\/\"> avoid triggers such as people and situations<\/a> that may lead to relapse. And finding support can help you heal.<\/p>\n<p>There are a number of resources you can go to find support:<\/p>\n<ul>\n<li>If you need immediate help, you can reach the Suicide &amp; Crisis Lifeline by calling or texting <a href=\"tel:+1-988\">988<\/a> or using the chat box at <a href=\"http:\/\/988lifeline.org\/chat\">988lifeline.org\/chat<\/a>. You can also <a href=\"sms:+1-741-741;?&amp;body=MHA\">text &#8220;MHA&#8221; to 741-741<\/a> to reach the Crisis Text Line. <a href=\"https:\/\/screening.mhanational.org\/content\/need-talk-someone-warmlines\/\">Warmlines<\/a> are an excellent place for non-crisis support.<\/li>\n<li>\u00a0You can also <a href=\"https:\/\/www.samhsa.gov\/brss-tacs\/recovery-support-tools\/peers\">find a recovery coach<\/a> to talk to.<\/li>\n<\/ul>\n<p>PAWS is not a life sentence. You are not alone on this journey.\u00a0It\u2019s normal to feel fear about confronting your issues. Keep your focus on getting better day by day and get support if you need it.\u00a0 You will overcome Post-acute Withdrawal Syndrome by staying on track and working toward your recovery.<\/p>\n<p>&nbsp;<\/p>\n<p><a class=\"button blue round caret collapsed\" href=\"#references\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"references\" data-toggle-text=\"Hide References\">Show References<\/a><\/p>\n<div id=\"references\" class=\"references collapse\">\n<ol>\n<li>Parisi, T., &amp; Hampton, D. (2024, January 18). <em>Post-Acute Withdrawal Syndrome (PAWS)<\/em>. Addiction Center. <a href=\"https:\/\/www.addictioncenter.com\/treatment\/post-acute-withdrawal-syndrome-paws\/\">https:\/\/www.addictioncenter.com\/treatment\/post-acute-withdrawal-syndrome-paws\/<\/a><\/li>\n<li>Sherell, Z., &amp; Lener, M.S. (2022, March 16). <em>How to cope with post acute withdrawal syndrome. <\/em>Medical News Today. <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/post-acute-withdrawal-syndrome\">https:\/\/www.medicalnewstoday.com\/articles\/post-acute-withdrawal-syndrome<\/a><\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<p>MHA\u2019s addiction articles, our pathway, and DIY tools were made possible through generous funding by Elevance Health Foundation.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-250650 aligncenter\" src=\"https:\/\/screening.mhanational.org\/wp-content\/uploads\/2017\/10\/Elevance_Health_Institute_Foundation_horizontal-color-1.png\" alt=\"\" width=\"292\" height=\"65\" srcset=\"https:\/\/screening.mhanational.org\/wp-content\/uploads\/2017\/10\/Elevance_Health_Institute_Foundation_horizontal-color-1.png 2286w, https:\/\/screening.mhanational.org\/wp-content\/uploads\/2017\/10\/Elevance_Health_Institute_Foundation_horizontal-color-1-768x171.png 768w, https:\/\/screening.mhanational.org\/wp-content\/uploads\/2017\/10\/Elevance_Health_Institute_Foundation_horizontal-color-1-1536x343.png 1536w, https:\/\/screening.mhanational.org\/wp-content\/uploads\/2017\/10\/Elevance_Health_Institute_Foundation_horizontal-color-1-2048x457.png 2048w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It may seem like you\u2019re on a rollercoaster when you stop using substances. Suddenly stopping or drastically reducing your intake of alcohol or drugs can be very challenging, because your mind and body are learning to adjust to living without something you were dependent on for a long time. Withdrawal can lead to physical discomfort &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/screening.mhanational.org\/es\/content\/how-do-i-cope-with-post-acute-withdrawal-syndrome-paws\/\" class=\"more-link\">Seguir leyendo<span class=\"screen-reader-text\"> &#8220;How do I cope with Post-Acute Withdrawal Syndrome (PAWS)?&#8221;<\/span><\/a><\/p>","protected":false},"author":23904,"featured_media":0,"template":"","age_group":[23,100,19],"condition":[90],"class_list":["post-173439","article","type-article","status-publish","hentry","age_group-11-17","age_group-over-18","age_group-under-11","condition-addiction"],"acf":[],"yoast_head":"<title>How do I cope with Post-Acute Withdrawal Syndrome (PAWS)?<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/screening.mhanational.org\/es\/content\/how-do-i-cope-with-post-acute-withdrawal-syndrome-paws\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How do I cope with Post-Acute Withdrawal Syndrome (PAWS)?\" \/>\n<meta property=\"og:description\" content=\"It may seem like you\u2019re on a rollercoaster when you stop using substances. Suddenly stopping or drastically reducing your intake of alcohol or drugs can be very challenging, because your mind and body are learning to adjust to living without something you were dependent on for a long time. 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