Post-Acute Withdrawal Syndrome: Symptoms, Treatment
But treatment varies based on the severity of alcohol withdrawal and the likelihood that it could progress to severe or complicated withdrawal. Symptoms of alcohol withdrawal tend to peak 24 to 72 hours after your last drink. It affects about 50% of people with alcohol use disorder who stop or significantly decrease their alcohol intake. AUD is the most common substance use disorder in the U.S., affecting 28.8 million adults. It’s not a lack of effort or motivation – it’s simply your brain working hard to repair itself.
Common symptoms of PAWS
Alcohol detox symptoms like delirium tremens (the shakes) can last for days or even weeks, depending on how much and how long the person has alcohol withdrawal syndrome symptoms been drinking. The timeline for brain recovery varies from person to person, depending on factors such as the duration and severity of alcohol use, age, and overall health. Generally, brain fog and other cognitive impairments begin to improve within a few weeks of quitting alcohol, with continued progress over several months. After six months of sobriety, many individuals report significant improvements in memory, concentration, and overall mental clarity.
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- Medical supervision and therapeutic interventions remain essential during this period.
- By the end of your first month of sobriety, the benefits of better sleep, improved hydration, spending less and decreased calorie intake will be growing.
- When alcohol consumption is stopped, a series of alcohol withdrawal symptoms that might range from minor discomfort to serious anguish can appear.
- Understanding what to expect can help you stay on track and feel more in control as your brain begins to heal.
Your risk of having a seizure is highest within the first 12 hours after stopping or reducing alcohol. You’re also at a higher risk if you have a history of epilepsy, hypoglycemia, or an electrolyte imbalance. Anti-seizure drugs such as gabapentin and carbamazepine can help reduce your craving for more alcohol. Studies show that gabapentin can also help improve your sleep and mood, which may make you less likely to relapse.
Long-Term Recovery

Alcohol withdrawal symptoms can range from mild physical and psychological discomfort to severe, life-threatening conditions. The dysregulation of these neurotransmitters during withdrawal can contribute to the psychological symptoms experienced by individuals. The first hours following cessation initiate the alcohol withdrawal timeline, introducing the early withdrawal symptoms phase. A common question when people think of detoxing from drugs is how to deal with drug withdrawal.
Should I seek medical help for withdrawal?
Three weeks had passed since her last drink, and the physical symptoms of alcohol withdrawal—the shaking, nausea, and sleepless nights—had finally subsided. But then, seemingly out of nowhere, waves of anxiety crashed over her, accompanied by crushing fatigue and an inability to concentrate on even simple tasks. Understanding how long PAWS lasts is crucial for anyone in recovery, their families, and their support systems. In this comprehensive guide, we’ll explore the duration of PAWS, factors that influence its timeline, and evidence-based strategies for managing symptoms. If someone is struggling with alcohol use disorder and trying to quit drinking, professional help may be necessary.
Several reviews, including a 2018 review and a 2014 review, have noted that sleep disturbances are common during cannabis withdrawal. Sometimes, your symptoms after stopping antidepressant use are part of the “rebound symptoms” — in other words, the symptoms you were trying to treat with antidepressants start coming back. A 2020 study looked at experiences of PAWS after stopping antidepressants based on self-reported symptoms on an internet forum. These experiences were recorded 5 to 13 years after stopping antidepressants. We specialize in compassionate, evidence-based care tailored to your needs. Whether you’re seeking help for yourself or a loved one, we’re here to guide you every step of the way.

Severity of Dependence
- Treatment teams will work together to create an individualized detox plan that considers the individual’s AUD severity, co-occurring mental health issues, and medical history.
- These conditions can complicate the recovery process and require additional support and treatment.
- There are various withdrawal effects that can develop and the most feared and dangerous is known as delirium tremens (DTs).
- For many people, giving up alcohol is a step in the right direction toward a healthier lifestyle.
- That can cause uncomfortable physical and mental symptoms, which can sometimes be life-threatening.
Opioid PAWS affects an estimated 90% of individuals recovering from opioid addiction, making it one of the most common forms of post-acute withdrawal. Symptoms typically include insomnia, depression, anxiety, intense cravings, muscle tension, and poor impulse control. The duration of opioid PAWS can vary significantly, but most individuals experience the most intense symptoms during the first three to six months of recovery. Some symptoms, particularly amphetamine addiction treatment those related to mood regulation and cravings, may persist for up to eighteen months as the brain’s opioid receptors slowly return to normal function.
Withdrawal from substances like alcohol and benzodiazepines can be life-threatening if not managed properly. If you experience severe symptoms like confusion, hallucinations, or seizures, it’s time to seek professional help. Alcohol withdrawal happens when someone who is physically dependent on alcohol suddenly stops or reduces their alcohol intake 3. Withdrawal symptoms typically begin as soon as 6 hours after the last drink.
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And, while there are things to help yourself through detox, severe symptoms such as withdrawal seizures need medical supervision. Alcohol withdrawal shaking, also known as tremors, is typical when heavy drinkers suddenly stop drinking. Because alcohol withdrawal shaking can begin 5 to 10 hours after the last drink, people with severe alcohol use disorder often wake up with tremors. The PAWS symptoms of alcohol withdrawal can come and go — you might feel well one day and very uncomfortable the next. According to a 2021 study, PAWS is one of the major causes of relapse in people with alcohol use disorder.