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PAWS & post-rehab care: when recovery really starts

Updated: Feb 2, 2021

So much focus is placed on getting sober that sometimes it’s easy to forget that stopping drinking alcohol is just the beginning of a healthy recovery from addiction.

Aftercare – a crucial part of the treatment offered at Ocean Hills Rehab in Hawke's Bay – is important in establishing the right support to deal with the obstacles you may face in early sobriety.

Each week, the Ocean Hills community meets online to support each other and be guided by our professional team, who are always available after rehab for advice. We also encourage our clients to attend peer support recovery groups.

Withdrawals in early recovery

Many people experience acute withdrawal symptoms when they stop drinking alcohol. Usually these physical symptoms are mild and don’t last more than a week or so. Heavy drinkers will need medical supervision when stopping as detoxing can be very dangerous or even fatal. However with the right support, their acute symptoms can be managed well and fade within days or weeks.

Post-Acute Withdrawal Syndrome (PAWS)

What many people don’t realise is that another raft of withdrawal symptoms can arise in for the first two years of sobriety. Known as PAWS (Post-Acute Withdrawal Syndrome), this is experienced while the brain recalibrates without alcohol, and can cause psychological and emotional distress while it learns to make normals levels of endorphins and dopamine.

PAWS is a known risk factor in relapse risk but with the right treatment and support, it can be managed and overcome.

PAWS symptoms

As the body and brain heals from the stress of addiction, people can experience waves of feelings and symptoms that include:

  • Cravings to drink alcohol

  • Mood swings

  • Fatigue, insomnia and vivid dreams

  • Anxiety and depression

  • Lack of drive

  • Foggy thinking and lack of concentration.

These symptoms can feel like a rollercoaster – especially in the first few months of recovery – but as the brain and body recovers the effects slow down and gradually disappear.

Coping with PAWs Here are 7 practical tips for successfully managing the symptoms of post-acute withdrawal syndrome:

  1. Get professional help from mental health professionals when needed.

  2. Eat a healthy diet, exercise regularly and get enough sleep.

  3. Reduce stress and avoid situations and people that will trigger you and learn from unexpected, difficult situations.

  4. Cultivate and look after positive, supportive relationships.

  5. Journal and take regular time out to reflect on what’s working and what’s not.

  6. Be gentle and don’t push yourself too hard. If something is stressing you out, stop and come back to it when you’re feeling better.

  7. Give yourself time and realise that there will be bad days and moments along with the good as you heal.

If you’re struggling with addiction call Elaine on 027 573 7744.

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