TDS PAWS Discussion Thread

Eveleivibe

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PAWS (Post-Acute Withdrawal Symptoms) tends to come after the acute withdrawal period which can differ depending on which opiate the person is withdrawing from. There is a lot of confusion arounds PAWS. Some get it confused with the initial withdrawal period, some people may be having a bad day n confuse it with PAWS.

Anyway NSA gave me the idea to start a thread as so often people discuss PAWS but it's in the wrong thread, going off- topic and so forth.

So here's a thread for anyone going through PAWS, worried about PAWS, had a bad/good experience with PAWS, knows some treatment to lesson PAWS or amyone who may want a discussion/debate/to show research/info on PAWS. Please post here

All the best
<3 Evey xxxx




NSA EDIT: I added this information for the benefit of people and as an introduction to this thread. It was posted in Eveleivibe's post because she wanted it at the begining of the thread and this sentence was also added at evel's request as she wanted it known that this was from me.




PAWS- Post Acute Withdrawal Syndrome


PAWS is the name given, collectively, to all possible symptoms that clean addicts commonly experience after detoxification. PAWS is the main force that drives use once an addict has broken away from physical dependence. PAWS is commonly referred to as the "psychological addiction" and is also the force that drives chronic use of substances that do not cause physical dependence. PAWS also drives compulsive performance of actions, associated with addictive behaviors, such as sex, work, shopping. It is the real power of addiction. PAWS symptoms usually begin to occur between seven and fourteen days after the acute period of withdrawal, and usually peak between three and six months after the start of abstinence. The symptoms of paws can however resurface at any point in an addict's life and have been seen to be a consistent life long battle for an unfortunate few.


Also referred to as:
  • The protracted withdrawal syndrome,
  • Chronic brain toxicity,
  • Long-term neuropsychological impairment
  • Long-term neurocognitive impairment


The most common post-acute withdrawal symptoms are:
  • Mood swings
  • Anxiety
  • Irritability
  • Tiredness
  • Variable energy
  • Low enthusiasm
  • Variable concentration
  • Disturbed sleep
  • Anhedonia (an inability to experience joy).
  • Depression.
  • Behaviors associated with OCD.
  • Difficulty focusing.
  • Disturbances in autonomic functioning.
  • Lapses in memory.
  • Hyper arousal with regards to stressful situations.
  • Agitation.
  • Inability to solve simple problems
  • Disorganized thought patterns
  • Difficulty sleeping or staying asleep
  • Sexual dysfunction
  • Mood swings
  • Depression
  • Drug or alcohol cravings
  • Self imposed isolation
  • Exhaustion
  • Poor physical coordination (dry drunk)
  • Memory troubles
  • Lack of emotional response or inability to feel emotions
  • Fibromyalgia like pain
  • Change or changes in appetite
  • Fatigue
  • Thoughts of suicide
  • Homicidal Ideation
  • Racing thoughts





"The Three Headed Dragon"
Three+Headed+Dragon+1.jpg


Addiction is defined as “a chronic relapsing condition characterized by compulsive drug-seeking and abuse and by long lasting chemical changes in the brain.” - MedTerms
The term relapse is the most significant in the definition of addiction. Mark Twain’s famous quote “Quitting smoking is easy, I’ve done it dozens of times” helps express how addiction becomes a physical and psychological disorder.

"The Three Headed Dragon"
The metaphor of the three headed dragon was first popularized by a therapist in San Francisco. The first head is physical. Addiction is a chronic illness requiring a lifetime of attention. The second head is psychological. Addiction is a disorder with mental, emotional, and behavioural components. And the third head of the dragon is spiritual. Addiction is an
existential state, experienced in isolation from others.

“Chasing the Dragon”
The term “chasing the dragon” is a term used by addicts in an effort to catch the first high they had on their drug of choice. “Because of the
unique reaction that the genetically addiction prone individual experiences to his drug of choice, he or she programs his or herself belief
system with the deep conviction that the substance is ‘good,’” writes Richard Seymour. “This is where self-help becomes intrinsic to recovery. Unless one deals with the third head, unless one changes the
belief system and effects a turning-about in the deepest seat of consciousness, there is no recovery…”

- “The Chemical Carousel”
by Dirk Hanson





POSSIBLE CAUSES OF PAWS

The root of PAW symptoms is as of yet unknown, but the syndrome may be in part due to persisting physiological adaptions in the central nervous system manifested in the form of continuing but slowly reversible tolerance, disturbances in neurotransmitters and resultant hyper excitability of neuronal pathways. Stressful situations arise in early recovery, and the symptoms of post acute withdrawal syndrome produce further distress. It is important to avoid or to deal with the triggers that make post acute withdrawal syndrome worse. The types of symptomology and impairments in severity, frequency, and duration associated with the condition vary depending on the drug of use. source




Links for Post Acute Withdrawal Syndrome (PAWS)

 
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Great idea for a thread Evey! I wish that I had known about what PAWS really entailed when I was quitting opiate pain meds in 2011. I thought well just get through the withdrawals after a week and I would be okay. But I wasn't and didn't understand why.
 
This is Intresting to finally know what paws is. I had seen the word used around BL but for some reason, first thing that came to mind was menopause lol.

I can't say I've ever been through it. I've never even withdrawn from opiates before.

Is paws a result of just opiate use? Or can it develop after benzo withdrawal aswell?
 
I need to try and find the article - but I remember reading a study that says 30 minutes of exercise everyday will cut the length of PAWS symptoms by 50% because it helps your brain revert back to normal more quickly. That's a HUGE decrease in the length of time one suffers from PAWS - considering it can last years in some cases.

As far as symptoms of PAWS I am experiencing, (at 8 months) I still have a bit of a sensitivity to temperatures - feeling extra hot or extra cold depending. Especially when entering a warm or cool room, takes me longer to adjust than it should.
My insomnia/difficulty falling asleep seems to be worse for at least a few days, every time I celebrate another month sober.
Until recently I still had a LOT of trouble focusing while reading/meditating - however been exercising and trying to read more often and it seems to be getting better.

If I think of anymore I'll edit.
 
Great idea for a thread Evey! I wish that I had known about what PAWS really entailed when I was quitting opiate pain meds in 2011. I thought well just get through the withdrawals after a week and I would be okay. But I wasn't and didn't understand why.

Thanks TC. It was NSA's idea really. When I've finished my assignment after next Monday I'll do some research n put some links up if that's ok. If it helps people that's the main thing.

CH 41 days is ace well done. Case that would be ace if you could find that article - anything to help others. And als exercise releases feel good homones, endophins.
 
CP have you ever talked to a counsellor/psychotherapis about your PTSD? Do you think you'd be able to?
For some people it re- traumatises them to talk about things too soon do you think you'd be reaady to do that?
Yeah and I don't think I want to do it but I should.

I am trying to accept how I feel though and be thankful for everything.

Thanks for your idea Evey.
 
omg 54 days no bupe, im in full blown paws,no sleep,im ill as a hornet,depressed,no energy,does it really get better ?,will i ever feel normal?
 
Well done on 54 days, edgeslade. You'll get better in time it's just that your brain is now repairing. I'm sorry that you're feeling ill right now but as hard it things may seem right now please try to think of the hard work you've done; those 54 days n quitting in the first place.
Also try to move as much as much as you can even if that's walking round the house exercise is meant to help wellbeing.

Take care, Evey x
 
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