Daily Archives: 10/11/2013

PAWS for thought

This has been a hellish week-end of cravings I have to say and if I have another week-end like this soon I am likely to crack!

The lovely peeps over at Soberistas were discussing Post-acute-withdrawal syndrome (PAWS) and I’m wondering if this is what I am experiencing?  This is described on Wiki as a set of persistent impairments that occur after withdrawal from substances, including alcohol.

The symptoms include:

  • psychosocial dysfunction
  • anhedonia
  • depression
  • impaired interpersonal skills
  • obsessive-compulsive behaviour
  • feelings of guilt
  • autonomic disturbances
  • pessimistic thoughts
  • impaired concentration
  • lack of initiative
  • craving
  • inability to think clearly
  • memory problems
  • emotional overreactions or numbness
  • sleep disturbances
  • physical co-ordination problems
  • stress sensitivity
  • increased sensitivity to pain
  • panic disorder
  • generalised panic disorder
  • sleep disturbance (dreams of using, behaviors associated with the life style)

Symptoms occur intermittently, but are not always present. They are made worse by stress or other triggers and may arise at unexpected times and for no apparent reason. They may last for a short while or longer.  Any of the following may trigger a temporary return or worsening of the symptoms of post acute withdrawal syndrome:

  • Stressful and/or frustrating situations
  • multitasking
  • feelings of anxiety, fearfulness or anger
  • social conflicts
  • unrealistic expectations of oneself


Knowing the above helps me intellectualise it but doesn’t actually stop the feelings which isn’t particularly helpful.  Another early night for me then …….