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Post Acute Withdrawal (PAW)

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Post Acute Withdrawal (PAW) The Sobriety Based Symptoms of Recovery PAW- What is it? PAW is the symptoms/things that people experience after they stop using alcohol ... – PowerPoint PPT presentation

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Title: Post Acute Withdrawal (PAW)


1
Post Acute Withdrawal (PAW)
  • The Sobriety Based Symptoms of Recovery

2
PAW- What is it?
  • PAW is the symptoms/things that people experience
    after they stop using alcohol or other drugs.
  • They are usually experienced after 7-14
    days.---after the early withdrawal. May vary with
    different drugs.
  • They are usually worst 3-6 months into recovery
  • They usually last from 6 months to 2 years

3
Lets take a closer look
  • What things did you experience during your using
    days?
  • What happens when you stop usingespecially
    during the first one or two weeks?
  • This is typically the Acute Withdrawal time.

4
The Brain is impacted long after this first few
days after you stop using.
  • If people dont understand these symptoms, that
    can increase the chance of relapse.
  • But the more you know about them, the better you
    can learn to deal with them.

5
Two Things to Remember
  • 1. The damage to the brain is usually
    reversiblethings will get betterthere is no
    need to fear.
  • 2. With a good recovery program and not using
    alcohol or other substances, your brain can get
    back in balance.

6
Were going to do two things in the next few
minutes
  • Get a chance to know what these PAW symptoms
    are--
  • And more importantly, were going to look at the
    tools you can use to deal with these symptoms.

7
Now Lets look at the PAW Symptoms
  • Inability to think clearly
  • Memory Problems
  • Emotional Overreaction or Numbness
  • Sleep Disturbances
  • Physical Coordination Problems
  • Oversensitivity to Stress

8
Thinking Problems
  • Have a hard time concentrating/paying attention.
  • Having rigid, repetitive thinking.
  • Difficulty dealing with non-concrete (abstract)
    concepts or ideas.

9
Memory Problems
  • Short term memory
  • Hear something and understand it, and 20 minutes
    later you cant remember it.
  • Long term memory
  • Sometimes,under stress, cant remember important
    events from the past. They arent gone, just
    forgotten for the moment.

10
Emotional Problems
  • Over-reaction to situations-everything becomes a
    big deal.
  • When the stress gets too great, tend to shut
    downbecome emotionally numb.

11
Sleep Problems
  • Unusual or disturbing dreams.
  • Hard to fall asleep.
  • Difficulty staying asleep.
  • Restless sleep dont feel rested when you awake.
  • Changes in sleeping/awake cycles.

12
Physical Coordination Problems
  • Trouble with balance
  • Dizziness
  • Poor eye/hand coordination.
  • Clumsiness
  • Accident Prone
  • Slow reflexes

13
Difficulty dealing with Stress
  • Cant recognize stress at low levels.
  • Over-react when stress is recognized.
  • May do things inappropriate for the situation.
  • Other PAW symptoms become worse under stress.

14
No wonder I have a hard time getting along
  • You may feel
  • Embarrassed
  • Filled with Shame
  • Feel inadequate or less than others
  • OK, Show me how to deal with this..

15
Managing the Symptoms
  • You can manage the symptoms so they
  • Become less frequent
  • Are less severe
  • Last shorter periods of time.

16
Here are some of the recovery tools youll need
to use.
  • 1.Get regular feedback from those you trust
  • Therapy group
  • Professional counselor/doctor
  • Self-help group
  • Sponsor
  • Need reality checks.
  • 2. Verbalize Need to talk about what your
    experiencing.
  • But talk to people who are not going to accuse,
    criticize, or minimize.
  • It helps your awareness of symptoms.

17
And More Recovery Tools
  • 3. Ventilate with safe people talk about what
    youre thinking and feeling even if it seems
    irrational.
  • Be open to helpful feedback.
  • 4. Reality Testing Ask someone you trust if you
    are making sensenot just what you are saying,
    but also your behavior.

18
And More Recovery Tools
  • 5. Problem Solving and Goal Setting
  • Identify and Clarify the Problem
  • Identify options and best possible outcome
  • Get feedback if needed
  • Take action and review outcome

19
And More Recovery Tools
  • 6. Backtracking If something isnt going well,
    stop and look at when things got off track. What
    could be done differently? Were there any PAW
    symptoms? How can you get back on track!!!

20
And More Recovery Tools
  • 7. Education and Re-Training
  • Learn all that you can.
  • Knowledge is Power
  • As a recovering person you need to know what is
    normal.
  • 8. Self-Protective Behavior
  • When all is said and done, you need to do what
    it takes to strengthen the recovery that you
    value and gives your life hope.

21
And More Recovery Tools
  • 9. NUTRITION
  • Reduces stress!!
  • 3 balanced meals and 3 snacks each day
  • Reduce sweets, caffeine, and nicotine
  • YOUR RECOVERY DIET!!

22
And More Recovery Tools
  • 10. Treat yourself to EXERCISE each day
  • It relaxes, calms, and reduces tension.
  • Produces brain chemicals that make you feel good.
  • Helps improve sleep
  • Helps weight control
  • HELPS YOU FEEL GOOD!!!

23
And More Recovery Tools
  • 11. Relaxation--Natural Stress Reducers
  • Daydreaming
  • Laughing
  • Playing
  • Music
  • Reading
  • And more
  • Taking a walk
  • Singing
  • Taking a hot bath
  • Soaking your feet
  • Massage
  • Relaxation tools
  • Deep Breathing
  • Tense/Relax muscles

24
Spirituality
  • 12. Spirituality as a key to healthy recovery
  • One of the best ways to deal with early dual
    recovery is to have an active relationship with a
    power greater than yourself.

25
And More Recovery ToolsSpirituality
  • MeditationPractice listening to and coming into
    the presence of your Higher Powerpraying only
    for knowledge of my HPs will for me and the
    strength to carry it out. (Step 11)
  • Prayerconversation with your Higher Power
  • Turning it over
  • Letting Go
  • Journalingkeeping a personal record of thoughts,
    feelings, ideas
  • Spiritual Fellowship friendship based on shared
    spirituality

26
And More Recovery ToolsSIMPLICITY
  • GROWING SPIRITUALLY ONE STEP AT A TIME
  • Personal Inventory
  • In the morning to plan the day
  • In the evening to review the day

27
Your Keys to Dual RecoveryThe HOW of the Program
  • HONEST about what is happening,
  • OPEN to feedback and support
  • WILLING to use the tools of recovery

28
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