Completing detox is an important first step in recovery, but it doesn’t mean the journey is over. In fact, for many people, the most difficult challenges arise after the physical withdrawal ends. This stage is known as Post-Acute Withdrawal Syndrome (PAWS)—a set of ongoing symptoms that can linger for weeks or even months after detox.
If you or someone you love has recently completed detox, understanding PAWS can make a critical difference in staying committed to the recovery process and avoiding relapse.
What Is PAWS?
Post-Acute Withdrawal Syndrome refers to a group of symptoms that occur after the initial withdrawal phase. While acute withdrawal is the body’s immediate reaction to the absence of drugs or alcohol (typically lasting a few days to a week), PAWS reflects the brain’s longer-term process of rebalancing and healing.
This syndrome can affect anyone recovering from substances like alcohol, opioids, benzodiazepines, methamphetamines, and more.
Common Symptoms of PAWS
PAWS symptoms can feel confusing—especially when someone thinks they’re “done” with withdrawal. These symptoms are not the result of weakness or lack of willpower; they are neurochemical and emotional shifts that take time to regulate.
Typical PAWS symptoms include:
Anxiety or panic attacks
Depression or mood swings
Irritability or agitation
Sleep disturbances or vivid dreams
Trouble focusing or memory issues
Low energy or fatigue
Intense cravings
Emotional numbness or apathy
These symptoms can come and go in waves, making it difficult for individuals to know if they’re truly on the right path. That’s why continued care is so important.
How Long Does PAWS Last?
The duration of PAWS varies from person to person. For some, it may last a few weeks; for others, symptoms can persist for several months. Factors like length of use, type of substance, co-occurring mental health conditions, and overall health all play a role.
This unpredictability is why having a structured support system during recovery is essential.
How Hygea Supports Clients Through PAWS
At Hygea, we understand that the recovery journey doesn’t end with detox. Our team is trained to recognize and respond to the signs of PAWS with compassion and clinical expertise.
Clients in our residential and extended care programs receive:
Medical and psychiatric support to manage lingering symptoms
Individual and group therapy to process emotional ups and downs
Relapse prevention education to identify early warning signs
Peer support to normalize the experience and reduce feelings of isolation
Ongoing structure and accountability, which is critical during the fragile early months of recovery
To learn more about what our programs include beyond detox, explore our detailed Recovery Guides or visit our Facilities page to see where we provide care.
Why It’s Important Not to Stop at Detox
PAWS can make people question their progress, or feel like they’re failing even after putting in hard work. If you’re experiencing these symptoms—or watching a loved one struggle—know that it’s normal and treatable.
Stepping down from detox without a plan to manage PAWS is one of the most common reasons for relapse. This is why Hygea emphasizes full-spectrum, person-centered care that walks with you through every stage of recovery.
Need Support After Detox? We’re Here.
If you or someone you care about is struggling with symptoms after detox, don’t wait to get help. You don’t have to go through it alone—and you don’t have to guess at what’s normal.
Contact us today to learn more about our post-detox support and residential care options in Maryland. Recovery is a process—and we’re here every step of the way.
