Post Acute Withdrawal Syndrome (PAW, 1), sobriety-based symptoms, make sobriety challenging. Research documents that in 75-95% of recovering alcoholics tested, the presence of brain dysfunction. PAW, a bio-psycho-social syndrome, evolves from by alcohol or drugs damage to an addicted person's nervous system, along with the psycho-social stress of coping with life without using drugs or alcohol. Two things contribute to the severity of PAW:
The severity of the brain dysfunction caused by the addiction and the amount of psycho-social stress experienced in recovery. (PAW, 1)
Symptoms of PAW
Inability to think clearly Memory problems
Emotional overreactions or numbness
Sleep disturbances
Physical coordination problems
Stress sensitivity
The following stabilization techniques reportedly help a person remain drug free and retain sobriety,
Stabilization
Verbalization
Ventilation
Reality testing
Problem solving and goal setting
Backtracking (PAW, 7)
Managing PAWS
The following components contribute to managing PAWS:
Stabilization
Education and retraining
Self-protective behavior
Nutrition
Relaxation
Spirituality
Balanced living (PAW, 8)
Relapse
Relapse, reportedly the end result of an unconscious, albeit, progressive, sequence of warning signals "is not a single event (i.e. returning to abuse), rather it is a process," according to Gorski and Miller. The following list depicts numerous symptoms which may lead to a relapse: or what the 12 Step programs commonly call "stinking thinking."
Exhaustion person may permit him/her self to become overly tired and/or not care for his/her health. "Good health and enough rest are essential to recovery." (Crews)
Dishonesty -- a pattern of unnecessary "little" [?] lies and deceits initiate this pattern. Lies to oneself, rationalizing, creating excuses for doing what one knows he/she should not do follows.
Impatience
Argumentativeness.
Depression: Not dealing with negative feelings may lead to depression.
Frustration
Self-Pity
Cockiness
Complacency:
One needs to resolve...
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