There is a subset of detox symptoms that doesn’t get talked about enough. These ailments are cunning, baffling, powerful, and can throw you for a loop if you don’t know what to expect. Early recovery is hard enough without surprises. We’re talking about PAWS - post acute withdrawal syndrome. If you’ve never heard of it, you’re not alone. Yet, PAWS can play a bigger role than you may think in men’s early recovery.
PAWS is the collection of withdrawal symptoms that linger after the initial acute detox phase is over. Essentially your brain is throwing one last temper tantrum wanting to know where all the drugs and alcohol went. If detox was the melt down, PAWS is the last ditch effort by the brain to get what it wants.
Symptoms may include:
While acute withdrawal is much more physical in nature, PAWs is a lot more emotional and mental. Symptoms can pop up unexpectedly and, to make things even more fun, can last for months or even years (although this is heavily dependent on use history and personal biology).
The short answer: Your brain is beginning to heal.
The long answer: Addiction rewires your brain’s reward system. Substances like alcohol or drugs flood your brain with dopamine, creating a sense of euphoria. But with time you develop a tolerance and your brain stops producing dopamine on its own because it’s used to getting an artificial boost. When you suddenly stop using substances, your brain needs time to recover and relearn how to regulate itself. PAWS is basically your brain hitting the reset button.
If you’re wondering why gender even matters here, it’s because men and women experience addiction, and recovery, differently. Biology, hormones, and social norms all play roles.
Here’s how PAWS can uniquely impact men:
Emotional Regulation
Society often tells men to “man up” and keep their emotions in check. Recovery requires you to feel everything. PAWS can amplify emotions, making it harder to process feelings without defaulting to anger, isolation, or shutting down. For men, this emotional rollercoaster can feel like unfamiliar territory.
Sleep Disturbances & Fatigue
Sleep issues are a hallmark of PAWS. Insomnia can make you feel like a zombie during the day, which only fuels irritability and cravings.
Brain Fog & Concentration Issues
Many men take pride in being sharp, focused, and productive. PAWS-induced brain fog can make even simple tasks feel impossible, which can be frustrating. It’s easy to fall into the trap of self-criticism when your mental clarity takes a hit.
Social Pressures
Men often face pressure to be “the rock” for their families or peers. PAWS symptoms like mood swings and irritability can make it tough to live up to that expectation, leading to guilt or shame.
Cravings & Relapse Risk
PAWS is notorious for triggering cravings. Men’s social circles can sometimes involve environments where substances are normalized (think tailgates, poker nights, or post-work happy hours). The combination of cravings and social triggers can feel like a one-two punch.
While PAWS might sound daunting, there’s good news: you can manage it. Here’s how:
Build a Support Network
Surround yourself with people who understand what you’re going through. Whether it’s a therapist, a men's 12-step group, or a sober friend, having a support system is crucial. And remember, it’s okay to lean on others.
Prioritize Self-Care
Men don’t talk about self-care enough. Get enough sleep, eat nutritious foods, and exercise regularly. Physical health has a direct impact on mental health, and every little bit helps.
Practice PatienceRecovery is a marathon, not a sprint. Remind yourself that healing takes time. Celebrate small victories along the way.
Use Mindfulness TechniquesMeditation, deep breathing, and grounding exercises can help you stay present and manage stress. These tools are especially helpful when cravings or mood swings strike.
Stay Connected to TreatmentContinuing therapy or attending aftercare programs can provide the structure and accountability you need to navigate PAWS. Professionals can also help you recognize triggers and develop coping strategies.
If you’re considering treatment but worried about how detox or PAWS might affect you, give us a call today. Our clinical team can walk you through the process, answer any questions, and help you get set up for a journey to the other side of addiction. We know what it’s like because we’ve been there. We’re here to help.