“Why do I still feel like crap even though I quit drinking?”
If you’ve ever asked yourself that question in early sobriety, you’re not alone. Post-Acute Withdrawal Syndrome (PAWS) is one of the most misunderstood (and frustrating) parts of the recovery process. It’s not just about getting through the first few days or weeks without alcohol — it’s the lingering mental, emotional and physical symptoms that can show up months into sobriety. And if you don’t know what’s happening, it can feel like you’re doing something wrong.
In Episode 7 of “You’ve Been Selected,” we dig into PAWS: what it is, why it happens and — most importantly — how to push through it without giving up on your sobriety.
What is Post-Acute Withdrawal Syndrome (PAWS)?
PAWS is the second phase of withdrawal — the one they don’t always warn you about in those first few days of quitting. While the acute phase of withdrawal (the shakes, nausea, headaches) fades after a week or two, PAWS can stick around for weeks or even months as your brain chemistry recalibrates.
Common symptoms include:
🔹 Mood swings and irritability
🔹 Anxiety or depression
🔹 Brain fog and trouble focusing
🔹 Low energy and fatigue
🔹 Sleep disturbances
🔹 Cravings out of nowhere
Sound familiar? You’re not crazy. You’re not failing. Your brain is healing.
Why Does PAWS Happen?
Addiction rewires the brain, especially when it comes to dopamine — the chemical that makes us feel good. When we stop drinking or using, our brain struggles to produce dopamine on its own. That’s why early sobriety can feel so emotionally exhausting. The brain is learning how to function again without alcohol, and that takes time.
How to Get Through PAWS Without Giving Up
💡 Understand What’s Happening – Just knowing that PAWS is real can help you stop blaming yourself. You’re not broken — you’re healing.
🛌 Prioritize Sleep and Nutrition – Your brain needs fuel to recover. Sleep as much as you can, eat nutrient-dense foods and hydrate.
🏃 Move Your Body – Even a short walk can help boost dopamine and improve mood.
🤝 Lean on Your Support System – Whether it’s a recovery group, a therapist, or a sober friend, don’t isolate yourself. Connection is medicine.
⏳ Be Patient – PAWS doesn’t last forever, even though it feels like it. Trust the process.
This is Temporary — But Sobriety is Worth It
If you’re in the middle of PAWS right now, hang in there. Your brain and body are doing the work to rebuild themselves — and every day you stay sober is a day closer to true healing.
🎧 Listen to Episode 7 Now:
YOU’VE BEEN SELECTED: Sober Curator Contributor Kate Vitela has been an RN in Pacific Northwest for over two decades and sober since 2018. You’ve Been Selected is a column that describes her journey through coaching, addiction, eating disorders, and what is now known as Drunkorexia.
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