People who use drugs:
If you want to quit, please be aware of PAWS (post acute withdrawal syndrome). This is a state of mental and emotional imbalance while your brain learns to adjust without the substance and basically figures out what level all the chemicals and transmitters should be at. You may have symptoms of derealization/dissociation, depression, anxiety, etc.
Or, in less clinical terms, everything will feel mentally and emotionally uncomfortable and like you’ll never feel normal again.
However. This is NOT your new normal and you did NOT permanently fuck yourself up on drugs. PAWS will last somewhere between a couple weeks and a year. It’s horrible. But you deserve to know that you can tough it out.
Exercise helps (when does it not, really) and some people swear by megadosing Vitamin C for some reason. If you take opiates you might try a kratom taper to avoid or lessen PAWS, but kratom is addictive in and of itself, so use your best judgment. Honestly, you pretty much just have to outlast it.
I really wish they told kids this during their useless DARE program because a lot of addicts hit PAWS, figure “Well, I screwed myself up forever and will never feel normal without it” and start using again. NOT TRUE. The condition is not well-known so please spread for the sake of educating people. People need to prepare themselves for PAWS and know that it is temporary.
!!!!!!
I’m so so SO wonderfully surprised to see such a genuinely important and informative post about drug addiction on my dashboard !!!
PAWS is brutal! For me, while early stage acute withdrawal from heroin/fentanyl was absolutely agonizing, at least it was a relatively short period of extreme intensity. By the 72 hour mark it had peaked and begun to calm down, and usually by a week and a half/two weeks clean the acute symptoms would be over with
PAWS lasted for six months
During those six months I experienced nonstop chronic pain in my legs and extreme fatigue, making even simple everyday tasks a huge battle. I would ache and be unable to get comfortable and my muscles felt so heavy and sore and I was restless and sad and crying so much
I ended up in the psych ward for the first time in my life because of PAWS
But it got better! I swear to GOD it gets better. Right around six months I noticed I was no longer constantly thinking about my legs being sore and I had actually started to really feel present and enjoy things again and the fog was lifting and the heavy shadow of my addiction was becoming lighter
I’m almost two years clean now and a large part of why I won’t go back is the fear of reliving PAWS
Thank you for this post and helping to spread the word to suffering addicts that the are not hopeless and that recovery is possible and just takes time. The only thing I wanna add that I think is equally important on this topic is —
If you know someone who is struggling with drug addiction and trying to quit, you NEED to understand PAWS and it’s symptoms. Because we get accused way too many times of having relapsed when we’re actually just progressing through an important and painful stage of sobriety.
When my body began to hurt nonstop and my severe depression and exhaustion set in, my family spat at me constantly suspecting that I was using again. So I had to choke back tears and pretend to be fine so many times so that I could placate them based on their incorrect beliefs about how addiction works. And sometimes it really made me want to relapse because I thought “what’s the point of even trying to stay clean if I’m going to be treated like I’m using anyway”
I don’t want anyone to go back to using because they feel like I felt! So pls keep doing what we’re doing right now — talk about these things and learn about them and spread awareness and understanding.
It saves lives
(via prideandpen)


















