Identification and Evidence-Based Treatment of Post–Acute Withdrawal Syndrome

Published:January 10, 2022DOI:https://doi.org/10.1016/j.nurpra.2021.12.021

      Highlights

      • Post–acute withdrawal syndrome is a risk factor for relapse in patients with a history of a substance use disorder.
      • Providers are in a prime position to identify and treat post–acute withdrawal syndrome in populations with a history of substance use disorder.
      • Literature on post–acute withdrawal syndrome is limited but growing, and the topic is well known in the recovery community.

      Abstract

      Post–acute withdrawal syndrome (PAWS) refers to a cluster of psychological and mood-related symptoms that can last for months to years after acute withdrawal from a substance and is a major contributing factor for relapse. PAWS symptoms exist for many individuals after withdrawal from alcohol, opioids, and benzodiazepines with underlying brain changes. Health care providers are in a prime position to identify and treat PAWS symptoms to decrease this risk of relapse. A synthesis of evidence on the state of the science of the limited but growing evidence on PAWS is explored. Patients experiencing PAWS need to be heard, supported, and appropriately treated by providers.

      Keywords

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      Biography

      Brittany Haskell, DNP, PMHNP-BC, CNE, is an assistant professor of nursing at Vanderbilt University School of Nursing, Nashville, TN, and can be contacted at [email protected] .