Certified Addiction Counselor (CAC) Practice

What are post-acute withdrawal symptoms associated with?

1. Generally lasting only a few days after withdrawal

2. Symptoms that can last for weeks or months

3. Immediate physical dependence on drugs

4. Symptoms exclusively from alcohol withdrawal

The correct answer is: Symptoms that can last for weeks or months

Post-acute withdrawal symptoms (PAWS) are associated with persistent and extended symptoms that can last for weeks or even months following the cessation of substance use, particularly in the context of substances that have led to physical dependence. This phenomenon is commonly observed in individuals recovering from addictions to opioids, alcohol, stimulants, and other drugs. The symptoms of PAWS can include mood disturbances, anxiety, sleep problems, and cognitive difficulties that remain after the acute withdrawal phase has passed. This extended duration of symptoms underscores the complex nature of addiction recovery, as it demonstrates that overcoming substance use involves not just the management of acute withdrawal but also dealing with longer-term psychological and physiological changes. In contrast, the options suggesting a short duration of symptoms or immediate physical dependence do not accurately represent the prolonged nature of post-acute withdrawal symptoms. Furthermore, attributing these symptoms exclusively to alcohol withdrawal overlooks the broader context in which post-acute withdrawal can occur with various substances, highlighting the need for a comprehensive understanding of addiction and recovery.