PAWS symptoms
what dangerous substance has these symptoms for withdrawal?
Fentanyl
History of problems with authority.
Reluctant to discuss personal problems.
Minimizes the need for outside help.
Expresses dislike for groups.
Minimizes the importance of treatment.
Difficulty following boundaries and limits.
Not Following Directions
Little to no motivation for abstinence
Belief that they will never use again
Resistant to following treatment recommendations
Insists that they are “different” and that they do not need to continue treatment or 12 step meetings
Return to the first relapse trap, failure to follow directions
Return to reliance on self-will
Complacency
We're entirely ready to have God remove all these defects of character.
6
Made direct amends to such people wherever possible, except when to do so would injure them or others.
9
seizures occur within 48 hours of _____ cessations and occur either as a single generalized tonic-clonic seizure or as a brief episode of multiple seizures
Alcohol withdrawal
Compares out; expresses feeling different from others in group.
Belief in the ability to control substance use.
Minimizes the negative consequences of the substance use.
Uses external forces as excuses for substance use.
Belief that some substances are “safe” to use.
Emphasizes psychological or interpersonal issues are the problem, not the substance use
Diagnoses themselves
Inadequate Self-Diagnosis
Denial of adverse consequences of substance use
Denial of the Chronic disease model of addiction
Preoccupation with discomfort
History of willingness to experiment with various drugs
Substitution/Other drugs
Humbly asked Him to remove our shortcomings.
7
Made a list of all persons we had harmed, and became willing to make amends to them all.
8
symptoms of withdrawal from this substance include:
Marijuana/Cannabis
Denial of problem!
Belief that everyone drinks a few every now and then.
Belief that people can return to a state of controlled substance use.
Belief that certain drugs are okay to use, i.e. marijuana is better than using heroin or alcohol instead of cocaine.
Belief that will power is enough.
Minimizes the severity of the negative consequences.
Experiments with Controlled Use
Reversal in self-diagnosis
Strong enabling relationships that protect the user
Resistant to commitment to recovery
Denial of problem
Relapse by Intent/Self Sabotage
Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.
12
We admitted we were powerless over alcohol—that our lives had become unmanageable.
1
the "crash" stage of withdrawal from this substance includes
Cocaine/Crack
In relationship with other addicts/alcoholics: i.e. significant other, family, co-workers
Social life is centered around substance use.
Little to no 12 step involvement.
Belief that will power is enough.
Difficulty detaching from using friends.
Belief that they will be bored without substance use.
High Risk Environment
Projection of ongoing withdrawal symptoms-i.e. sleep disturbance, irritability Concerned with gaining weight
Concerns with having problems relating to partner sexually
Difficulty not relying on substances when ill
Experiences with flashbacks, drug dreams
Post Acute Withdrawal Syndrome symptoms
Complications of Recovery
Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
11
Someone who becomes your mentor within the program
Sponsor
Some symptoms of this withdrawal include:
Opioid
Perfectionist-hypercritical of self and others
Low tolerance for imperfection-wants immediate results from self and others
Obsessive worrier-focuses on past, future, instead of the present
Resentment Holder-tendency toward self pity, playing the victim
Chronic Mistrust-reluctant to commit, suspicious of others, isolates
Stress
Provoking relationships with family members
Family reluctant to seek treatment (Al-anon, family sessions)
Alcohol/drug use within the family system
Little to no affection or empathy from family
Placing blame of substance problem on family members and/or relationship conflicts
Family Feud/Triggers
Continued to take personal inventory, and when we were wrong, promptly admitted it.
10
Someone who is not your mentor but is sober and is there for you
Support