Paw Basics
Paw Symptoms
Managing PAW
Health Recovery
Recovery Skills
100

What does PAW stand for?

Post-Acute Withdrawal

100

Name one of the 6 major PAW symptoms

Trouble thinking clearly, memory problems, emotional overreaction/numbness, sleep problems, physical coordination problems, or stress sensitivity. 

100

What does H.A.L.T. stand for?

Hungry, Angry, Lonely, Tired

100

How many well-balanced meals are recommended each day?

3 meals.

100

What can make PAW symptoms worse?

Stress

200

Does PAW happen before or after acute withdrawal?

After acute withdrawal 

200

Someone keeps forgetting appointments and conversations. Which PAW symptom could this be?

Memory problems

200

What is the one thing you can do when you identify a stress trigger?

Avoid it, change the situation, change your reaction, or interrupt it.

200

Name two aerobic exercises from the lesson.

Walking/jogging, swimming, cycling, jumping rope, dancing, etc.

200

What is "reality testing"?

Asking someone you trust whether your thinking or perception of a situation makes sense. 

300

Around when can PAW symptoms reach their peak intensity?

About 3-6 months after abstinence begins.

300
A person becomes extremely angry over a small problem and later realizes they overreacted. What PAW symptom does this describe?

Emotional overreaction.

300

What is "backtracking"?

Looking back at a PAW episode to identify how it started, what triggered it, and what could have been done differently. 

300

Why should someone in recovery limit caffeine?

It can cause nervousness, restlessness, concentration problems, and sleep problems.

300

Why can learning about PAW help someone in recovery?

It can reduce fear/confusion and help them understand and manage their symptoms.

400

Someone feels clumsy, has trouble with balance, or has slower reflexes. Which PAW symptom is this?

Physical coordination problem

400

According to the lesson, about how long can adjustment from nervous system damage take?

About 6-24 months

400

Name 3 ways someone can stabilize themselves when PAW symptoms become overwhelming,

Examples: verbalization, ventilation, reality testing, problem solving/goal setting, backtracking, or using H.A.L.T.

400

What 3 things are especially important for physical health in balanced living?

Nutrition, rest, and exercise 

400

What does self-protective behavior mean in recovery?

Protecting yourself from stress, people, situations, or triggers that could threaten your sobriety.

500

Why might a person experiencing PAW think they are having a "nervous breakdown"?

PAW can cause confusion, difficulty concentrating, memory problems, emotional changes, and feeling overwhelmed.

500

What are the 6 major types of PAW symptoms?

Inability to think clearly, memory problems, emotional overreaction/numbness, sleep disturbances, physical coordination problems, and stress sensitivity. 

500

Name all 5 parts of the quick guide for managing PAW.

Accurate information, stress management, proper diet, aerobic exercise, and a recovery program.

500

Walters PAW symptoms were worse on Saturdays. What changes helped his "Saturday Syndrome"?

Changing his routine, eating breakfast, reducing caffeine/donuts, exercising, and spending more time with his family. 

500

What does balanced living include besides staying sober?

Taking care of physical, psychological, social, and spiritual needs while balancing responsibilities, relationships, recovery, work, rest, and personal growth

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