PAWS

Acute Withdrawal

100

The time for Alcohol acute withdrawal

5-7 days

200

The time for Benzodiazepine acute withdrawal

3-5 weeks

300

The time for Stimulant Acute Withdrawal (Amphetamines, methamphetamine, Cocaine)

1-2 weeks

400

 protracted Withdrawal

The presence of substance specific signs and symptoms common to acute withdrawal but persisting beyond the expected acute withdrawal time frame. 

500

The two substances which require medical intervention due to potential of death during Withdrawal

Alcohol and Benzodiazepines

Withdrawal signs and symptoms

100

Signs and symptoms of Opioids protracted withdrawal

Anxiety, Depression, sleep disturbances, fatigue, dysphoria, irritability, difficulty with concentration, executive control deficits

200

Signs and symptoms of acute Alcohol withdrawal

Headache, Anxiety, Insomnia, Excessive Sweating, Stomach problems, Heart palpitations, increased blood pressure, increased heart rate, Tremors, confusion, Delirium, Seizures, Hallucinations, difficulty walking

300

signs and symptoms of stimulant withdrawal

Anxiety, Chills, Dehydration, Dulled senses, Slowed speech, Loss of interest, slowed movements, Slow heart rate, Irritability, Hallucinations, Paranoia, Fatigue, Depression, Increased appetite, Impaired memory, Weight loss, Insomnia or hypersomnia, body aches

400

signs and symptoms of withdrawal from THC

Anger, irritability, aggression, anxiety, restlessness, decreased appetite, depression, insomnia, disturbing dreams, headaches, tremors, nausea and vomiting, abdominal pain, excessive sweating

500

signs and symptoms of Benzodiazepine withdrawal

Nausea, Panic attacks, Tremors, Anxiety, Sweating, headaches, heart palpitations, muscle pain, seizures, paranoia, delusions, hallucinations

PAWS

100

Are PAWS the same for all Substances

No, They are similar but not identical. 

200

Emotional and Mental PAWS

Mood Swings, irritability, hostility, emotional numbness, over reactions, panic attacks

Anxiety and Depression

Cognitive issues, poor memory, trouble focusing, circular thinking

Anhedonia

300

Physical and Behavioral PAWS symptoms

Sleep Problems

Fatigue

Cravings -intense urge for a substance

Coordination issues

Impulse Control

400

The pattern of PAWS

up and down like a roller coaster, and decrease in intensity over time

500

length of time for PAWS

6months -2 plus years

MAT

100

MAT for Opiates

Methadone, Naltrexone, Suboxone, Buponorphine

200

MAT for Alcohol

Naltrexone, Acamprosate, Antabuse

300

MAT for Nicotine

Nicotnie replacement therapy

Chantix

Bupropion (wellbutrin)

400

MAT for Depression

SSRI

Zoloft, Prozac

SNRI 

Effexor, Zymbolta

500

MAT for Anxiety

Benzodiazepine

SSRI

SSNRI

MISC

100

The reward neurotransmitter- says to the brain do it again

Dopamine

200

Time it takes to develop an addiction

Different for everyone

300

Name 3 coping skills in 30 seconds

you win

400

5 categories of triggers

Emotions, Time, Place, People, Things

500

DEAR MAN

1. Describe: Objectively state the facts of the situation without judgment. (e.g., "When music is played loudly after 10 PM...").
2. Express: Share your feelings and thoughts using "I" statements. (e.g., "...I feel tired and frustrated because I can't sleep.").
3. Assert: Clearly ask for what you want or say "No" directly. (e.g., "I need you to turn the music down after 10 PM.").
4. Reinforce: Explain the positive benefits of them meeting your request. (e.g., "That would help me feel more relaxed, and we'd both enjoy our space more.").
5. Mindful: Stay focused on your goal; don't get sidetracked. (e.g., if they change the subject, gently bring it back).
6. Appear Confident: Use confident body language and tone, even if you feel nervous. (e.g., eye contact, clear voice).
7. Negotiate: Be open to finding a middle ground if needed. (e.g., "Could we agree on 10 PM as the cutoff?"). 

When to Use DEAR MAN

• Making requests (e.g., asking for help, time off).
• Saying "No" to unwanted requests.
• Setting boundaries in personal or professional relationships.
• Resolving conflicts constructively.