Post Acute Withdrawal Syndrome PAWS Neurochemical Causes Interventions

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16 Jul 2021

Sponsored by BetterHelp Clinicians sign up with BetterHelp to increase your bookings and work from the comfort of your own home https hasofferstracking betterhelp com aff c offer id 20 aff id 2373 PAWS withdrawal addictioncounseling SAMHSA Want to chat with me Join me at a https 3A 2F 2Fmembers docsnipes com 2F a For 10 month you get access to my daily tips for health and wellness and you can text chat with me privately Video by Dr Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness Please SUBSCRIBE and click the BELL to be notified when we release new videos and when Dr Dawn Elise Snipes is going live each month Cheap CEUs are available at a https 3A 2F 2Fwww allceus com 2Flive-interactive-webinars 2F a Post Acute Withdrawal Syndrome PAWS Neurochemical Causes Interventions Dr Dawn-Elise Snipes Executive Director AllCEUs Education Objectives Learn what PAWS is Explore why PAWS happens Identify steps to take to reduce and cope with PAWS What is PAWS PAWS affects people who have engaged in addictive behaviors The effects are based on factors Age Gender Length and amount of use Physical health PAWS begins after acute withdrawal and lasts for up to a year What Happens Memories of substance use alter brain functioning electrical currents and neurotransmitter balance to promote drug seeking behavior and irritability when blocked from goal achievement Cocaine Amphetamines Alcohol Reduce the reuptake of dopamine increase glutamate and in high concentrations to inhibit monoamine oxydase A MAO-A Alcohol reduces glutamate s excitatory effect on NMDA receptors and increases dopamine Co-Administration of nicotine and alcohol increases alcohol s rewarding effects What Happens Nicotine Nicotine stimulates the dopamine and the reward center and is responsible for the mood elevation and apparent improvement in cognitive function Chronic stimulation by nicotine the GABAergic neurons are desensitized and thus lose their inhibitory effect on dopamine which reinforces the addiction by inducing craving Opioids Opioid Serotonin Dopamine Benzodiazepines GABA Serotonin Neurotransmitters In chronic substance abuse the brain comes to rely on the drug to maintain the high degree of pleasure associated with the artificially elevated levels of some neurotransmitters in its reward circuits The brain can even adapt to these high neurotransmitter levels by making new receptors which produces depression or anxiety and cravings if consumption ceases and neurotransmitter levels return to normal Tolerance In a factory think of dopamine like one of the raw materials needed to make a product happiness Normally dopamine is on autoshipment a steady regular supply to so the factory can produce a steady supply of happiness The manager sees a deal on dopamine and wants to increase his departments revenue really quickly and get a promotion He triples the autoshipment Symptoms Emotional outbursts or lack of emotion Anxiety and irritability Depression and anhedonia Difficulty dealing with stress Fatigue Having a hard time sleeping strange dreams and changes in sleep patterns Memory problems that make it hard to learn new things Trouble thinking clearly making decisions and solving problems Dizziness problems with balance and delayed reflexes Neurotransmitters and Receptors Endogenous opioids reduce the amount of GABA released Reduced GABA increases dopamine Dopamine is the perseveratory neurochemical Norepinephrine is responsible for attention and alertness Glutamate is the main excitatory neurotransmitter Serotonin has both stimulatory and calming influences Cannabinoid receptors are involved in regulating mood memory appetite pain cognition and emotions Interventions MR ESCAPER Goal To regulate the temperature of the bath Meditation Breathing Relationships with sober social supports Exercise Sleep Circadian rhythm restabilization Awareness Mindfulness Pleasurable activities Eat healthfully Relaxation Summary Recovery involves creating a new life where it is easier to not use Be completely honest with yourself and others Ask for help Practice self-care Make a daily routine that allows time to rest and relax Create and maintain your recovery boundaries Identify and stay in touch with your support system It can be family friends counselors health care providers spiritual or religious group Be compassionate and treat yourself with patience and understanding giving yourself time to heal