Withdrawals are part of a drug detox. They tend to be what clients consider the uncomfortable, even painful, part of drug addiction treatment. Of course, there are ways to mitigate the discomfort and even make this time an important milestone in your next step to integrating full recovery into your life.
If you regularly use certain drugs like heroin, cocaine, or even alcohol, your brain begins to adjust to the presence of the substances. You may slowly become physiologically dependent on these drugs to perform and feel “normal.”
People with significant levels of dependence often respond with withdrawal because of the sudden lack or declining blood concentration of a particular substance. The withdrawal process involves the body trying to reach a new homeostasis state as it eliminates any lingering chemical effects of the specific drug. Besides causing temporary interferences in brain chemistry, this may lead to significant physical and mental health repercussions.
Explanation of Common Physical Symptoms
These describe bodily symptoms that emerge from abruptly ceasing using drugs. Lethargy and fatigue are common reactions caused by numerous substances because of the harm drugs cause to the body. Other examples include tingles, clammy skin, shakes, and sweats. People often undergo muscle aches and spasms.
The withdrawals themselves will vary, based on the drug involved, but here are some general patterns a person can expect.
- Neuroadaptation: Prolonged drug use leads to neuroadaptation, where the brain adjusts its functioning to compensate for the presence of the drug. This often involves changes in the levels of various neurotransmitters, which are chemical messengers in the brain.
- Disruption of neurotransmitter balance: When drug use is abruptly stopped or reduced, the disrupted balance of neurotransmitters can lead to withdrawal symptoms. The specific neurotransmitters affected depend on the drug used. For example, opioids affect the production of endorphins, while benzodiazepines affect the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that helps regulate anxiety and relaxation.
- Hyperactivity and rebound effects: Without the drug’s presence, the brain may exhibit hyperactivity in response to the sudden absence of the substance. This hyperactivity can cause various physical and psychological symptoms. Additionally, rebound effects can occur, which are the opposite effects of the drug. For example, stopping a sedative medication like a benzodiazepine can lead to rebound insomnia or anxiety.
- Physical symptoms: Drug withdrawals often involve physical symptoms that can be quite uncomfortable. These symptoms can include nausea, vomiting, diarrhea, muscle aches, tremors, sweating, increased heart rate, increased blood pressure, and flu-like symptoms.
- Psychological symptoms: Alongside physical symptoms, drug withdrawals can also cause a range of psychological symptoms. These may include anxiety, depression, irritability, restlessness, insomnia, mood swings, cravings for the drug, and difficulties with concentration and memory.
- Duration and severity: The duration and severity of drug withdrawal symptoms vary depending on factors such as the drug used, the duration of use, the dose, and individual factors. Withdrawal symptoms can last for days, weeks, or even months, gradually improving over time.