How to Manage Alcohol Withdrawal Symptoms: What Comes Next?By Michaela

Alcoholism is a serious condition that affects millions of people worldwide, but it is a highly treatable disease. With the right treatment and support, thousands of people successfully overcome their addictions and move forward to lead happy, healthy lives. However, the journey to sobriety can be challenging, and one of the most difficult parts of the process is dealing with alcohol withdrawal symptoms. Alcohol withdrawal can be a challenging process, but it is a necessary step toward recovery from addiction. Understanding the different stages of withdrawal and what to expect can help you manage the symptoms safely and productively.

Withdrawal symptoms can be uncomfortable and even dangerous, so it’s essential to understand the different stages of alcohol withdrawal and what to expect. This article will discuss the various symptoms of alcohol withdrawal, the potential risks and complications, and effective coping strategies.

Different Stages Of Alcohol Withdrawal And What To Expect

Alcohol alters the brain’s chemistry by inhibiting some neurotransmitters, which results in the euphoria associated with intoxication. The brain adapts to the presence of significant amounts of alcohol as someone continues to drink heavily over extended periods. The individual may need more alcohol to provide the same impact. When an individual decides to quit drinking, the absence of alcohol causes those neurotransmitters to become overstimulated, which leads to withdrawal symptoms. Because the brain has had more time to get used to the suppressed state, withdrawal symptoms may be more severe the longer a person drinks.

Alcohol withdrawal symptoms can start as soon as two hours after the last drink and the timeline of when symptoms occur and how severe they are can vary depending on the frequency and duration of alcohol use. An individual who has been dealing with alcoholism for longer is likely to experience symptoms quicker than someone who hasn’t been struggling for as long. The most common and extreme withdrawal symptoms occur at different stages of the withdrawal process. This can also mean more severe alcohol withdrawal symptoms, such as alcohol withdrawal seizures.

The first step in managing alcohol withdrawal symptoms is understanding the different stages of withdrawal and what to expect. Alcohol withdrawal typically occurs in these stages:

Stage 1: Early Withdrawal

The early stage of alcohol withdrawal typically occurs within 6-12 hours after the last drink. Common symptoms during this stage include:

• Anxiety
• Insomnia
• Tremors
• Nausea
• Headaches
• Fatigue
• Irritability

Stage 2: Acute Withdrawal

The acute stage of alcohol withdrawal typically occurs within 12-72 hours after the last drink. Common symptoms during this stage include:

• Hallucinations
• Confusion
• Seizures
• Delirium tremens (DTs)
• High blood pressure
• Rapid heart rate
• Increased body temperature
• Profuse sweating

Stage 3: Post-Acute Withdrawal

The post-acute stage of alcohol withdrawal typically occurs within 1-4 weeks after the last drink. Common symptoms during this stage include:

• Fatigue
• Depression
• Anxiety
• Insomnia
• Post-acute withdrawal syndrome (PAWS)
• Cravings for alcohol
• Difficulty concentrating
• Memory problems

Stage 4: Extended Withdrawal 

The extended stage of alcohol withdrawal typically occurs within 2-3 months after the last drink. Common symptoms during this stage include:

• Persistent cravings for alcohol
• Difficulty managing stress
• Mood swings
• Difficulty concentrating
• Low energy levels
• Low self-esteem
• Anhedonia (inability to experience pleasure)

Severe withdrawal symptoms include delirium tremens, which can lead to hallucinations, seizures, and even death if not treated properly. 

It’s important to note that the duration and severity of withdrawal symptoms can vary depending on the individual’s level of alcohol dependence and overall health. It’s also important to seek professional help and treatment for alcohol addiction, as withdrawal symptoms can be dangerous and should be managed by trained medical professionals in a safe and controlled environment.

Coping With Physical Symptoms Of Alcohol Withdrawal

Shaking, sweating, and nausea are some of the mild to severe withdrawal symptoms. Seizures and hallucinations, which are more severe symptoms, are also conceivable. People must have support and assistance from professionals to manage alcohol withdrawal. Here are some of the most common physical symptoms of alcohol withdrawal:

Tremors

Tremors, or shaking, are a common symptom of alcohol withdrawal and can occur within the first 8-12 hours after the last drink. They can be mild or severe and affect the hands, arms, legs, and head. They can be accompanied by other symptoms, such as anxiety and insomnia. Tremors can be controlled with drugs like benzodiazepines and beta-blockers. Propranolol and other beta-blockers stop the body’s natural chemicals from acting in a way that causes tremors. Diazepam is one example of a benzodiazepine that works by soothing the nervous system and lowering anxiety. Due to their potential for addiction and potential negative effects, these drugs should only be used when prescribed by a doctor.

Seizures

Another physical sign of alcohol withdrawal that can happen to those who have been drinking heavily for a while is a seizure. They may result from the body’s abrupt reduction in alcohol levels. Life-threatening seizures call for rapid medical intervention. The nervous system can be calmed, and seizures can be prevented using medications like benzodiazepines. A treatment called “alcohol detoxification” can be done under medical supervision to avoid seizures and other complications of alcohol withdrawal.

Insomnia

Insomnia and disturbed sleep are common symptoms of alcohol withdrawal that can occur within the first 8-12 hours after the last drink. These symptoms can make it difficult to fall asleep or stay asleep, leading to fatigue and irritability. Medications such as benzodiazepines or over-the-counter sleep aids can alleviate insomnia, but it’s important to use them under medical supervision.

Sweating

Sweating, especially on the palms and the face, is another common symptom of alcohol withdrawal. This can occur within the first 8-12 hours after the last drink and can be accompanied by other symptoms such as tremors and anxiety. Medications such as beta-blockers or anticholinergics can alleviate sweating, but it’s important to use them under medical supervision.

Nausea, Vomiting, and Abdominal Pain

Nausea, vomiting, and abdominal pain are common symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. Medications such as anti-nausea drugs can alleviate these symptoms, but it’s important to use them under medical supervision.

Loss of Appetite and Weight Loss

Weight loss and loss of appetite are two additional typical signs of alcohol withdrawal. These symptoms may appear within the first 8–12 hours following the last drink and may be brought on by the body’s abrupt reduction in alcohol levels. A nutritious diet and adequate hydration can help to reduce these symptoms.

Loss of Appetite and Weight Loss

Increased blood pressure and a rapid heartbeat are other signs of alcohol withdrawal. These symptoms may appear within the first 8–12 hours following the last drink and may be brought on by the body’s abrupt reduction in alcohol levels. Medications such as beta-blockers or ACE inhibitors can alleviate these symptoms, but it’s important to use them under medical supervision.

Managing The Emotional And Psychological Symptoms Of Alcohol Withdrawal

Alcohol withdrawal is a serious condition that can cause a range of emotional and psychological symptoms, which may vary in severity depending on the individual and the amount of alcohol they have been consuming. Sometimes, withdrawal can also result in more severe physical symptoms, including delirium, tremors, and convulsions. With the right care and assistance, alcohol withdrawal can be safely and successfully handled. The most typical emotional and psychological signs of alcohol withdrawal are listed below.

Depression

Alcohol withdrawal frequently causes emotional and psychological symptoms like depression, remorse, and shame. These symptoms may appear within the first 8–12 hours following the last drink and may be brought on by the body’s abrupt reduction in alcohol levels.

They can also be caused by realizing the harm caused by the addiction. Medications such as antidepressants and psychological therapies such as cognitive-behavioral therapy can alleviate these symptoms, but it’s important to use them under medical supervision.

Intense Emotions

Feelings of intense sadness, hopelessness, and despair are also common emotional and psychological symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. They can also be caused by realizing the harm caused by the addiction. Medications such as antidepressants and psychological therapies such as cognitive-behavioral therapy can alleviate these symptoms, but it’s important to use them under medical supervision.

Mood Swings

Extreme mood swings and irritability are also common emotional and psychological symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. They can also be caused by realizing the harm caused by the addiction. Medications such as antidepressants and psychological therapies such as cognitive-behavioral therapy can alleviate these symptoms, but it’s important to use them under medical supervision.

Anxiety and Panic Attacks

Fear, anxiety, and panic attacks are common emotional and psychological symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. They can also be caused by realizing the harm caused by the addiction. Medications such as antidepressants and psychological therapies such as cognitive-behavioral therapy can alleviate these symptoms, but it’s important to use them under medical supervision.

Post-Acute Withdrawal Syndrome

Post-acute withdrawal syndrome (PAWS) is a condition that can occur after the initial withdrawal symptoms have subsided. It includes symptoms such as difficulty concentrating, memory problems, and cravings for alcohol. Medications such as antidepressants and psychological therapies such as cognitive-behavioral therapy can alleviate these symptoms, but it’s important to use them under medical supervision.

Suicidal Ideation

Suicidal thoughts and behaviors are also common emotional and psychological symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. They can also be caused by realizing the harm caused by the addiction. It’s important to seek immediate medical attention if you or a loved one is experiencing suicidal thoughts or behaviors.

Social Isolation

Social isolation and withdrawal from activities once enjoyed are also common emotional and psychological symptoms of alcohol withdrawal. These symptoms can occur within the first 8-12 hours after the last drink and can be caused by the sudden decrease in alcohol in the body. They can also be caused by realizing the harm caused by the addiction. Joining a support group or therapy can help alleviate these symptoms.

Medications And Alternative Treatments To Alleviate Withdrawal Symptoms

Benzodiazepines are a class of medications that are commonly used to alleviate withdrawal symptoms, including tremors and seizures. Examples of benzodiazepines include diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium). They work by calming the nervous system and reducing anxiety. Benzodiazepines can prevent seizures and manage symptoms such as insomnia and tremors. However, using them under medical supervision is important, as they can be addictive and have side effects.

Intravenous (IV) fluids are another treatment that can be used to manage dehydration and electrolyte imbalances that can occur during alcohol withdrawal. IV fluids can be administered in a hospital setting, and it can help replenish fluids and electrolytes that are lost due to excessive alcohol consumption.

Anticonvulsants, such as carbamazepine (Tegretol) or valproic acid (Depakene), prevent seizures. They can be used to prevent seizures during alcohol withdrawal, particularly in individuals who are at a high risk of seizures.

Antipsychotics, such as haloperidol (Haldol) or olanzapine (Zyprexa), manage hallucinations and other psychosis symptoms. They can be used to manage hallucinations and other symptoms of delirium tremens.

Antidepressants, such as fluoxetine (Prozac) or sertraline (Zoloft), are used to manage depression and anxiety symptoms. They can be used to manage the emotional and psychological symptoms of alcohol withdrawal.

It’s important to note that not all individuals who stop drinking will require medication to manage withdrawal symptoms. However, for those who do experience severe symptoms or complications, medications can be an important part of the treatment plan. It’s important to use medications under medical supervision and to work closely with a healthcare provider to determine the most appropriate treatment plan.

Understanding The Potential Risks And Complications Of Alcohol Withdrawal

Delirium tremens, also known as DTs, is the most severe complication of alcohol withdrawal and can occur in individuals who have been drinking heavily for an extended period. DTs typically occur within the first 48-72 hours after the last drink and can last for several days. Symptoms of DTs include hallucinations, seizures, confusion, and agitation. If left untreated, DTs can lead to death. Therefore, seeking medical attention immediately is crucial if you or a loved one is experiencing DTs.

Not everyone who stops drinking will experience tremors or seizures, but it’s still important to be aware of the potential risks. If you or a loved one is experiencing tremors or seizures as a result of alcohol withdrawal, it’s essential to seek medical attention as soon as possible. With the right treatment and support, it is possible to manage these symptoms and achieve a successful path to recovery.

Importance Of Support And Supervision During The Withdrawal Process

In addition to medications, other treatments can be used to alleviate withdrawal symptoms. These include:

• Behavioral therapies: These therapies can include cognitive-behavioral therapy, motivational interviewing, and relapse prevention therapy. They can be used to address the underlying issues that contribute to addiction and to help individuals build the skills they need to maintain long-term recovery.
• Support groups: Joining a support group can provide individuals with a sense of community and help them feel less alone during the withdrawal and recovery process. Support groups can also provide practical advice and guidance on managing symptoms and building a plan for long-term recovery.

Support groups and Alcoholics Anonymous (AA) can also be a great source of support during withdrawal. These groups provide individuals with a sense of community and can provide practical advice and guidance on managing symptoms and building a plan for long-term recovery. AA is a 12-step program that is based on the idea of mutual support and peer-to-peer guidance.

• Holistic therapies: These therapies can include yoga, meditation, and acupuncture. They can help alleviate stress and anxiety and promote relaxation and well-being.
• Support from friends and family can be beneficial during the withdrawal process. They can provide emotional support and encouragement and help individuals manage the physical and emotional symptoms that can occur during withdrawal. However, it’s important to remember that friends and family members may not be equipped to provide the level of support and treatment necessary for individuals with alcohol addiction.
• Seeking professional help and treatment can include medical supervision, therapy, and counseling. Medical supervision can help manage the physical symptoms of withdrawal and ensure that individuals are safe during the process. Therapy and counseling can help address the underlying emotional and psychological issues that contribute to addiction and provide individuals with the tools they need to maintain long-term recovery.

The withdrawal process can be a challenging time, both emotionally and physically. Support and supervision during this time can be crucial in helping individuals successfully navigate the withdrawal process and build a path to long-term recovery.

It’s important to note that the treatment plan will vary from person to person, and it’s important to work closely with a healthcare provider to determine the most appropriate treatment plan for the individual’s needs. With the right support and treatment, it is possible to manage withdrawal symptoms and achieve a successful path to recovery.

Building A Plan For Long-Term Recovery And Avoiding Relapse

Building a plan for long-term recovery after the withdrawal process is crucial in avoiding relapse. Relapse is common in individuals with alcohol addiction, and it’s important to have a plan in place to prevent it. Several components can be included in a plan for long-term recovery, including therapy, support groups, and medication-assisted treatment (MAT) if necessary.

Therapy can be an important component of a long-term recovery plan. Examples of treatments that may be beneficial include relapse prevention therapy, motivational interviewing, and cognitive-behavioral therapy (CBT). CBT can assist people in recognizing and altering harmful thought patterns and actions that support an addiction. A counseling technique called motivational interviewing aids in the exploration and resolution of ambivalence about altering addicted behavior.

Medication-assisted treatment (MAT) can help manage alcohol addiction by reducing cravings and decreasing the risk of relapse. MAT uses FDA-approved medications such as naltrexone, acamprosate, and disulfiram, along with counseling and behavioral therapies to help individuals recover from alcohol addiction. These medications are effective when used under medical supervision and with therapy and support groups.

In addition to medication-assisted treatment and therapy, making lifestyle changes that support long-term recovery is crucial. This includes avoiding triggers and high-risk situations that may lead to relapse, such as hanging out with friends who still drink or going to places where alcohol is readily available. Developing a healthy sleep and exercise routine is important, as these can greatly improve overall physical and mental health.

Building a strong support network of friends and family members who can provide emotional support and encouragement is also essential to the recovery process. They can serve as a source of motivation and accountability and can be there to offer help and support when needed.

It’s important to note that building a plan for long-term recovery is an ongoing process that requires commitment and dedication. Working closely with a healthcare provider and a therapist is important to create a plan tailored to the individual’s needs. A timeline for recovery may vary from person to person, but with the right support and treatment, it is possible to achieve lasting recovery and avoid relapse.

What The Alcohol Coach Can Do For You 

Alcohol addiction is a serious condition that requires professional help and treatment. The Alcohol Coach is a coaching program that offers expert guidance and support to individuals struggling with alcohol addiction. Their program addresses the underlying issues that contribute to addiction and equips clients with the tools they need to maintain long-term recovery. The program includes one-on-one coaching sessions, support groups, and access to various resources and tools. The program is designed to be goal-oriented, and it helps individuals set and achieve their own goals. The program’s approach is based on empowering individuals and helping them take control of their own lives. The program helps individuals tap into their inner strength and resilience by focusing on personal growth and self-discovery.

The Alcohol Coach is a unique program that addresses the specific needs of individuals going through alcohol withdrawal. It helps individuals break the cycle of addiction by providing them with a new perspective and way out. The program focuses on avoiding limiting beliefs and terms, which can hinder recovery for many individuals. By focusing on a positive and empowering approach, the program helps individuals see a way out of their addiction and focus on their recovery.

One of the program’s key components is recognizing triggers and developing a plan to avoid them. Triggers are things, people, or feelings that can make someone seek alcohol and relapse. The Alcohol Coach helps individuals identify their triggers and create a strategy to prevent them, which can be crucial in preventing relapse during withdrawal.

The program also promotes empowerment and accountability, giving individuals a sense of control over their lives. This is crucial because it prevents individuals from feeling trapped in their addiction and encourages them to take responsibility for their actions. The Alcohol Coach empowers individuals by providing them with the assurance and inspiration they need to make positive life changes.

If you’re ready to change your viewpoint and break the cycle of addiction, The Alcohol Coach is here to help. The Alcohol Coach is a goal-orientated program that helps individuals break the cycle of addiction by shifting their inner paradigm and connecting with their true, authentic selves. Our program provides individuals with the tools and support they need to build an innate power balance away from alcohol and live an elevated life with infinite potential. If you’re ready to take the first step toward recovery and change your perspective, The Alcohol Coach is here to help. Our experienced professionals are dedicated to guiding you every step of the way. Don’t wait! Take control of your life and change your perspective with The Alcohol Coach today.

Editor’s Note:

In this article, you might notice that we use ‘labels’ such as “alcoholic”, “disease”, and other identifiers that are used to link individuals together by their habits with alcohol. Though they are used colloquially, we believe them to perpetuate limiting beliefs.  

A key tenet of The Alcohol Coach is that the way to overcome alcohol addiction is through empowerment, not retreating into a space of powerlessness or victim status. 

So, even though we may use these terms to communicate a point as it is known by the general public, keep in mind that our core beliefs dictate that these terms be avoided as much as possible.