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Dr Mehmet Yildiz
Managing Withdrawal: 8 Steps Post-Kicking an Addiction Effectively
2024-01-05
Strategies I used for navigating the complexities of addictions and alleviating physical and psychological symptoms upon withdrawal
Note: This story reflects my research and personal experiences related to addiction and withdrawal management. This post does not include health advice. It is only for information and awareness purposes.
Upon my family doctor’s urgent warning to quit smoking or face dire consequences, I immediately ceased the habit in the early 1980s. I anticipated a straightforward process, yet I was unprepared for the severity of withdrawal symptoms.
Addiction is a complex physical and psychological condition leading to compulsive behaviors and harmful outcomes. It triggers intense cravings and a loss of control over substance use or certain behaviors, even when we are aware of their negative impact on our lives.
During my research, I learned that addiction is a multifaceted disorder. It can result from various factors such as genetics, environment, thoughts, emotions, behavior, and mental health conditions. It is both physical and mental, so we need a holistic approach to deal with it effectively.
Addiction is not selective, impacting people regardless of age, race, gender, or economic status. It alters the brain’s chemistry, structure, and reward system, making it challenging to find pleasure outside the addictive substance or behavior.
According to NIH, “withdrawal management refers to the medical and psychological care of patients who are experiencing withdrawal symptoms as a result of ceasing or reducing the use of their drug dependence.”
Based on my experience, managing withdrawal symptoms during the attempt to cease addictive behaviors is among the most challenging aspects of addiction. These symptoms, impacting both the body and mind, pose significant hurdles in maintaining distance from addictive substances and behaviors.
I have been through withdrawal symptoms, too, just like many others. For example, when I decided toquit smoking during my younger years, it was a considerable challenge. I still vividly recall the harsh withdrawal symptoms. The intensity of craving dominated everything else in my life.
Therefore, I genuinely understand the challenges people face when quitting smoking or other addictive behaviors. I have a deep empathy and compassion for those on that journey.
Therefore, I educated myself about triggering and aggravating factors when facing withdrawal symptoms through years of research in cognitive science. I want to pass my tacit knowledge to those who need this valuable information.
What is a withdrawal symptom?
Withdrawal happens when someone who relies on a substance or behavior stops using it. The body and brain have adjusted to having this substance or behavior around, so when it is taken away, it can lead to physical and mental symptoms.
Withdrawal can change based on what the person is into, how long they were into it, and their unique biology. I know many people deal with withdrawal symptoms that mess with their bodies and minds. They all find them unbearable.
During withdrawal, our bodies and minds undergo an unpredictable journey. Physically, it might involve symptoms such as nausea or tremors, while mentally, we could experience anxiety, sadness, or irritability. It resembles an unexpected, tumultuous ride we didn’t sign up for.
My research delves into two established theories shedding light on withdrawal symptoms. These theories revolve around neurogenesis and neuroplasticity within the nervous, cognitive, and limbic systems.
The neuroadaptation theory proposes that prolonged substance use disrupts brain chemistry, causing the brain to react strongly when the substance is removed. The cognitive-behavioral theory focuses on habit formation, likening the brain’s reaction to a disrupted routine.
Withdrawal symptoms vary depending on the substance or behavior. Opioids, cocaine, and meth can cause irritability, focus issues, and intense cravings. Alcohol withdrawal may lead to hallucinations and seizures, while quitting nicotine can trigger intense cravings. Even caffeine cessation can result in headaches and mood swings.
Withdrawal isn’t exclusive to substances but also affects behavioral addictions, such as overeating, social media, gaming, or excessive screen time. Trying to stop these behaviors might lead to irritability, anxiety, cravings, depression, and concentration difficulties.
Effective Strategies for Managing Withdrawal Symptoms
Withdrawal symptoms can be challenging. However, there are several practical approaches to help us navigate this phase of recovery. Everyone’s journey through withdrawal is unique. What works best for each person may vary.
Combining the following eight strategies covering both physical and mental aspects, preferably under the guidance of healthcare professionals like addiction specialists, can significantly improve the chances of successful recovery.
Our willingness, commitment, cooperation, and supportive measures to lower withdrawal symptoms might pave the way for a healthier, addiction-free future.
Step1: Understand the concept of resetting DeltaFosB
DeltaFosB is a protein that accumulates in the brain’s reward circuitry, particularly the nucleus accumbens, in response to chronic drug exposure or addictive behaviors.
High levels of DeltaFosB are associated with addiction-related changes in the brain, including increased sensitivity to drug-related cues and cravings.
By resetting DeltaFosB levels, we aim to reduce these neuroadaptations, making it easier to manage cravings and avoid relapse. I explained in an article titled What DeltaFosB Is and Why It Matters in Solving Addiction Problems. The next step explains how to reset deltaFosB.
Step 2: Taper gradually
Tapering is intensely studied in the mental health discipline as it is an effective technique. Gradually reducing the quantity or frequency of substance or behavior usage over time can be an effective strategy.
It is effective because this approach can minimize the shock to our system, potentially easing the intensity of withdrawal symptoms.
Tapering can be more effective if done under the guidance of qualified healthcare professionals like addiction specialists to ensure safety and success.
Step 3: Identify triggers and find healthy distractions
Understanding triggers is a crucial step in overcoming addiction and withdrawal symptoms. Recognizing them helps us proactively avoid them. It allows us to develop effective coping mechanisms.
Once we have identified triggers, finding healthy distractions can be helpful. When the urge comes, having alternative activities that are both satisfying and positive can make a difference.
You may consider exercising to release endorphins and optimize neurotransmittersfor a better mood. Spending quality time with loved ones can be helpful. Exploring a new hobby can be an excellent way to redirect focus and fill the void left by addictive habits.
Step 4: Practice cognitive behavioral therapy, mindfulness, and meditation
Using principles of cognitive behavioral therapy coupled with mindfulness practices can be instrumental in our recovery journey. Behavioral therapies and mindful acts help us develop coping mechanisms to address the psychological aspects of withdrawal.
They equip us with valuable tools to manage cravings, emotional distress, and triggers that may arise during withdrawal.
Meditationis a powerful technique that can lower withdrawal symptoms by impacting the mind and body. When we meditate, we enter a state of focused awareness and relaxation.
Meditation can reduce anxiety and stress, which are heightened during withdrawal. Meditation can lower irritability and mood swings by calming the nervous system and promoting inner peace.
Additionally, meditation can enhance self-control and discipline, making it easier for us to resist cravings and stay committed to our recovery journey.
Step 5: Obtain community support
We need the support of our network of friends, family, or support groups to provide emotional support when facing withdrawal symptoms.
Connecting with compassionate people who understand our challenges can be immensely reassuring.
Sharing our experiences and receiving encouragement from those who care about our well-being can make a valuable difference.
Step 6: Make healthy lifestyle changes
A holistic approach is essential to get rid of addiction and deal with symptoms effectively. This approach requires making positive lifestyle changes.
For example, we need regular exercise, which can boost mood and reduce stress. We need proper nutrition to support our body’s healing process. We need to hydrate the body as dehydration is common after stopping an addiction.
Learning stress management techniques, including restorative sleep, mindfulness, yoga, and diagrammatic breathing, can help alleviate withdrawal symptoms.
Engaging in downtime activities that promote relaxation and well-being can enhance our stability and resilience during this phase. Massage and other alternative therapies might relieve stress associated with withdrawal symptoms.
Step 7: Try effective supplements with professional guidance
While the research in this field is still emerging and somewhat complex, certain supplements have displayed promise in effectively managing withdrawal symptoms and aiding in addiction recovery when administered by qualified healthcare providers.
Some common supplements mentioned in the literature are N-acetylcysteine, Magnesium, Vitamin D, Omega-3 Fatty Acids, Melatonin, 5-hydroxytryptophan, GABA, L-theanine, Rhodiola Rosea, and Passionflower. Individual responses to these supplements may vary; they might have side effects and interfere with medications.
These molecules should be integrated into a broader plan covered in this post. They should be used with behavioral interventions, counseling, and medical oversight to effectively address the complexity of substance use disorders.
Step 8: Seek medical support or supervision in severe cases
If the previous steps don’t work, obtaining medical supervision can be helpful for people facing severe withdrawal symptoms from substances or addictive behaviors.
Qualified healthcare professionals can assess our condition and provide necessary medications and therapeutic support to manage and alleviate withdrawal symptoms.
By targeting specific neural pathways, medications aid in stabilizing the body and brain during the withdrawal phase, making it more manageable for people seeking recovery.
The trustworthy expertise of qualified healthcare professionals ensures our safety and helps us endure this difficult phase more comfortably.
Conclusions and Takeaways
In the end, navigating withdrawal symptoms can be harsh, drawing from my past struggles. Yet, this phase is typically fleeting if managed well.
Neuroplasticity makes it possible to rewire the brain and mind, eliminate old habits, and gain new ones. For example, meditation can boost the brain's cortical thickness and prevent its thinning, as I documented in a previous article.
By committing to a healthy lifestyle and seeking necessary and timely support and treatment, we can effectively navigate withdrawal symptoms and steer toward recovery from addiction.
Yet, it’s not always just about us. None of us want our loved ones or anyone else to endure the agony of addiction. If you or someone you know is grappling with addiction and its challenging withdrawal, acting promptly — seeking or extending help — is absolutely crucial
Numerous professionals, online resources, and supportive individuals are poised to provide guidance. Taking that initial step toward seeking help is pivotal — it’s the first step toward breaking free from addiction, alleviating suffering, healing, and embracing a brighter future.
Thank you for reading my perspectives. I wish you a healthy and happy life.
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