Alcohol Withdrawal

Medically Reviewed

Alcohol withdrawal syndrome (AWS) occurs when someone with alcohol use disorder (AUD) or alcohol dependence abruptly stops drinking. Symptoms can range from mild to severe, and in some instances, they can be life-threatening without proper care.

Recognizing Symptoms of Alcohol Withdrawal

The symptoms of alcohol withdrawal typically start within a few hours to a day after the last drink and vary widely based on the person’s alcohol intake, length of alcohol dependence, and overall health. Common physical symptoms include headaches, nausea, tremors, and sweating, while severe cases can involve delirium tremens (DTs), seizures, and hallucinations.

Physical and Psychological Symptoms

  • Physical symptoms: Shakiness, increased heart rate, high blood pressure, nausea, vomiting, and sweating.
  • Severe symptoms: Seizures, delirium tremens, confusion, and auditory hallucinations.
  • Psychological symptoms: Anxiety, irritability, depression, intense cravings, and insomnia.

Alcohol’s impact on the central nervous system often leads to dependence, and withdrawal disrupts brain chemistry, contributing to severe symptoms. Managing AWS under professional supervision can mitigate risks and prevent complications.

Delirium Tremens and Severe Alcohol Withdrawal

Delirium tremens (DTs) is one of the most serious complications of alcohol withdrawal. This condition, affecting about 3-5% of people withdrawing from alcohol, typically appears within 48-72 hours after ceasing alcohol consumption. Symptoms of DTs include disorientation, confusion, high fever, and severe tremors. Because DTs is a life-threatening condition, individuals should seek immediate medical care.

Medically supervised detox at Serenity at Summit ensures safe management of withdrawal symptoms and provides essential support for recovery.

Signs and Symptoms of Delirium Tremens (DTs)

  • Extreme agitation and confusion
  • High fever and sweating
  • Hallucinations and disorientation
  • Severe shaking and cardiovascular instability

Medications like benzodiazepines (e.g., chlordiazepoxide, diazepam, and lorazepam) are commonly administered to help control these symptoms by sedating the central nervous system. This helps manage agitation, prevent seizures, and stabilize blood pressure and heart rate.

The Stages of Alcohol Withdrawal

Alcohol withdrawal generally follows a predictable timeline, which is important to understand for the safe management of alcohol withdrawal. Each stage carries specific risks and symptom profiles, which healthcare providers carefully monitor to adjust treatment as needed.

Stage 1: Mild Symptoms (6–24 Hours After Last Drink)

After someone has their last drink, initial symptoms such as anxiety, mild tremors, and nausea may begin within 6-24 hours. These mild symptoms often resemble a hangover and can escalate if not managed early.

Stage 2: Moderate Symptoms (24–48 Hours After Last Drink)

During this phase, individuals may experience elevated heart rate, increased blood pressure, and hallucinations. Serenity at Summit provides medications and supervision to manage these symptoms, reducing the chance of progression to severe alcohol withdrawal.

Stage 3: Severe Symptoms and Delirium Tremens (48–72 Hours)

Severe symptoms, including alcohol withdrawal seizures and DTs, typically occur in this phase. Medical monitoring is critical, as these symptoms can lead to fatal complications if left untreated.

Treatment Options for Alcohol Withdrawal

Treatment Options for Alcohol Withdrawal

Serenity at Summit offers both inpatient and outpatient programs to meet various needs. Comprehensive care includes medical interventions, psychiatric support, and counseling to address both physical and psychological aspects of alcohol use disorder.

Inpatient Detoxification Programs

Inpatient detox programs are ideal for managing high-risk cases, particularly those with a history of severe withdrawal or mental disorders. At Serenity at Summit, clients receive round-the-clock medical supervision to manage and treat symptoms effectively, ensuring comfort and safety during detox.

Outpatient Detox Programs

For clients with mild to moderate symptoms, outpatient care offers a flexible treatment model allowing regular check-ins with medical professionals while still living at home. Outpatient programs provide similar therapies as inpatient, focusing on managing alcohol withdrawal symptoms and supporting mental health.

Medications for Alcohol Withdrawal

Benzodiazepines, such as diazepam, lorazepam, and chlordiazepoxide, are effective in reducing anxiety, preventing seizures, and controlling DTs symptoms by calming the central nervous system. Healthcare providers carefully monitor these medications to avoid side effects and ensure they are safely administered.

Supporting Long-Term Recovery from Alcohol Use Disorder

Detox is the first step in overcoming alcohol addiction, but lasting recovery involves a long-term commitment to mental and physical well-being. At Serenity at Summit, clients can continue their journey with outpatient therapy, support groups such as Alcoholics Anonymous, and aftercare programs designed to provide tools for a sober life.

Managing Cravings and Relapse Prevention

Cravings are a common challenge in recovery, and Serenity at Summit’s programs incorporate strategies to help clients manage these urges. Techniques include counseling, relapse prevention planning, and medication support to help reduce alcohol dependence and achieve sustained sobriety.

When to Seek Professional Help

Experiencing severe withdrawal symptoms like seizures or hallucinations is a medical emergency and requires immediate care. It is essential to work with experienced clinicians and health care providers to prevent complications and manage symptoms of alcohol withdrawal safely. The National Institute on Alcohol Abuse and Alcoholism recommends professional detox to prevent serious outcomes.

Holistic Support During Alcohol Detox

In addition to medical interventions, Serenity at Summit prioritizes a holistic approach that includes proper nutrition, electrolyte replacement, and gamma-aminobutyric acid (GABA) supplements to stabilize mood and reduce cravings. This multi-faceted approach supports overall health recovery and minimizes withdrawal discomfort.

Embracing Recovery with Serenity at Summit

Alcohol withdrawal can be a challenging process, but with the right support, recovery is within reach. Serenity at Summit’s compassionate approach combines medical, emotional, and psychological care to help individuals successfully manage alcohol withdrawal syndrome and begin a healthy, fulfilling life beyond addiction. Reach out today to learn how our programs can support your journey to recovery.

Contact Serenity At Summit

If you or a loved one is struggling with addiction, don’t wait to get help. Reach out to us today at:

Serenity At Summit New Jersey

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Serenity at Summit New England

Address and Contact Information

Phone Number: 978-312-9830
Address: 61 Brown Street, Haverhill, MA 01830

We are here to guide you through every step of your recovery journey, offering hope, healing, and long-term success.

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