Quitting alcohol may not be the hardest thing a person does, but it will not be the easiest either. Alcohol dependence impacts both the body and the mind. Therefore, quitting also has physical and mental effects that just about every person who chooses detox needs to go through. For many, the big question is this: what happens after detox?
Whether you choose home detox or a residential clinic, the first 30 days without alcohol will present challenges. Most people will move away from acute withdrawal within the first week of detox. After that, they experience a longer phase of ups and downs affecting everything from sleep to energy levels and emotional well-being.
The good news is that gradual physical and mental improvements begin in the second week. They generally continue through the fourth week and beyond.
Days 1-3: Acute Withdrawal
Although this post primarily deals with the first 30 days following detox, it is important to outline what happens during detox itself. The first few days are critical. They set the stage for the rest of the process.
Withdrawal symptoms usually begin within 6-12 hours following the last drink. They peak at 24 to 72 hours. The most common early symptoms are:
- Anxiety and irritability
- Tremors
- Sweating, nausea, and headache
- Interrupted sleep
- Feeling on edge
People who enter detox with a higher level of dependence are at a higher risk of more serious side effects, including hallucinations, seizures, and delirium tremens. More serious side effects may require medical intervention.
In a medical setting, patients are observed throughout the detoxification process. They are kept hydrated and comfortable. When necessary, medications that can soften withdrawal symptoms are offered.
Days 4-7: Easing Symptoms
Withdrawal symptoms tend to peak no later than the third day after the last drink. By the fourth day, symptoms are easing. Some symptoms can last for a week or longer, so don’t expect to feel completely normal within the first week.
During days 4-7, you might still find yourself feeling irritable or anxious. Your mood may be lower than you had hoped, and you still might not be sleeping as soundly as you want. But remember that things will gradually improve.
As far as sleep is concerned, note that disruptions during the first week are normal. Expect to wake up frequently or struggle to fall asleep. By the end of that first week, your sleep should begin to ease into more predictable patterns. You might also notice that you are thinking more clearly and that you have more energy.
Weeks 2-3: Physical And Mental Transitioning
By the time you enter your second week of recovery, most acute withdrawal symptoms should be gone. Weeks 2-3 see the start of a physical and mental transition. During this transition, you may experience post-acute withdrawal symptoms (PAWS), including low motivation, mood swings, and continued sleep problems.
Many recovering alcoholics report cravings during this time. They can contribute to anxiety and irritability. The good news is that cravings, while they may be intense, tend to begin fading near the end of the third week or the start of the fourth.
In terms of physical health, expect to see noticeable changes. Your digestion will likely improve, potentially leading to minor weight loss and less bloating. Some people report clearer skin as well. From an emotional standpoint, expect a bit of a roller coaster with bursts of high energy, fatigue, and brain fog.
Weeks 3-4: Stabilisation
Because sleep tends to improve by the third or fourth week, patients usually stabilise as well. Anxiety and low mood fade while cravings become less intense. Physically speaking, blood pressure and other cardiovascular markers start showing signs of improvement by the fourth week.
Unfortunately, some patients still experience mental health issues, including depression and cognitive difficulties, well beyond the third or fourth week. Mental health issues can continue for months afterwards. But with professional help, they can be managed.
30 Days And Beyond
If you can reach the 30-day mark without taking a drink, you should be well on your way to full recovery. The key to your success will be a combination of support and solid aftercare. Support comes by way of family members, friends, and alcohol support groups. Aftercare is available through support groups and medical professionals.
Good sleep hygiene should be part of your routine after 30 days. If it is not, start working on it. Good sleep hygiene includes setting a regular schedule for going to bed and waking, limiting your screen time in the final 60 minutes before bedtime, and practising a calming pre-sleep routine.
Your success during the first 30 days following the onset of detox sets the stage for a new life free of alcohol. If you are planning to detox, know what to expect and set reasonable goals for yourself. Then give it everything you have.