Memory Disturbances

Memory disturbances are common in protracted withdrawal. Some are what we typically think of as a ‘black out’ phenomenon during addiction. One simply doesn’t recall events that occurred during a period of active substance use. Other types include overall poor short and long term memory as well as fabricated or confused memory.

Mood Disturbances

Mood disturbances in protracted withdrawal can cover the range of all mood disturbances–depression, anxiety, anger, tearfulness and excitement or euphoria, for example. Mood swings are common. There may also be what are known as incongruent moods. These are emotional reactions that seem inappropriate to the context in which they occur.

Sexual Disturbances

Sexual problems are also common. These typically are an inability to become aroused or sustain arousal. Difficulty achieving orgasm is also relatively common.Sexual problems can be related to brain chemistry and neuronal impairments, but also commonly arise overall poor health and from ongoing stress. At times they are related to sexual activity during addiction that cause guilt and remorse in abstinence.

Interactional Problems

Social issues are common during protracted withdrawal, too. There is often a persisting sense of loneliness and a tendency to be withdrawn, isolated and apathetic toward interaction and intimacy. Anxiety and a heightened self-consciousness are typical and can make social situations particularly uncomfortable. Some experience suspicious and paranoia. Guilt, shame, feelings of inadequacy and the fear of judgment and rejection are also common.

Spiritual Problems

Spiritual problems in protracted withdrawal may involve religious conflicts, but they typically manifest in a broader sense. A felt sense of meaningless, having no purpose, feeling empty and disconnected from others and the world are more common.

Common Symptoms and Specific Drugs