Here are some things I've learned over the last 1.5 years; from my own experience and reading others' stories.
- - PAWS is absolutely real (not that any of you needed convincing), and it is neurochemical. You've created a deficit of dopamine and likely other NTs as well from years of hammering your brain with THC. That's not to say underlying psychological problems and even spiritual issues cant play a role, but PAWS is the result of a damaged brain.
- PAWS does not effect everyone equally. Many, of course, do not get it at all. Some get it after a few months of heavy use and others after decades of daily use. The first time I quit after about 6 years of daily use I had zero PAWS symptoms. The second time after another 6 years was a completely different story. I have noticed that most PAWS sufferers were either very high-intensity users or long term users.
- The healing process is truncated and non-linear. What I have observed is the good intervals tend to get longer and longer; and the bad waves tend to get less severe, at least on balance.
- The PAWS brain is a sensitive brain. It reacts to things more strongly and often out of proportion to the causative factor. Personally I have found alcohol is to be avoided (I can get by with the occasional drink but for a long time I could not), caffeine I have to be careful with (1-2 cups and my frame of mind has to be good), and certain stresses in life can set off a wave.
- There is not always a 1:1 relationship with life circumstances and a bad wave. I do know that trying to make sense of it and isolate cause and effect is not usually a helpful exercise. It can drag you into anxiety or melancholy.
- There are things that help, but I dont believe any one thing is curative other than time. Years of chemical abuse cannot be repaired in a jiffy.
- There are many things that DONT help; and the worst of these are other psychotropic drugs (including antidepressants), alcohol, and negative external input.
- There is nothing to suggest that PAWS will not go away for good. This is evidenced by the inexorable improving trajectory (although not linear of course), and the fact that many PAWS sufferers have come back to these forums after years away and said yeah, it did go away fully and I'm not just riding a good wave. It is gone baby gone.