Thrive with the Dry July Challenge – Join Now! 🎉🙌
Click Here
Understanding Alcohol Withdrawal Symptoms and Treatment Options
Alcohol and Health

Understanding Alcohol Withdrawal Symptoms and Treatment Options

July 1, 2024
7 min read
Reframe App LogoReframe App Logo
Written by
Reframe Content Team
A team of researchers and psychologists who specialize in behavioral health and neuroscience. This group collaborates to produce insightful and evidence-based content.
July 1, 2024
7 min read
Reframe App LogoReframe App Logo
Certified recovery coach specialized in helping everyone redefine their relationship with alcohol. His approach in coaching focuses on habit formation and addressing the stress in our lives.
July 1, 2024
7 min read
Reframe App LogoReframe App Logo
Recognized by Fortune and Fast Company as a top innovator shaping the future of health and known for his pivotal role in helping individuals change their relationship with alcohol.
July 1, 2024
7 min read
Reframe App LogoReframe App Logo
Reframe Content Team
July 1, 2024
7 min read

Alcohol withdrawal can be a daunting experience, and understanding its symptoms and available treatment options is crucial for anyone looking to reframe their relationship with alcohol. This post will explore the common symptoms associated with alcohol withdrawal and the various treatment options available to manage them.

Introduction to Alcohol Withdrawal

Understanding Alcohol Withdrawal Symptoms and Treatment Options

Alcohol withdrawal occurs when someone who has been drinking heavily for a prolonged period suddenly stops or significantly reduces their intake. The brain, accustomed to the depressant effects of alcohol, becomes overstimulated, leading to a range of physical and psychological symptoms.

Common Symptoms of Alcohol Withdrawal

Early Symptoms (6-12 Hours After Last Drink)

The onset of alcohol withdrawal symptoms can begin as soon as six hours after the last drink. Early symptoms include:

  • Anxiety and Irritability: The absence of alcohol can lead to heightened anxiety and irritability as the nervous system becomes hyperactive.
  • Nausea and Vomiting: Digestive discomfort is common, making it difficult to eat.
  • Insomnia: Difficulty sleeping is a frequent issue, leaving individuals feeling drained.

Managing these symptoms involves consuming easily digestible foods and reducing caffeine intake to avoid exacerbating anxiety and insomnia.

Intermediate Symptoms (12-48 Hours After Last Drink)

As the body continues to adjust to the absence of alcohol, symptoms can intensify:

  • Increased Heart Rate and Blood Pressure: The body's attempt to regain balance can lead to elevated heart rates and blood pressure.
  • Tremors: Shaky hands and body tremors are common as the nervous system reacts to the lack of alcohol.
  • Hallucinations: In some cases, individuals may experience visual, auditory, or tactile hallucinations.

During this period, close monitoring and support are essential. Consuming hydrating soups and light meals can help, as can reducing screen time to improve sleep quality.

Severe Symptoms (48-72 Hours After Last Drink)

For some, alcohol withdrawal can lead to severe and potentially life-threatening symptoms:

  • Delirium Tremens (DTs): This severe manifestation includes agitation, confusion, fever, and severe hallucinations. It typically arises 48-72 hours after the last drink but can be delayed up to 10 days.
  • Seizures: In extreme cases, withdrawal can lead to seizures, necessitating immediate medical attention.

Given the severity of these symptoms, individuals should seek immediate medical assistance if they experience DTs or seizures. Hospitals and detoxification facilities are equipped to handle such emergencies.

Prolonged Symptoms (Weeks to Months)

Even after the initial withdrawal period, some symptoms can persist for weeks or even months:

  • Post-Acute Withdrawal Syndrome (PAWS): This condition involves prolonged psychological symptoms such as irritability, sleep disturbances, anxiety, and potential depression.
  • Cravings: Persistent cravings for alcohol can make long-term sobriety challenging.

Managing PAWS requires robust support systems, including friends, family, and professionals. Engaging in regular check-ins and seeking guidance from therapists or physicians can help alleviate symptoms and maintain sobriety.

Treatment Options for Alcohol Withdrawal

Medical Treatment

Medical treatment for alcohol withdrawal often involves:

  • Medications: Benzodiazepines are commonly prescribed to manage anxiety, insomnia, and seizures during withdrawal. Other medications may be used to address specific symptoms.
  • Nutritional Support: Proper nutrition is crucial during withdrawal. Incorporating foods rich in essential nutrients can help the body recover.
  • Hydration: Staying hydrated is vital, especially if vomiting and sweating are present.

Psychological Support

Psychological support is equally important in managing alcohol withdrawal:

  • Therapy: Cognitive-behavioral therapy (CBT) can help individuals understand and change their relationship with alcohol.
  • Support Groups: Joining support groups provides a sense of community and shared experiences, which can be invaluable during recovery.

Lifestyle Changes

Adopting healthy lifestyle changes can aid in long-term recovery:

  • Exercise: Regular physical activity can help reduce anxiety and improve overall well-being.
  • Mindfulness and Meditation: Practices like mindfulness and meditation can help manage stress and cravings.
  • Healthy Coping Strategies: Developing healthy coping strategies for dealing with stress and emotions can prevent relapse.


Navigating alcohol withdrawal is a challenging but crucial step in building healthier drinking habits. Understanding the symptoms and available treatment options can empower individuals to manage withdrawal effectively and maintain long-term sobriety. Seeking medical assistance, psychological support, and adopting healthy lifestyle changes are essential components of a successful recovery journey.

Moderate Your Drinking Effectively

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Call to action to download reframe app for ios usersCall to action to download reframe app for android users
Reframe has helped over 2 millions people to build healthier drinking habits globally
Take The Quiz
Our Editorial Standards
At Reframe, we do science, not stigma. We base our articles on the latest peer-reviewed research in psychology, neuroscience, and behavioral science. We follow the Reframe Content Creation Guidelines, to ensure that we share accurate and actionable information with our readers. This aids them in making informed decisions on their wellness journey.
Learn more
Updated Regularly
Our articles undergo frequent updates to present the newest scientific research and changes in expert consensus in an easily understandable and implementable manner.
Table of Contents
Call to action for signing up reframe app
Relevant Articles
Ready to meet the BEST version of yourself?
Start Your Custom Plan
Call to action to download reframe app for ios usersCall to action to download reframe app for android users
5 Star Reviews
Downloads (as of 2023)
a bottle and a glass
Drinks Eliminated

Scan the QR code to get started!

Reframe supports you in reducing alcohol consumption and enhancing your well-being.

Ready To Meet the Best Version of Yourself?
3,250,000+ Downloads (as of 2023)
31,364 Reviews
500,000,000+ Drinks eliminated
Try Reframe for 7 Days Free! Scan to download the App