The Stages of Detox: How the body and mind react during withdrawals — The Walker Center (2024)

Detoxing is a challenging process on every level: physically, emotionally, and mentally. Detoxification is defined as “a set of interventions aimed at managing acute intoxication and withdrawal.”

When someone has become dependent on a substance, removing that substance can send shockwaves through the mind and body. These feelings of withdrawal are intensely battled both physically and psychologically.Detoxification in a treatment center is structured in three phases:

  1. Evaluation

  2. Stabilization

  3. Fostering readiness for and entry into substance abuse treatment

While withdrawal symptoms can be draining and painful, know that these difficult stages are normal experiences along the path to recovery. Here are some examples of what to anticipate in the stages of detox.

Physical symptoms of withdrawal

When someone abuses a harmful substance, the body becomes physically reliant on that substance to function. When an addict is initially cut off from drugs or alcohol, the body goes into a series of reactions to compensate for the missing drug.

Common physical reactions include muscle tension, racing heartrate, difficulty breathing, and tightness in the chest. Other common symptoms include profuse sweating, headaches, nausea, and vomiting. These symptoms can put the individual through tremendous stress. In extreme cases, high-risk alcohol and tranquilizer users may be susceptible to stroke, seizure, heart attack, or hallucinations.

The Walker Center offers 24-hour clinical supervision through its Withdrawal Management Program. When people begin treatment, they are evaluated, monitored, and administered medication by a certified medical staff to reduce the physical pain of detoxing.

Going through supervised stabilization under the direction of a physician is critical for anyone at risk of withdrawal symptoms. This keeps them physically safe and able to participate in the treatment program.

Emotional challenges

An addict going through detox experiences heightened levels of anxiety and restlessness as the body and mind learn to function without drugs or alcohol.

Typical emotional states include irritability, social isolation, depression, and feelings of extreme loneliness.Depending on the severity of the addiction, the addict suffers from intense cravings for the substance to numb the emotional trauma of detoxing.

These symptoms will generally subside with time, and the physician may prescribe short-term, non-addictive medications to help manage anxiety and cravings.

Mental recovery

Detoxing can be as mentally demanding as it is physically demanding. Individuals often experience slower processing, poor concentration, weakened sense of judgement, impaired memory, and increased sensitivity to sound, light, and tactile sensations.

The body’s dependence on the substance makes it extremely challenging for the addict to relax or sleep. Detoxing addicts often experience insomnia, creating a feeling of desperation for alcohol or drugs.

When someone attempts to detox alone, that person is at high risk of relapsing in order to calm their physical and mental agitation. Learn more about risk factors of relapse.

At The Walker Center, an addict’s emotional and mental recovery is guided by coaches and counselors on staff. Since detoxing can present feelings of isolation and hopelessness, the support of a staff trained in addiction recovery is vital to helping the addict process their emotions and work toward a clearer state of mind.

Seeking out help

While these stages of detox are demanding in any setting, addicts set themselves up for success by enrolling in a structured, residential detox program.

If you’re ready to make a change, view these tips on how to find the best treatment options.[1] SAMHSA, “Detoxification and Substance Abuse Treatment: A Treatment Improvement Protocol”

The Stages of Detox: How the body and mind react during withdrawals — The Walker Center (2024)

FAQs

How does your body feel while detoxing? ›

Common physical reactions include muscle tension, racing heartrate, difficulty breathing, and tightness in the chest. Other common symptoms include profuse sweating, headaches, nausea, and vomiting. These symptoms can put the individual through tremendous stress.

What are the phases of detoxification? ›

The phases of metabolic detoxification are performed by three sets of enzymes or proteins, called the Phase I (functionalization) enzymes, Phase II (conjugation) enzymes, and the Phase III (elimination) proteins.

What are the steps to detoxing your body? ›

The best way to detox your body is to let it flush out toxins naturally. The body is equipped with its own effective detoxing processes. Methods that support these natural processes include exercising, getting enough sleep, staying hydrated, and limiting processed foods and alcohol (if you drink).

What is the 3-phase detoxification system? ›

The three phases of healthy detoxification are the generation of water-soluble intermediaries, the neutralization of toxic water-soluble intermediaries, and the excretion of the neutralized intermediaries. Preventing unhealthy detoxification function begins with reducing our exposure to toxins.

Do you smell when detoxing? ›

Any person who has been drinking alcohol for a long time will have developed some serious toxins in their body. The process of detoxing from alcohol abuse and particularly heavy alcohol consumption is associated with body odour that does make you really sweat, at night and then start to smell.

What color is your urine when you detox? ›

Yes, your urine may be pale yellow or even darker if you are detoxing. In addition, they can even have a strong smell indicating an overload of molecules that need to be treated during detox.

What happens in Phase 2 detoxification? ›

The phase II detoxification systems involve conjugation reactions that attach charged hydrophilic molecular moieties to reactive metabolites, thus facilitating the elimination of the harmful metabolites from body, ultimately reducing their toxicity (22).

When does your body detox the most? ›

From 11pm to 3am, most of your blood circulation concentrates in your liver. Your liver gets larger when filled with more blood. This is an important time when your body undergoes detoxification process. Your liver neutralizes and breaks down body toxins accumulated throughout the day.

What are the reactions in Phase 1 detoxification? ›

Phase I Cytochrome P450 Enzymes. Initially, the “phases” of detoxification were described as functionalization (or phase I), or the addition of oxygen to form a reactive site on the toxic compound, and conjugation (phase II), or the process of adding a water-soluble group to this now reactive site [14, 15].

How to know if detox is working? ›

How Do You Know If Your Liver is Detoxing Successfully?
  • Feeling Energized for Longer. ...
  • Proper Digestion and Movement. ...
  • Clearer Skin and Complexion. ...
  • Looking Good Comes with Feeling Good. ...
  • Better Mental State. ...
  • Reduced or Cleared Inflammations. ...
  • Consistent Weight and Build. ...
  • Healthier Habits Maintained.

What is the fastest way to flush your body of toxins? ›

The human body has a self-based mechanism to remove toxins. The fastest way to detox your body is to drink water, get enough sleep, exercise, lower sugar intake, and eat probiotic foods.

What is phase 1 and phase 2 detoxification? ›

This protective ability of the liver stems from the expression of a wide variety of xenobiotic biotransforming enzymes whose common underlying feature is their ability to catalyse the oxidation, reduction and hydrolysis (Phase I) and/or conjugation (Phase II) of functional groups on drug and chemical molecules.

How can you tell if a detox is working? ›

Here are some ways to tell if your detox diet is playing off and helping to create a healthier you.
  • You lose weight. ...
  • You don't get sick as often. ...
  • Your gas doesn't smell as bad. ...
  • You have more energy. ...
  • Your skin looks and feels better. ...
  • Your blood pressure decreases. ...
  • Your bowel movements are more regular.
Mar 26, 2016

Can you feel when your liver is detoxing? ›

First few hours: To be sure, symptoms of a detoxing liver start approximately 10 hours after alcohol abstinence. It is common for a person to experience nausea and abdominal pain. Psychological symptoms begin to appear, including anxiety. In general, a person feels tired but restless.

Do you pee a lot when detoxing? ›

Detoxing symptoms

Some of the following symptoms may be experienced during a detox: Fatigue, as the body diverts energy to 'spring cleaning' the body. Hemorrhoids, as motions increase to unaccustomed levels. Frequent urination, as the kidneys and bladder begin to work more effectively.

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