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In general, however, many clients in recovery report experiencing some or many of the following post-acute withdrawal symptoms for up to two years after detox: 1  Irritability and hostility. 2  Depression. 3  Anxiety. Mood swings.  Low energy and 1  fatigue. Sleep disruption, including insomnia.  Limited ability to focus or think 1  clearly. Lack of  libido.
DISCUSSION: This patient is experiencing heroin withdrawal. The appropriate treatment to relieve withdrawal symptoms is methadone. The signs and symptoms of opioid withdrawal include anxiety, insomnia, anorexia, excessive perspiration, mydriasis, rhinorrhea, nausea, stomach cramps, and diarrhea. Unlike alcohol withdrawal, opioid withdrawal is rarely life threatening.