PAWs seems to hit me at 3 month intervals. 8 months was the most severe and I spent a month literally hiding in the house with debilitating brain fog, fatigue and vertigo type symptoms. I could not handle stress, loud noise or certain smells. My appetite was terrible and I could not motivate myself to do anything unless I really had too. At one point I convinced myself I had a brain tumour or MS. Most days I had that nagging, anxious feeling that I knew alcohol would take away. I am at 15 months now and it's getting a lot better. What helped me was reducing caffeine as it seemed to increase the symptoms 10 fold. I feel very sorry for anyone going through this it is the pits but try to hang in there it gets easier.