Unveiling the Withdrawal Signs of Gabapentin Addiction

March 4, 2025

Discover the withdrawal signs of gabapentin addiction, how to manage them, and find paths to recovery.

Gabapentin Withdrawal Overview

Understanding the withdrawal process is essential for those affected by gabapentin addiction. Withdrawal signs indicate the body's reaction to the absence of the drug after long-term use and can vary significantly among individuals.

Timeline and Duration

Gabapentin withdrawal can commence within 12 hours after the last dose and may last up to 7 days. Typically, the symptoms peak around three days after cessation, with some individuals experiencing lingering effects lasting up to 10 days (Verywell Mind).

Withdrawal Timeline Duration
Onset of Symptoms 12 hours
Peak Symptoms 3 days
Duration of Withdrawal Up to 7 days
Possible Residual Symptoms Up to 10 days

Symptoms and Severity

Withdrawal symptoms from gabapentin can encompass a range of physical and mental reactions. The table below lists the most common symptoms observed during withdrawal:

Common Symptoms Prevalence
Agitation ~50%
Confusion and disorientation Varies
Nausea Varies
Dizziness Varies
Headaches Varies
Insomnia Varies
Anxiety Varies

Symptoms can escalate in severity depending on individual health factors and the duration of gabapentin use. Those taking the medication for seizures might experience a rebound in seizure activity upon withdrawal (American Addiction Centers).

Risk Factors

Several factors can influence the likelihood and intensity of withdrawal signs of gabapentin addiction. Key risk factors include:

  • Dosage and Duration of Use: Higher doses and extended use can lead to more severe withdrawal symptoms.
  • Underlying Health Conditions: Pre-existing mental health or neurological conditions may exacerbate withdrawal experiences.
  • Concurrent Substance Use: The presence of other drug use can increase withdrawal symptoms and complicate recovery.

Awareness of these factors is vital for those looking to manage or assist others in navigating gabapentin withdrawal. For individuals seeking further insights on withdrawal, articles like i think i’m going through marijuana withdrawal or can i get a clear withdrawal definition? may provide additional information.

Addiction and Dependence

Understanding the addiction and dependence associated with gabapentin is crucial for identifying the potential risks and the withdrawal signs of gabapentin addiction.

Increase in Gabapentin Prescriptions

The prescription rates of gabapentin have significantly increased over the last decade. In 2021, healthcare providers wrote more than double the number of prescriptions, totaling 70.9 million, compared to 33.4 million prescriptions in 2011 (Verywell Mind). This surge in prescriptions has raised concerns regarding the potential for misuse and dependence.

Year Prescriptions (in millions)
2011 33.4
2021 70.9

Illicit Usage Trends

There is growing evidence of illicit usage trends surrounding gabapentin. A survey conducted in Appalachian Kentucky revealed that 15% of prescription drug abusers reported using gabapentin to achieve a psychoactive effect (Verywell Mind). This misuse may reflect an increasing trend of individuals seeking to misuse the drug for recreational purposes.

Physical and Mental Dependence

Individuals who mismanage gabapentin, either knowingly or unknowingly, can develop significant levels of physical and mental dependence. Many who experience withdrawal symptoms may be taking an average of 3,000 mg per day, with doses ranging from 600 to 8,000 mg (Drugs.com). Withdrawal symptoms can occur even at lower daily dosages of 400 to 800 mg for an extended period of at least three weeks (American Addiction Centers).

The complexity of gabapentin dependence underscores the importance of recognizing these trends and symptoms, allowing individuals and healthcare providers to address potential problems proactively. For those who suspect they are experiencing withdrawal or dependence on a substance, it is advisable to consider resources such as am I going through drug withdrawal? for guidance.

Recognizing Withdrawal Signs

Identifying the withdrawal signs of gabapentin addiction is crucial for timely intervention and treatment. Understanding early warning signs, physical symptoms, and mental symptoms can help individuals and their loved ones recognize the need for professional assistance.

Early Warning Signs

The early symptoms of gabapentin withdrawal can begin within 12 hours of discontinuing the medication. It is important to observe any sudden changes in behavior or feelings. Common early signs include:

  • Increased anxiety
  • Mood swings
  • Cravings for the medication
  • Irritability
  • Agitation

These initial symptoms may escalate if not addressed and require a medical professional's guidance for tapering off the drug.

Physical Symptoms

Physical withdrawal symptoms can vary in severity and may persist for several days after stopping gabapentin. These may include:

Physical Symptoms Description
Nausea Feeling sick or queasy
Dizziness A sensation of spinning or lightheadedness
Headaches Pain in the head, ranging from mild to severe
Insomnia Difficulty falling or staying asleep
Vomiting Expelling the contents of the stomach
Increased seizure activity More frequent or severe seizures

Individuals experiencing these symptoms should seek medical attention, as they could indicate a serious hazard.

Mental Symptoms

Mental symptoms during gabapentin withdrawal can significantly impact a person's mood and cognitive functions. Typical mental health symptoms include:

  • Confusion
  • Depression
  • Increased irritability
  • Agitation

These symptoms can lead to further complications, making it vital for those undergoing withdrawal to receive appropriate medical supervision. Resources and guidance on am I going through drug withdrawal? can assist individuals in recognizing their experiences.

For ongoing monitoring and to prevent medical crises, awareness of withdrawal signs is essential. Individuals should consult healthcare providers discussing their withdrawal and tapering plans and exploring related withdrawal conditions, such as i think I’m going through marijuana withdrawal and dangerous xanax withdrawal symptoms.

Gabapentin Withdrawal Management

Managing gabapentin withdrawal is a critical step for those experiencing dependence on the medication. Proper withdrawal management is essential to reduce discomfort and potential health risks associated with discontinuation.

Tapering Off Recommendations

Experts suggest that tapering off gabapentin should be done gradually to minimize withdrawal symptoms. The recommended method involves reducing the daily dose in increments, allowing the body to adjust without triggering severe withdrawal signs of gabapentin addiction. A common tapering strategy is to decrease the dosage by a maximum of 300 mg every four days. This process typically spans over a week or more, depending on individual circumstances and medical guidance (American Addiction Centers).

Tapering Schedule Dose Reduction
Day 1-4 Reduce by 300 mg
Day 5-8 Reduce by another 300 mg
Continue until reaching zero

This table illustrates a staged approach to tapering, emphasizing the gradual reduction necessary for safer discontinuation.

Medical Supervision Importance

Medical supervision is vital throughout the withdrawal process. Health professionals can tailor tapering protocols to an individual’s specific needs, taking into account their history with gabapentin and any co-occurring medical conditions. Discontinuing gabapentin abruptly can lead to significant withdrawal symptoms and potentially dangerous reactions, underscoring the need for diligent monitoring.

A healthcare provider can monitor progress, adjust tapering schedules as needed, and provide resources to manage withdrawal symptoms effectively. It's advised that individuals seeking to stop using gabapentin consult with their medical provider to ensure a safe and effective detox process.

Treatment Options

The only reliable method for managing gabapentin withdrawal is gradual tapering under medical supervision, which may extend over three weeks or even longer based on individual factors. There are no specific medications for treating gabapentin withdrawal, but supportive therapies may include:

  • Behavioral Therapy: Engaging in therapy can help individuals manage psychological aspects of withdrawal.
  • Support Groups: Connecting with others who have experienced similar challenges can provide comfort and insight.
  • Contingency Management: An approach where positive behaviors are rewarded to motivate continued progress in recovery.

For those in need of immediate assistance, it is crucial to seek help. Individuals may explore options like counseling and educational resources on i think i’m going through marijuana withdrawal or related withdrawal symptoms guide, such as am i going through drug withdrawal?.

In summary, managing gabapentin withdrawal requires a structured approach involving careful tapering and medical oversight. This strategy helps minimize the risk associated with abrupt discontinuation and supports a healthier recovery experience.

Long-term Impact and Risks

Pregnancy Considerations

Long-term use of gabapentin during pregnancy can have significant implications for the fetus. It is crucial for pregnant individuals to consult a licensed physician to determine safe detoxification and treatment alternatives that are suitable for both the mother and the baby (Greenhouse Treatment Center). Ongoing use without medical oversight could pose risks that affect fetal development, so professional guidance is essential.

Overdose Risk and Management

Gabapentin misuse presents a risk of overdose, particularly when used in conjunction with opioids. The combination can elevate the danger of a fatal overdose, highlighting the necessity of medical supervision during gabapentin detox. Close monitoring can help manage withdrawal symptoms safely and effectively within a controlled environment. In instances of suspected overdose, immediate medical intervention is critical to reduce life-threatening outcomes.

Risk Factor Description
Gabapentin Misuse Increases the potential for overdose, especially when combined with opioids.
Medical Supervision Essential during detox to manage symptoms and prevent overdose.

Rebound Seizure Activity

Individuals who cease gabapentin use after taking it for seizure management may encounter a rebound effect characterized by an increase in seizure frequency or intensity. This phenomenon can include continuous, uncontrollable seizures known as status epilepticus. Withdrawal symptoms typically arise within 12 hours to 7 days after discontinuing the medication, with some studies indicating symptoms lasting up to 10 days (American Addiction Centers). Therefore, proper medical supervision during withdrawal is vital to mitigating these risks and ensuring the safety of individuals withdrawing from gabapentin.

By understanding these long-term impacts and risks associated with gabapentin use and withdrawal, individuals can make informed decisions regarding their treatment options and seek appropriate support. For more information on addiction withdrawal signs, consult related topics such as am I going through drug withdrawal? or i think I’m going through marijuana withdrawal.

Seeking Professional Help

When facing the withdrawal signs of gabapentin addiction, seeking professional assistance is crucial. There are various options available, encompassing detoxification, behavioral therapies, and supportive recovery programs.

Detoxification Options

Detoxification is a critical first step in overcoming gabapentin dependence. Two primary methods are available: at-home detoxification and supervised detoxification.

Detoxification Method Description
At-Home Detoxification Individuals manage withdrawal symptoms in their own environment, which may lack support.
Supervised Detoxification Medical professionals oversee the detox process, providing structured support and monitoring to manage withdrawal symptoms effectively

Supervised detoxification is generally preferred due to its comprehensive nature. It offers benefits such as medical support, a controlled environment, and increased effectiveness in managing withdrawal symptoms compared to at-home detoxification. Individuals should consult a medical provider to safely taper off gabapentin, typically over a period of more than a week.

Behavioral Therapies

Behavioral therapies play a vital role in treating gabapentin addiction. These therapeutic modalities help individuals understand their addiction and develop coping strategies to manage withdrawal symptoms and prevent relapse.

Prominent therapies include:

Therapy Type Description
Cognitive Behavioral Therapy (CBT) Helps individuals identify and modify negative thought patterns and behaviors associated with addiction.
Dialectical Behavior Therapy (DBT) Focuses on building skills for emotional regulation, interpersonal effectiveness, and distress tolerance.

These therapies are effective in addressing the psychological aspects of addiction and can also provide tools for individuals to navigate their recovery journey more effectively.

Supportive Recovery Programs

Supportive recovery programs provide a comprehensive approach to treating gabapentin addiction. These programs often include tailored treatment plans, 24/7 medical monitoring and support, individual and group counseling, and a combination of behavioral therapies and holistic approaches.

Program Feature Description
Tailored Treatment Plans Customized strategies based on individual needs and circumstances.
24/7 Medical Monitoring Continuous medical supervision to ensure safety during withdrawal.
Individual and Group Counseling Provides emotional support and shared experiences among peers.

Comprehensive recovery programs enhance the likelihood of long-term success in overcoming addiction by offering a supportive environment and various therapeutic options.

For individuals seeking help, engaging in these professional pathways can pave the way toward recovery and a healthier future.

Learn More

Find More Resources

Ways Yoga Helps With Recovery

May 12, 2025
Harnessing the Healing Power of Yoga for Lasting Recovery

How CBT Helps Individuals Regain Confidence in Their Recovery Journey

May 12, 2025
Transforming Recovery: The Power of CBT in Rebuilding Self-Confidence

How to Create a Relapse Prevention Plan in Outpatient Therapy

May 12, 2025
Building a Foundation for Lasting Sobriety: Effective Outpatient Relapse Prevention

How Ambulatory Detox Helps Prevent Relapse in Early Recovery

May 12, 2025
Empowering Recovery: The Role of Outpatient Detox in Sustaining Sobriety

What Makes Group Counseling Different from Individual Therapy

May 9, 2025
Understanding the Key Distinctions and Synergies Between Group and Individual Therapy

How Do Drugs Affect The Brain?

May 9, 2025
Understanding the Brain’s Response to Substance Use

The benefits of music therapy in addiction recovery

May 9, 2025
Harmonizing Healing: How Music Therapy Fuels Recovery from Addiction

NIDA's Contributions to Drug Rehab

May 9, 2025
Advancing Science and Shaping Policies in Drug Recovery

How to set long-term recovery goals

May 9, 2025
Building a Roadmap to Lasting Change

How to Help a Loved One Transition from Rehab to Everyday Life

May 9, 2025
Supporting Long-Term Recovery: Essential Strategies for Transitions

How to create a vision for your future after addiction

May 9, 2025
Building a Bright Future Beyond Recovery

Reese Witherspoon Jailed for Interfering With Her Husband’s DUI Arrest

May 8, 2025
Reese Witherspoon's 2013 Legal Scuffle in Atlanta

The Impact of Trauma on Addiction and How CBT Can Help

May 8, 2025
Understanding the Connection Between Trauma and Addiction: The Power of CBT-Based Interventions

How Medication-Assisted Treatment (MAT) Supports Long-Term Recovery

May 8, 2025
Transformative Approaches in Addiction Recovery

Accredited Drug Treatment Centers in Langhorne PA

May 8, 2025
Finding Reliable Recovery: Your Guide to Accredited Treatment in Langhorne PA

The Importance of Dual Diagnosis Treatment in Recovery

May 8, 2025
Unlocking Long-Term Recovery with Integrated Care

How to find purpose and meaning during recovery

May 8, 2025
Rebuilding Life with Intention and Clarity

How to recognize and address early signs of relapse

May 8, 2025
Navigating the Path of Recovery: Spotting and Acting on Early Relapse Signs

The benefits of exploring nature and outdoor activities in recovery

May 7, 2025
Harnessing the Healing Power of Nature in Recovery

The importance of goal-setting in addiction recovery

May 7, 2025
Achieving Sobriety Through Structured Goals

How to Stay Committed to Recovery with Group Counseling

May 7, 2025
Building Lasting Sobriety Through Group Support

How to Support a Loved One During Ambulatory Detox

May 7, 2025
Navigating Outpatient Recovery: Essential Guide for Family Support

The importance of addressing physical health in addiction recovery

May 7, 2025
Holistic Strategies for Long-Term Sobriety and Well-Being

The impact of recovery on your relationships with family and friends

May 7, 2025
Rebuilding Bonds: How Recovery Transforms Family and Friendships

The Role of Cognitive-Behavioral Therapy in Healing from Trauma and Addiction

May 7, 2025
Harnessing Evidence-Based Techniques for Trauma and Addiction Recovery

How Ambulatory Detox Works for Patients with Substance Use Disorders

May 6, 2025
Understanding Outpatient Detox in Modern Addiction Treatment

The Impact of Social Media on Recovery Efforts

May 6, 2025
Navigating the Digital Terrain of Sobriety

Seek the Sober Life

May 6, 2025
Embracing a Substance-Free Future for Better Living

The Benefits of Family Therapy in Addiction Recovery

May 6, 2025
Family-Centered Approaches Transform Addiction Recovery

What Are Environmental Factors That Inspire Addiction?

May 6, 2025
Unveiling the External Triggers of Addiction

How to Make the Most of an Intensive Outpatient Program (IOP)

May 6, 2025
Maximizing Your Recovery Journey with an IOP

How Intensive Outpatient Intensity Structure Helps Recovery

May 6, 2025
Building a Foundation for Lasting Recovery

Where Are the Best Drug Rehab Centers

May 5, 2025
Discovering Exceptional Facilities for Addiction Recovery

Knowing the Addiction Definition Does Not Guarantee Sobriety

May 5, 2025
Unpacking the Complexity of Addiction and Its Pathways to Recovery

Ways to Be Supportive of Recovery

May 5, 2025
Building a Supportive Environment for Lasting Recovery

Are Oreos Really As Addicting As Cocaine?

May 5, 2025
Unpacking the Evidence: The Controversy Over Oreo Addictiveness

Emergencies Due to Misuse of ADHD Drugs Quadrupled in 6 Years

May 5, 2025
Surge in Emergency Cases Linked to ADHD Drug Misuse Sparks Public Health Concerns

How Cognitive-Behavioral Therapy Helps Individuals Cope with Life Stressors

May 5, 2025
Empowering Resilience Through Evidence-Based Strategies

What Does Porn Addiction Look Like

May 5, 2025
Unmasking the Hidden Signatures of Porn Dependency

Intensive Outpatient Cocaine Rehab in Newark NJ May Not Be the Best Choice

May 2, 2025
Is Outpatient Cocaine Rehab in Newark the Right Choice?

How to Utilize Cognitive-Behavioral Therapy in Everyday Life Post-Treatment

May 2, 2025
Empowering Your Mental Well-Being Beyond Therapy

What is the Process of Ambulatory Detox and Withdrawal Management?

May 2, 2025
Navigating Outpatient Detox: A Comprehensive Guide

The benefits of individualized treatment plans in recovery

May 2, 2025
Personalized Pathways to Lasting Sobriety

The connection between addiction recovery and improved mental clarity

May 2, 2025
Unlocking the Brain’s Potential: How Addiction Recovery Enhances Mental Clarity

The Benefits of Combining Traditional and Holistic Approaches in Therapy

May 2, 2025
Integrative Healing for Mental Wellness: Blending Old and New Methods

How to stay sober after leaving a treatment center

May 2, 2025
Building a Foundation for Long-Term Sobriety: Strategies After Treatment

How to create a relapse prevention plan for long-term success

May 1, 2025
Building a Strong Foundation for Lasting Recovery

The benefits of setting realistic goals for sobriety

May 1, 2025
Building a Strong Foundation: How Realistic Goals Foster Long-Term Sobriety

Turn to Help for Opioid Addiction

May 1, 2025
Finding Support in the Fight Against Opioid Crisis

How to Develop a Healthy Daily Routine in Sobriety

May 1, 2025
Building a Foundation for Lasting Sobriety Through Routine

The importance of creating meaningful connections with others

May 1, 2025
Building Bridges: Unlocking the Power of Genuine Relationships

Symptoms of Cocaine Withdrawal

May 1, 2025
Understanding the Challenges of Cocaine Disentanglement

How to stay mentally strong during recovery

May 1, 2025
Building Inner Strength to Conquer Recovery Challenges

The Difference Between Traditional Therapy and CBT for Addiction

April 30, 2025
Understanding Modern Approaches in Addiction Treatment

The benefits of journaling for self-reflection in recovery

April 30, 2025
Unlocking Inner Strength: How Journaling Fuels Self-Discovery in Recovery

The role of exercise in managing anxiety and depression in recovery

April 30, 2025
Harnessing Physical Activity to Support Mental Health During Recovery

The 5 Most Common Drug Interactions

April 30, 2025
Unveiling the Hidden Hazards in Medication Management

How to Cure a Food Addiction

April 30, 2025
Navigating the Path to Recovery from Food Addiction

How to Strengthen Coping Mechanisms in Partial Hospitalization Programs

April 30, 2025
Building Resilience: Developing Effective Coping Strategies During PHP

How to Foster Resilience During the Recovery Journey

April 30, 2025
Building Inner Strength for a Successful Recovery

Vermont Passes Good Samaritan Law to Protect Victims and Witnesses to Overdose

April 29, 2025
Vermont Implements New Laws to Combat Overdose Crisis

How to manage triggers during important events in recovery

April 29, 2025
Navigating Triggers: Strategies for Maintaining Sobriety During Life’s Key Moments

The Effectiveness of Cognitive-Behavioral Therapy for Addiction Treatment

April 29, 2025
CBT Transforms Addiction Recovery Outcomes

The Benefits of Combining Therapy and Medication in Addiction Recovery

April 29, 2025
Integrated Treatment Strategies Boost Long-Term Sobriety

3 Things to Give Up in Recovery Besides Drugs and Alcohol

April 29, 2025
Breaking Free: Essential Lifestyle Changes in Recovery

How Ambulatory Detox Supports a Transition to Long-Term Recovery Care

April 29, 2025
Bridging the Gap from Detox to Lasting Sobriety

Sober Holidays – You Can Do It

April 29, 2025
Embrace the Festive Season with Confidence and Clarity

How to Stop Social Media Addiction

April 29, 2025
Breaking Free from Digital Dependence: Strategies and Insights

How to Use Group Counseling to Learn from Others in Recovery

April 29, 2025
Harnessing the Power of Group Counseling in Achieving Sobriety

Understanding the Emotional Toll of Addiction on Family Members

April 29, 2025
The Hidden Struggles Within Families Affected by Addiction

How Family Therapy Helps Heal Generational Trauma Related to Addiction

April 29, 2025
Breaking the Cycle of Addiction Through Family Healing

How to Get Rid of Alcohol Addiction Fallout 76

April 29, 2025
Combatting Alcohol Dependency in Fallout 76: Essential Strategies for Players

Understanding the Feeling Of Gratitude in Recovery

April 29, 2025
The Transformative Power of Gratitude in Sobriety

How to navigate life transitions during recovery

April 29, 2025
Embracing Change: Strategies for Navigating Life's Transitions in Recovery

How to Stop Spending Addiction

April 29, 2025
Breaking Free: Strategies and Insights to Overcome Spending Addiction

How to deal with negative thoughts during recovery

April 29, 2025
Overcoming Mental Barriers to Support Lasting Sobriety

The Benefits of Combining PHP and IOP for Comprehensive Treatment

April 29, 2025
Maximizing Recovery: An Integrated Approach with PHP and IOP

How to Rebuild a Healthy Parent-Child Relationship After Addiction

April 29, 2025
Restoring Family Bonds: A Guide to Healing Post-Addiction Relationships

How to Choose the Right Ambulatory Detox Program for Your Needs

April 29, 2025
Finding the Right Path to Recovery: Selecting an Ambulatory Detox Program

Talking to Your Family About Your Addiction

April 29, 2025
Open Dialogue as a Path to Healing in Families

Dangerous Xanax Withdrawal Symptoms

April 29, 2025
The Hidden Dangers of Unsupervised Xanax Discontinuation

How to build resilience in addiction recovery

April 29, 2025
Strengthening the Foundation of Sobriety

What Is Dilaudid Addiction?

April 29, 2025
Unveiling the Hidden Dangers of Dilaudid Dependency

The Benefits of Short-Term Rehab Programs

April 29, 2025
Rapid Recovery Through Focused Intensity

The Opioid Epidemic and Drugs in America

April 29, 2025
A Deep Dive into America's Persistent Drug Crisis

The importance of accountability partners in recovery

April 29, 2025
Building a Foundation of Trust and Responsibility in Recovery

The Proper Detox Definition

April 29, 2025
Understanding the Myth and Science Behind Detoxification

Remembering Kurt Cobain

April 29, 2025
The Enduring Echoes of a Generation’s Voice

Comfort Eating and Recovery

April 29, 2025
Navigating the Path to Healing from Comfort and Emotional Eating

How to use visualization techniques to support sobriety

April 29, 2025
Harnessing the Power of Mind: Visualization as a Tool for Sobriety

5 Dangerous Designer Drugs

April 29, 2025
Unveiling the Hidden Dangers Behind Popular Synthetic Substances

The role of storytelling in sharing your recovery journey

April 29, 2025
Harnessing Personal Narratives to Inspire and Heal

The Benefits of Combining Cognitive-Behavioral Therapy and Group Counseling

April 29, 2025
Unlocking the Power of Combined Therapeutic Approaches

How to explore career opportunities after addiction recovery

April 29, 2025
Embracing New Beginnings: Navigating Career Paths Post-Recovery

Playing the Victim

April 29, 2025
Unmasking Manipulation and Misunderstanding in Victimhood

Pets and Rehab

April 29, 2025
Transformative Journeys of Hope: The Intersection of Pets and Rehabilitation

Pets and Rehab

April 29, 2025
Transformative Journeys of Hope: The Intersection of Pets and Rehabilitation

The Role of Professional Counseling in Addiction Treatment

April 29, 2025
Enhancing Recovery: The Critical Influence of Counseling in Addiction Treatment

The role of cognitive-behavioral therapy (CBT) in addiction treatment

April 29, 2025
Harnessing Psychological Strategies for Long-Term Sobriety

The Benefits of Family Therapy for Couples Affected by Addiction

April 29, 2025
Family Support as a Keystone in Addiction Recovery

Get Started Today

Get in touch with an admission therapist today to embark on your path to recovery immediately.

Get Started

Contact Us Today

info@robinrecovery.com
(888) 586-7168
3616 E Main St, Whitehall, OH 43213
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.