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The Links Between Depression and Substance Abuse

A woman stares out toward the sun in thought, thinking about the link between substance abuse and depression

Updated January 10, 2024

Authored By:

Joe Gilmore

Edited By

Amy Leifeste

Medically Reviewed By

Javier Rodriguez-Winter

Authored By:

Joe Gilmore

Edited By

Amy Leifeste

Medically Reviewed By

Javier Rodriguez-Winter

A woman stares out toward the sun in thought, thinking about the link between substance abuse and depression

Depression and substance abuse frequently co-occur. The symptoms of depression may compel certain individuals to resort to substance use as a means of coping with their condition. That said, using drugs or alcohol to self-medicate depression symptoms can significantly heighten the risk of developing an addiction. Read on to learn more about depression and substance abuse comorbidity, and discover how to get help at Connections Mental Health in California.

Substance Abuse and Depression Statistics

Depression and substance abuse statistics from NIMH (National Institute of Mental Health) indicate that roughly half of those diagnosed with substance use disorders also experience a co-occurring mental health condition like depression. The interplay between the symptoms of depression – a persistently low mood – and substance misuse is complex. While depression can drive self-medication with addictive substances, addiction can trigger changes in the brain that heighten the risk of developing a mental health condition.

A study conducted during the early 1980s shows that 22.5% of people will develop a mental health disorder not related to substance use during their lifetime. The same data show that lifetime prevalence rate for alcohol use disorder (alcoholism) is 13.5%, and the rate for substance use disorder (drug addiction) is 6.1%. Among those with a mood disorder like depression, 32% also experienced a co-occurring substance use disorder. Within those who had previously experienced episodes of depression, 16.5% had a dual diagnosis involving alcohol use disorder, and 18% had co-occurring drug addictions.

Depression and substance abuse in adolescents commonly co-occur. Research indicates that young adults diagnosed with depression are at heightened risk of abusing addictive substances.

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How Does Depression Affect Substance Abuse?

The relationship between depression and substance abuse is nuanced. Depression can significantly impact substance abuse, and conversely, substance abuse can exacerbate symptoms of depression. When individuals experience depressive symptoms, they may be more inclined to turn to drugs or alcohol as a coping mechanism, hoping to alleviate their emotional pain temporarily. This self-medicating behavior can lead to a cycle of reliance on substances for mood regulation, potentially leading to the development of a substance use disorder.

Beyond this, the coexistence of depression and substance abuse can complicate the treatment process. Substance abuse may worsen symptoms of depression, and untreated depression can increase the risk of developing a substance use disorder. This cyclical relationship often perpetuates both conditions, making it challenging for people to achieve and maintain lasting recovery.

The combination of depression and substance abuse can have severe consequences for a person’s mental and physical well-being, social relationships, and overall quality of life. Those struggling with both conditions may experience increased isolation, difficulties maintaining employment, strained interpersonal relationships, and a higher risk of engaging in risky behaviors.

In many cases, individuals may turn to substances as a way to self-medicate the distress caused by depressive symptoms. However, continued substance abuse can disrupt brain chemistry, exacerbate depressive symptoms, and hinder the effectiveness of traditional depression treatments.

The interconnected nature of depression and substance abuse means that effective integrated treatment addresses both conditions simultaneously through a combination of therapy, medication, support groups, and lifestyle adjustments to promote holistic healing and recovery.

Seeking professional help from healthcare providers with experience in treating co-occurring disorders is crucial for developing a personalized treatment plan that addresses the specific needs and challenges of each individual. Through comprehensive and targeted interventions, individuals can achieve lasting recovery and improved mental health outcomes.

Depression and Substance Abuse Treatment

Coordinate dual diagnosis treatment is the recommended approach for addressing both depression and substance use. Antidepressants can significantly alleviate depressive symptoms, and medications are available for treating alcohol use disorder, opioid use disorder, and other substance use disorders. Medications are most effective when combined with counseling and behavioral therapies. Many individuals find that intensive outpatient or inpatient treatment is necessary to combat addiction and acquire healthy coping strategies for managing depression.

When seeking treatment for both substance use and depression, immediate medical attention may be necessary to manage any withdrawal symptoms resulting from drug or alcohol use. A period of abstinence might be required before a clinician can conduct an accurate diagnostic evaluation. Discuss with your doctor the availability of programs that address dual diagnoses simultaneously. Simply discontinuing substance use, which may have served as a coping mechanism for depression, can potentially worsen the symptoms of depression and increase the risk of relapse.

Some people with a dual diagnosis respond well to counseling, medical support, and peer support for addiction. Others may benefit more from intensive inpatient or outpatient treatment programs. Effective treatment methods are typically long-term and multimodal, aiming to reduce the frequency, duration, and severity of substance use while concurrently enhancing overall health and quality of life.

Treatment for substance use disorders often entails:

  • Assessment
  • Management of intoxication and withdrawal symptoms
  • Treatment of coexisting psychiatric and medical conditions
  • Development of a long-term treatment plan

Although relapse is common, individuals have the highest chances of achieving long-term recovery when addressing both depression and substance use simultaneously.

If you have been diagnosed with depression, consult with your doctor to establish the potential risk of substance use. Monitoring alcohol intake closely and seeking alternative coping mechanisms for stress and low mood might be beneficial. If you have an active substance use disorder or a history of substance use, there is a possibility of undiagnosed depression. Regular communication with your physician, participation in counseling, and engagement in peer support can aid in the development of effective coping skills, reducing the risk of relapse or the development of depression.

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Get Treatment for Depression and Substance Abuse at Connections

At Connections in Southern California, we specialize in mental health treatment and at our Orange County Depression treatment center, we can get you the help you need.

If you initiate your recovery at our luxury treatment facility, you will benefit from our team of experts committed to your recovery. You can also get support from a small number of peers addressing similar issues.

During inpatient treatment, you will tackle mental health and substance use issues simultaneously, proven the most effective approach to treating co-occurring disorders like depression and substance use disorder. Through a blended approach that combines medications and psychotherapy with holistic interventions, you can improve functioning and overall well-being.Call 844-413-0009 today and find out how to kickstart your sustained recovery in Southern California.

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