How To Recognize Alcohol Use Disorder & Depression

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Many of our community members describe feelings of depression around the time when their drinking habits became unhealthy. Others share that they’ve used alcohol to help relieve depression, but it actually made it worse. There’s a cycle at play here: depression is a common driver of unhealthy drinking habits, and alcohol often intensifies depression.

In short, we can’t talk about alcohol without talking about commonly co-occurring mental health conditions like depression. And vice versa!

Navigating depression and unhealthy drinking can be incredibly challenging, and no one expects you to do it alone. You deserve relief and support. Both alcohol use disorder and depression are medical conditions that can be treated with the appropriate care, and understanding the connection between the two is an important step. First, let’s dive into the types of depression.

Types of Depression

Depression can be broken down into three main categories. Many of the depressive symptoms of each type are similar and can overlap with one another. Talking directly with a mental health professional is the best way to identify symptoms, diagnoses, and treatment options.

Major Depressive Disorder (MDD)

Individuals with major depressive disorder experience depression to an intense degree. These symptoms include feeling hopeless, helpless, gloomy, and having difficulty focusing. Other signs of MDD include loss of appetite, aches and pains, memory issues, thoughts of suicide, self-harm, anxiety, and difficulty sleeping. If you are experiencing a crisis or emergency, please visit these resources.

Persistent Depressive Disorder (PDD)

PDD is a type of depression where depressive symptoms persist over a long duration (typically over 2 years). Individuals with PDD may experience fewer overall symptoms than major depressive disorder. They can also demonstrate major depressive disorder symptoms when facing an overwhelming challenge.


Repressed anxiety is another form of depression. A persistent state of anxiety can cause fatigue, physical pain, bodily tension, loss of appetite, sleep issues, and difficulty relaxing.

Some other types of depression include bipolar disorder, psychotic depression, seasonal affective depression, and postpartum depression. While there is no one-size-fits all description of depression, these different types help group experiences by their commonalities.

How Do Alcohol and Depression Interact?

We spoke with Monument Advisor Laura Diamond, the Counseling Supervisor of the dual-diagnosis inpatient detox and rehabilitation unit at The Addiction Institute of Mount Sinai West Hospital, about what a dual diagnosis of alcohol use disorder (AUD) and depression looks like, why it’s so common, and how to treat both medical conditions.

Laura explained that patients with a dual diagnosis of AUD and depression often suffer from a combination of negative self-talk and unsuccessful efforts to decrease their alcohol consumption. With each unsuccessful attempt, combined with increased alcohol tolerance and withdrawal symptoms, shame, guilt, and a loss of pleasure can become paramount.

“Many individuals with symptoms of depression are drawn to the temporary calming effects of alcohol and use it to ‘soothe,’ helping to distract from symptoms of depression,” Laura explains. “AUD frequently impacts every aspect of an individual’s life, and as negative consequences increase secondary to alcohol use (such as interpersonal stressors and career consequences), their depression worsens.”

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And while there is no one-size-fits-all image of someone living with a dual diagnosis of AUD and depression, Laura affirms that in her professional experience, she has seen more individuals develop AUD after showing signs of depression. Many folks with alcohol use disorder (and even those without) perceive alcohol as an instant stress reliever. Patients often ask ‘is alcohol a stimulant or depressant?’ While many folks with alcohol use disorder (and even those without) perceive alcohol as an instant stress reliever, alcohol is actually medically characterized as a depressant — the antithesis of relief.

Laura broke it down like this: “While alcohol can feel like it is temporarily relieving or reducing stress, it can ultimately lead to an increase in symptoms of depression. Alcohol is a depressant that alters your brain’s natural levels of neurotransmitters, which transmit chemical signals throughout the body and play a big part in regulating thought processes, behavior, and emotion.”

Drinking might act as a temporary crutch, but its impacts on healing from depression can endure much longer. Laura shared that alcohol misuse can actually worsen depression symptoms and hinder individuals from developing new, healthy coping skills.

The good news is, depression and alcohol use disorder can be addressed and treated.

Seeking AUD and Depression Treatment

We understand that drinking alcohol can feel like the only option. Perhaps you believe it’s been keeping you afloat, or maybe it’s felt like a companion. Dismantling and rebuilding your toolbox of coping skills can take time. Still, it is absolutely possible with access to online alcohol treatment and supportive resources, whether that’s a specialized alcohol therapy program, physician care, support groups, or all of the above.

Addressing anxiety while managing your drinking

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Preventing Relapse Through Self-care

The path to changing your relationship with alcohol is rarely a straight line. Join the discussion about building behaviors to help prevent relapse, and moving forward through ups and downs.

And with the support of a therapist, Laura advises teasing the two diagnoses of AUD and depression apart so that both can be honored and addressed equally. One impacts the other, so by confronting both alcohol and depression, we can intercept the cycle. Before we can identify alternative coping mechanisms, we need to identify what we are trying to escape through drinking alcohol.

While challenging, confronting uncomfortable feelings can give you so much more out of your life. In Laura’s words, “if an individual immediately uses alcohol when experiencing a negative emotion, they miss an opportunity to learn and practice more positive coping skills, which leads to increased health and happiness in the future.” You deserve health and happiness, and it’s within reach.

If you’re interested in exploring specialized therapy to change your drinking and build healthier coping mechanisms, check out Total Care treatment plans. If you’re still exploring your options and assessing your relationship with alcohol, join our free community to hear from others. We’d be honored to have you.

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Disclaimer: Our articles and resources do not constitute clinical or licensed therapy or other health care services. If you need counseling or therapy services please contact a licensed provider. If this is a medical emergency, call 911.


About the Author

Team MonumentMonument is an online platform for those looking to change their relationship with alcohol. We connect members to a free anonymous community, therapist-moderated groups, and a collection of resources to provide the support and information they deserve. Members seeking medical treatment are introduced to a licensed physician and a specialized therapist to develop a personalized treatment plan specific to their goals. Monument is affordable, accessible, and research-based, so a healthy relationship with alcohol is attainable and celebrated by all.