Depression and Addiction | Signs and Support Options

What is classed as depression?

We all go through rough patches in our lives, and when low mood sets in, it’s hard to ignore. But when does a low mood cross the line into something more? With the stigma around depression lifting in recent years, more people are recognising the signs, yet it can still be difficult to know if what you’re feeling is depression or just a tough time.

Think of the common cold. It has clear symptoms, and because it’s widely understood, people can recognise it and take action without much second thought. Depression, however, has long been shrouded in misunderstanding. While it also has distinctive symptoms, they aren’t always as well-known or easy to identify.

That’s why understanding these signs and reaching out for support if you recognise them, is so important.

depressed-old-man-sitting-on-bed

Common symptoms of depression

According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), major depressive disorder is diagnosed when at least five or more of the following symptoms occur most of the day, nearly every day, for at least two weeks. One of these symptoms must be either depressed mood or loss of interest/pleasure.

Depressed mood
Loss of interest or pleasure
Changes in appetite or weight
Sleep disturbances
Fatigue or loss of energy
Psychomotor agitation or retardation
Feelings of worthlessness or excessive guilt
Difficulty concentrating
Thoughts of death, self-harm or suicide

If you feel as though any of the symptoms resonate with you or someone you love, it’s crucial to reach out to a healthcare professional for further help.

Is there a link between depression and addiction?

Depression and addiction often go hand in hand but figuring out which one came first isn’t always straightforward. It is a bit like the chicken and the egg paradox: does depression lead someone to substance use, or does addiction create the conditions for depression to develop?

In many cases, the two feed into each other, making it difficult to separate one from the other.

Depression leading to addiction

When someone is struggling with depression, life can start to feel overwhelming. Everyday tasks become harder and even things that once brought enjoyment no longer seem to matter. In an effort to cope, they might start drinking more, relying on medication outside of its intended use or turning to substances that provide a temporary sense of relief.

At first, it might seem like it helps. Just a small escape from the heaviness of daily life. But over time, that relief becomes something they depend on. The occasional drink to lift the mood turns into a regular habit or the extra dose to sleep at night starts feeling necessary every day. While it may have started as a way to manage feelings, it can quickly develop into something much harder to control.

Addiction leading to depression

Addiction does not always begin with the intention of escaping something. Sometimes it starts as a way to relax, fit in socially or manage stress. However, as use becomes more frequent, it can begin to take priority over other aspects of life. Relationships, work and hobbies slowly start to slip away.

As the cycle continues, the emotional toll of addiction can take shape in the form of depression. Feelings of guilt and isolation become more common and what once felt like a source of relief now feels like part of the problem. The more someone struggles to regain control, the harder it can be to see a way forward.

What is a dual diagnosis of depression and addiction?

When someone is struggling with both depression and addiction, it is known as a dual diagnosis. This simply means that two conditions are present simultaneously, and while that might sound daunting, it is a good thing to know. A dual diagnosis ensures that both issues are treated properly rather than one being overlooked, which can make recovery far more effective in the long run.

Understanding both conditions is key to creating the right treatment plan. If someone were to receive treatment for addiction without addressing underlying depression, they may find that certain therapies do not work as well.

Likewise, if depression is treated without recognising a substance addiction, the person might continue using substances in a way that worsens their mental health. By identifying both, treatment can be tailored to ensure the right balance of care.

Once a dual diagnosis is confirmed, treatment is designed to support both conditions together. This often involves a mix of therapies and sometimes medication where necessary. The focus is on understanding how these conditions interact and providing strategies to manage both effectively.

This personalised approach helps people not only overcome addiction but also develop healthier ways to cope with depression, reducing the risk of relapse.

woman-in-Depression-sitting-on-park

How would depression and addiction be treated in a rehab centre?

Rehab primarily focuses on overcoming addiction but many of the therapies used also help with depression. If depression is left unaddressed, it can make staying sober more difficult, while addiction can make it harder to manage mental health. That is why rehab programmes often incorporate therapies that support both addiction recovery and emotional well-being.

Therapies beneficial for both addiction and depression

Cognitive behavioural therapy (CBT)

CBT is widely used in rehab as it helps people recognise negative thought patterns and behaviours that contribute to both addiction and depression. By learning how to challenge these thoughts and develop healthier coping strategies, people can reduce the risk of relapse while also improving their mental well-being.

Dialectical behaviour therapy (DBT)

DBT is particularly useful for those who experience intense emotions and struggle with impulsive behaviours. It focuses on emotional regulation, distress tolerance and mindfulness, which are key skills that help manage both cravings and depressive episodes.

Group therapy

Being in a space with others who understand similar struggles can be incredibly beneficial. Group therapy provides support and a sense of connection, both of which could help with both addiction recovery and feelings of isolation that often come with depression.

One-to-one counselling

Individual therapy allows a person to explore the deeper issues behind their addiction and depression in a private, supportive setting. This can help identify triggers and build a personalised plan for moving forward.

Holistic methods (yoga, sound therapy, mindfulness)

Holistic therapies play an important role in rehab by helping people reconnect with themselves in a healthier way. Methods like yoga and mindfulness can improve emotional regulation and promote a sense of calm, making them highly effective for both addiction and depression recovery.

What are the next steps?

Addiction and depression can feel overwhelming, but you don’t have to face them alone. At Addiction Helper, we provide expert guidance and support to help you take the first step toward recovery. Call today for confidential advice and find the right treatment to regain control of your life.

Reclaim Your Life Today

Our compassionate team are ready and available to take your call, and guide you towards lasting the lasting addiction recovery you deserve.

Frequently Asked Questions

Can addiction cause depression?

Yes, addiction can lead to depression due to chemical imbalances, life consequences and withdrawal symptoms. Many people struggle with both conditions simultaneously.

How do antidepressants impact addiction recovery?

Antidepressants can help stabilise mood during recovery but they should be prescribed carefully to avoid dependency risks. They support emotional balance alongside therapy and lifestyle changes.

Is therapy effective for depression and addiction?

Yes, therapy addresses both conditions by identifying triggers and setting the stage for long-term recovery. CBT and DBT are particularly effective for co-occurring disorders.

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