Depression and Alcoholism
Research scientists have known for quite some time that mental health problems such as depression and
alcoholism tend to occur together in the same individual and that both disorders may also occur in
In fact, previous studies of adopted siblings and twins have suggested that there are genes in common
underlying depression and alcoholism and that the two disorders seemingly take place in families.
Indeed, a family history of either depression or alcoholism puts an individual at increased risk for
developing either illness.
Some Key Facts About Depression and Alcoholism
The following represents some key information that researchers have discovered about depression and
- To relieve the pain of depression, some individuals resort to drugs or alcohol.
- Alcohol triggers depressive symptoms, increasing both their frequency and severity.
- Alcoholism may cause a relapse in patients with depression. This suggests that a gene or genes might
predispose some individuals to depression (which may be alcohol induced) and others to alcoholism.
- Up to 40 per cent of people who drink excessively have symptoms that resemble "clinical depression."
- Many depressive conditions are associated with the excessive use of alcohol and drugs.
- A lot of depressed individuals, especially teenagers, also have problems with alcohol or other drugs. These
individuals are therefore more likely to develop a dependency on alcohol or other drugs than non-depressed
- People with depression cannot simply "pull themselves together" and feel better.
- Psychotherapy alone is not recommended as the only treatment for severe depression or for bipolar
What is Depression?
Depression is a mental health condition that is typified by a despondent lack of activity and a pessimistic
sense of inadequacy.
When an individual is depressed, he or she usually feels helpless, exhausted, worthless, and hopeless.
It is important to point out that while "normal" depression is associated with any downturn in mood that might
be relatively transitory and perhaps due to something trivial, "clinical depression," however, refers to symptoms
that last two weeks or more and are so severe that they interfere with daily living and functioning.
Depression and Alcoholism: Symptoms
Alcoholism researchers have uncovered the fact that some of the factors that are involved in producing the
symptoms of low mood, reduced appetite, poor sleep and anxiety characteristic of depression are also affected by
The following represents some of the key factors regarding the symptoms of depression and alcoholism:
- The symptoms of depression in alcoholics are greatly reduced after three to four weeks of stopping alcohol
- Due to the fact that symptoms of depression are likely to develop during the course of alcoholism, some
patients with mood disorders may increase their drinking when undergoing a mood change, fulfilling criteria for
- About 5 to 10 per cent of people with a depressive illness also have symptoms of alcoholism or alcohol
- When depressive symptoms are secondary to alcoholism, they are likely to disappear within a few days or
weeks of abstinence, as withdrawal symptoms decrease.
- The depressive symptoms from alcohol are greatest when a person first stops drinking, so recovering
alcoholics with a history of depression should be carefully monitored during the early stages of withdrawal. If
a drinker has never experienced alcohol problems, he or she will tend to not have symptoms of depression.
- Among alcoholics entering treatment, about two-thirds have symptoms that resemble anxiety disorders.
- The strongest correlation between alcoholism and severe anxiety symptoms occurs in the context of alcohol
Depression and the Elderly
Some people have the mistaken idea that it is normal for the elderly to feel depressed.
Research, however, indicates that people who experience alcohol problems both before and after age 60 have the
highest rates of depression.
In fact, seniors who suffer from alcoholism and depression are at increased risk of suicide.
Due to the fact that depression and alcohol abuse are related to suicide, and given the high rate of suicide in
older individuals, health care professionals as well as substance abuse treatment providers need to be sensitive to
the presence of suicidal ideation in older clients.
In short, clinicians must raise their awareness about depression and alcoholism as "problem areas" for older
adults and they should not confuse these disorders with "normal aging."
Depression and Alcoholism: Suicide
Alcohol impairs judgment, which to a great extent explains its association with suicide.
Moreover, due to the fact that alcohol abuse can exaggerate depression and increase impulsiveness, an individual
suffering from major depression and who abuses alcohol has a much higher risk of attempting and succeeding at
taking his or her own life.
Because of the risk of suicide, it is critical that individuals suffering from major depression and alcoholism
or alcohol abuse receive prompt medical attention.
Depression and Alcoholism: Treatment
Regrettably, many people, including health practitioners, tend to view depression and alcoholism as separate
problems when in fact, they are associated with one another.
As a consequence, the positive relationship between depression and alcoholism or alcohol abuse definitely calls
for a comprehensive approach to treatment.
This means not only taking into consideration the treatment of depression, which can require anti-depressant
medications and/or psychotherapy but also paying attention to the problem of alcohol.
It is claimed that this type of wide-ranging treatment approach will help to ensure a more productive and
effective outcome for the client.
There is general agreement in the psychiatric community that alcoholic individuals are at increased risk for
depression and bipolar illness and depressed individuals are at increased risk for alcoholism and alcohol
According to some clinicians and researchers, therefore, the clinical assessment of current and past alcohol use
and alcohol-related disorders should be considered a routine part of all psychiatric or medical evaluations.
In addition, all depressed patients should be frequently asked about their alcohol and drug use and abuse
throughout the course of their treatment and advised to refrain from alcohol and drug abuse.
Since relapse prevention is one of the most critical tasks in the management of depressed patients with a past
history of alcoholism, it is important to maximize the chance of long-term sobriety in patients with
In short, when alcohol abuse or alcoholism occurs with depression, both the substance abuse and the mood
disorder demand professional treatment.
Famous People Who Had Depression
Abraham Lincoln is perhaps the most famous individual to successfully manage his depression.
Another noteworthy person, Winston Churchill, the British Prime Minister, successfully coped with depression he
referred to as his "black dog."
Leaders in other fields like film (Woody Allen and Jim Carrey), television (Mike Wallace and Dick Cavett),
sports (Terry Bradshaw) and any number of doctors, nurses, lawyers, scientists, and educators have coped with
depression and moved forward to live highly successful and productive lives.
These "success stories" should offer hope to individuals who suffer from depression that this illness need not
be a crippling blow to the ways in which they live their lives.
Conclusion: Depression and Alcoholism
According to medical science, mental health conditions like depression and other problems such as alcoholism
have a high comorbidity.
Stated differently, depression and alcoholism occur in the same people at a rate higher than they would occur if
both disorders were not linked.
The "link" can be social, genetic, psychological, biological, or most likely a combination of these and other
If people can be made aware of the link between alcoholism and depression AND made aware of some great people in
history who battled through depression and became very successful, some may be more able to deal with depression
without resorting to alcohol abuse.
Patients who are alcoholic and who also suffer from depression deserve the same kind of comprehensive care as a
cancer patient with pneumonia, or a diabetic patient with glaucoma.
The bottom line is this: when depression occurs with alcoholism or alcohol abuse, both the mood disorder and the
"drinking problem" call for quality treatment.