Does Alcohol Cause Depression And Mental Health Problems?

Medically reviewed by Paige Henry, LMSW, J.D. and Majesty Purvis, LCMHC
Updated September 25, 2024by BetterHelp Editorial Team
Content warning: Please be advised, the below article might mention substance use-related topics that could be triggering to the reader. If you or someone you love is struggling with substance use, contact SAMHSA’s National Helpline at 1-800-662-HELP (4357). Support is available 24/7. Please see our Get Help Now page for more immediate resources.

Many people use alcohol to cope with troubling life events, unwind at the end of a long day, or celebrate important milestones. However, some people wonder about the link between the consumption of alcohol and depression. Both of these disorders can occur together, and each may increase the chance of the other developing. It can be important to treat both depression and alcohol use disorder (note: “alcohol abuse disorder” is an outdated term), and you might choose to begin treatment with online therapy.

Could alcohol be contributing to your depression?

The effects of drinking alcohol on the brain

Alcohol is generally considered to be a depressant, a substance that can reduce nervous system activity and arousal. This depressive effect is often why people tend to turn to alcohol to unwind or relax. 

However, consuming alcohol can lead to a slowed central nervous system and symptoms such as slurred speech, stumbling, and the inability to make decisions. Alcohol can also decrease activity in the prefrontal cortex, which is typically associated with rational thought and decision-making. This may be why people usually have lower inhibitions and make risky choices while under the influence of alcohol.

While alcohol may be a depressant, consuming a few drinks can make some individuals less inhibited and more energetic. Therefore, people may drink alcohol due to its seemingly stimulating effects.

What are the symptoms of depression?

Before we investigate the link between alcohol and depression, let’s clarify what depression is. Although it can be normal for individuals to be sad and tired at certain points in their life, sometimes these feelings can become persistent and overwhelming. If an individual experiences symptoms like low mood, decreased interest in previously enjoyable activities, low energy, or an inability to concentrate for most of a two-week period, they may be experiencing major depressive disorder.

If you think you or someone you know may be experiencing symptoms of major depressive disorder, seek help from a licensed mental health professional.

Does alcohol cause depression?

Many professionals agree that depression symptoms can cause people to start binge drinking and develop alcohol use problems, and alcohol use disorder (AUD) can also cause depressive disorders and exacerbate symptoms of other conditions like bipolar disorder. Research from the National Institutes of Health shows that these two disorders typically occur together more often than they would by chance alone.

Therefore, this suggests that one disorder, or both disorders, increases the likelihood the other will develop. In fact, some research suggests that the presence of one disorder can double the likelihood that the other disorder will develop.
Depressive disorders tend to be the most common psychological disorder to occur in individuals experiencing alcohol use disorder. Additionally, when the two disorders occur together, the symptoms of each can appear more severe than if an individual was only experiencing one disorder.

It begs the question, does alcohol use disorder lead to depression, or does depression lead to alcohol use disorder? The answer is that both may be possible. However, that doesn’t mean that everyone living with major depressive disorder will develop alcohol problems, nor that everyone with alcohol use disorder will develop a depression disorder. 

How to get treatment for alcohol use disorder (formerly alcoholism) and depression

If you struggle with either a depressive disorder, alcohol use disorder, or both simultaneously, please know it can be possible to learn how to better manage your symptoms. While both disorders can have serious impacts on your life, working with professionals can lead to improved mental health and overall well-being.

Additionally, while there may be certain aspects of both disorders that can be treated at the same time, and there can be correlations between the two, the misuse of alcohol and depression are generally two separate and complex issues with symptoms that should be targeted separately.

For example, psychotherapy can help with the treatment of depression, and it can also help you explore the reasons that compel you to drink. However, alcohol use disorder may require assistance from addiction specialists at a treatment center, and depression may warrant the use of medication in some situations.

Therapy for substance abuse and depression

Therapy can be useful for treating depression, which may also help with alcohol misuse. If you address alcohol use issues but not depression, it may be challenging not to relapse without investigating and learning how to cope with depression.

Cognitive behavioral therapy (CBT) is often used to help individuals with depression, and it may also prove useful for those with alcohol use disorder. CBT aims to help a person recognize and change their negative thoughts. Some research from 2013 shows that combining CBT with motivational interviewing may help those with comorbid alcohol use disorder and major depression.

Online therapy for mental health and addiction

When you’re facing alcohol use disorder and depression, you may find it difficult to seek help, even if you believe you need to do so. Shame, guilt, and embarrassment can make it difficult to sit down with a therapist in person or sit in a waiting room with other people. Additionally, depression may limit your energy and motivation, therefore making it difficult to leave the home. Online therapy may offer a more convenient option. Since you can meet with your therapist from anywhere with a strong internet connection, you can even attend your appointments from home.

A review of research studies reports that online CBT can be even more effective than in-person CBT at reducing the symptoms of depression. Additionally, individuals attending online therapy typically felt just as satisfied with their treatment as those attending in-person therapy.

Could alcohol be contributing to your depression?

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Takeaway
Depression and alcohol use disorder can both be serious mental health conditions that often occur together. Living with depression can increase the likelihood that an individual develops alcohol use disorder, and alcohol use disorder often makes it more likely someone will develop depression. Although these two often occur comorbidly, they may each require specific treatment. Proper treatment can take time and effort, but it may be possible to overcome both conditions.  You might choose to begin your treatment journey by connecting with a therapist through an online therapy platform.
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