Depression And Substance Abuse

Substance abuse disorders (including alcohol and prescription drugs) frequently co-exist with depression. Substance abuse must be discontinued in order to clarify the diagnosis and maximize the effectiveness of psychiatric interventions. Additional treatment is necessary if the depression remains after the substance use and withdrawal effects have ended.

Individuals or family members with concerns about the co-occurence of depression with another illness or chemical dependency, should discuss these issues with the physician.

Many factors can contribute to depression. Some people become depressed for a combination of reasons. For others, a single factor appears to trigger depression. Some become depressed for no apparent reason. Regardless of the cause, depression needs to be diagnosed and rated.

Check any symptoms experienced for more than 2 weeks. If four or more of the symptoms for depression or mania have been checked, physical and psychological evaluation by a physician and/or mental health specialist should be sought.

Symptoms of Depression:

• A persistent sad, anxious or "empty" mood
• Loss of interest or pleasure in ordinary activities, including sex
• Decreased energy, fatigue, feeling "slowed down"
• Sleep problems (insomnia, oversleeping, early-morning waking)
• Eating problems (loss of appetite or weight, weight gain)
• Difficulty concentrating, remembering, or making decisions
• Feelings of hopelessness or pessimism
• Feelings of guilt, worthlessness, or helplessness
• Thoughts of death or suicide; a suicide attempt
• Irritability
• Excessive crying
• Recurring aches and pains that don't respond to treatment

It is estimated that up to 80% of peolple with chemical dependency or addiction also have a co-occurring mental health problem such as anxiety or depression.

By BILL URELL