Which Came First, Depression or Alcoholism? (2024)

Which Came First, Depression or Alcoholism? (1)

October 20, 2014 / Articles>Addiction Research

In our society, it is commonly accepted for people to turn to alcohol when they are feeling down. In the movies and on TV, the hero or heroine is often portrayed drowning his or her sorrows at the local bar after losing a job, getting a divorce or experiencing another major disappointment. In small doses, alcohol may relieve feelings of stress or anxiety. But drinking heavily as a coping mechanism is often a sign of alcohol abuse or dependence. If you drink when you are depressed, you are probably making matters worse. Alcohol is a depressant, so using or abusing alcohol can cause or intensify feelings of extreme sadness or depression. A depressant is a drug that inhibits the functioning of the central nervous system. Drugs in this category in low doses can lower inhibitions and cause a pleasant feeling of drowsiness and relaxation. In higher doses they can cause confusion, slurred speech and problems with memory and judgment. Alcohol and other depressants have a high potential for addiction. It is clear that there is a link between alcoholism and depression but the question is which causes which? Does alcohol cause depression or does depression cause alcoholism? It appears that the answer is both. There is a connection between alcoholism and depression, and the cause of both may be at least partially genetic. Family history of either substance abuse or depression puts you at risk for developing either problem or both. But genetics aren’t always a factor. Many people develop problems with alcohol or depression when there are no family members who have had these problems. Depression and alcoholism can develop in people of any age, race or gender. In many cases, the symptoms of depression and alcoholism become apparent at the same time, making it unclear which came first or which caused which. For many people, depression occurs before alcoholism. Symptoms of depression may set in during childhood or adolescence. If you are feeling depressed, picking up alcohol or other substances at least temporarily relieves feelings of despair. But when feelings of sadness are ongoing, habitual drinking intensifies these feelings. People who are depressed and cope by drinking heavily intensify feelings of hopelessness and are at high risk of considering or attempting suicide. Alcohol exaggerates negative feelings and impairs judgment, making difficult situations seem more hopeless. If you have been diagnosed with depression and have been prescribed medication to treat your symptoms, abusing alcohol can make prescribed medication ineffective. Attempts to self-medicate with alcohol or street drugs are not likely to work. If your medication isn’t working for you or you are having a problem with alcohol, let your doctor know.

Can Alcohol Abuse Cause Depression?

Alcohol is easy to obtain and is socially acceptable. Drinking to cope with life’s difficulties is often a statement to others that you are consumed with pain. On a short-term basis, it may help you forget your pain. But abusing depressants may ultimately cause depression. Alcohol is no exception. For many people, bouts of depression ensue after bouts of heavy drinking when there were no other life events that might have triggered sadness or depression. Those who indulge in binge drinking may find that their bouts of depression come on right after drinking binges. Symptoms of depression and depressive feelings caused by alcoholism can be exactly the same. It’s important for doctors to consider the possibility that depression has been caused by alcohol abuse before prescribing antidepressant medication. While depression is caused by a combination of factors, in some cases it appears that signs of depression only occurred after problems with alcohol started. Drinking heavily can start a vicious cycle of feeling depressed about your drinking and drinking heavily to relieve your depression. In the end, it isn’t that important which came first – the alcoholism or the depression. The important thing is if you have either or both problems, you should reach out for help from your doctor or a trusted friend or counselor. Both problems can be deadly and neither will go away without help.

Which Came First, Depression or Alcoholism? (2024)

FAQs

What comes first depression or substance abuse? ›

Some research now suggests that depression is, in many cases, actually caused by an already existing drug or alcohol problem. So, much like the chicken or the egg debate, many want to know, which comes first – depression or substance abuse? And the truth is, there is no definitive answer.

Is alcohol causing depression? ›

Alcohol can not only lead to depressive symptoms but also worsen depressive symptoms in people who already experience them or in those who may be genetically vulnerable to depressive disorders. If depressive symptoms are caused by drinking alcohol, they may stop after significantly reducing or stopping alcohol use.

When was alcoholism first recognized? ›

The largest association of physicians – the American Medical Association (AMA) – declared that alcoholism was an illness in 1956. In 1991, the AMA further endorsed the dual classification of alcoholism by the International Classification of Diseases under both psychiatric and medical sections.

What do you say to someone who is depressed and alcoholic? ›

We suggest that you genuinely express your feelings to your loved one by saying something like “I'm concerned that drinking so much every day is harming your health. I've noticed that you're sleeping all day on the weekends.” Be empathic and understanding.

Is depression a form of addiction? ›

Addiction is a chronic condition that creates a constant internal drive to experience pleasurable activities. This stimulates the reward center of your brain. Depression is a mood disorder that causes feelings of sadness and a loss of interest in your normal activities. Depression affects how you think, feel, and act.

What comes first between stress and depression? ›

“We think that the causal relationship between stress and depression is what's called 'bidirectional,'” Prescott says. “One can cause the other, and the other can cause the first, and both can make each other worse.” The ways depression can lead to stress are pretty clear.

Is alcohol a depressant True or false? ›

Alcohol is a depressant drug. Despite the initial feeling of energy it gives, alcohol affects judgment and inhibitions while slowing reaction times. Alcohol also depletes the body's fluids and can cause a person to feel thirst.

What percent of alcoholics are depressed? ›

Depression is the most prevalent co-occuring mental health condition with 63% of people with AUD experiencing major depressive disorder.

What does alcohol do to your brain? ›

Alcohol makes it harder for the brain areas controlling balance, memory, speech, and judgment to do their jobs, resulting in a higher likelihood of injuries and other negative outcomes. Long-term heavy drinking causes alterations in the neurons, such as reductions in their size.

What is the root cause of alcoholism? ›

Some individuals drink to cope with or "medicate" emotional problems. Social and environmental factors such as peer pressure and the easy availability of alcohol can play key roles. Poverty and physical or sexual abuse also increase the odds of developing alcohol dependence.

What are the 3 types of alcoholic? ›

Psychoanalyst Robert Knight (1938) developed these ideas further, proposing three types of alcoholics: essential alcoholics, reactive alcoholics, and symptomatic drinkers.

Where does alcoholism come from? ›

Alcohol use disorder (AUD) often seems to run in families, and we may hear about scientific studies of an “alcoholism gene.” Genetics certainly influence our likelihood of developing AUD, but the story isn't so simple. Research shows that genes are responsible for about half of the risk for AUD.

What are the 4 types of wives of alcoholics? ›

Whalen (1983) described four types of 'wives of alcoholics' viz. suffering Susan, controlling Catherine, wavering Winifred and punitive Polly, where the disturbed personality of the wife was a significant contributor to alcoholism in her husband.

What is a alcoholic person called? ›

Many terms, some slurs and some informal, have been used to refer to people affected by alcoholism such as tippler, drunkard, dipsomaniac and souse.

Is alcohol a coping mechanism for depression? ›

You may feel like alcohol is your coping mechanism: a way to deal with depression, stress, anxiety or other difficult feelings. You might be nervous about what life would be like if you stopped drinking or cut back. But relying on alcohol to manage your mental well-being can become a problem in itself.

What is the link between substance abuse and depression? ›

Drug misuse can cause changes to the brain's structure and function, making people more likely to develop a mental health condition like depression. Changes in the brain associated with depression can also increase the rewarding effects of some substances, making people more likely to develop substance use disorder.

What is the relationship between substance abuse and depression? ›

Drug abuse symptoms can mimic symptoms of both depression and mania. Acute alcohol and stimulant intoxication can produce symptoms of mania or hypomania, and substance withdrawal often manifests as symptoms of dysphoria and depression.

When does depression first occur? ›

Depression can happen at any age, but it often begins in adulthood. Depression is now recognized as occurring in children and adolescents, although children may express more irritability or anxiety than sadness. Many chronic mood and anxiety disorders in adults begin as high levels of anxiety in childhood.

What is the first form of depression? ›

Hippocrates, a Greek physician, suggested that depression (initially called "melancholia") was caused by four imbalanced body fluids called humours: yellow bile, black bile, phlegm, and blood. 2 Specifically, he thought that melancholia was caused by too much black bile in the spleen.

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