Common Co-Occuring Disorders with Substance Use

Living with substance use challenges is rarely about the substance alone. Many teens and adults also struggle with anxiety and depression, and these conditions often feed into one another. Understanding this connection—known as co-occurring disorders or dual diagnosis—is an important step toward healing.

What Are Co-Occurring Disorders?

Co-occurring disorders happen when a person experiences both a substance use disorder (SUD) and one or more mental health concerns such as anxiety or depression. These conditions often interact in ways that make both harder to manage.

• For example, someone may use alcohol or other substances to cope with anxiety, but over time the substance use can increase feelings of worry or sadness.

• Likewise, depression can make it harder to stop using substances, even when a person wants to.

Why Anxiety and Depression Are So Common Alongside Substance Use

Research shows that anxiety and depression are among the most common mental health concerns for people seeking treatment for substance use. Some reasons include:

• Self-medication: Substances may be used to temporarily numb painful feelings or stress.

• Brain chemistry changes: Prolonged substance use can alter brain chemistry, increasing vulnerability to depression and anxiety.

• Life stressors and trauma: Experiences such as loss, family conflict, or early attachment wounds can increase the risk for both mental health and substance use struggles.

Signs to Watch For

Recognizing the signs of co-occurring disorders can help individuals and families know when to reach out for professional support.Common signs include:

• Persistent feelings of sadness, hopelessness, or emptiness

• Excessive worry, restlessness, or panic attacks

• Changes in sleep or appetite

• Withdrawing from friends and activities

• Increasing reliance on alcohol or drugs to cope

• Difficulty focusing, managing daily responsibilities, or maintaining relationships

Why Integrated Treatment Matters

When anxiety, depression, and substance use occur together, integrated treatment—addressing all concerns at the same time—has the best outcomes.At Inner Harmony & Wellness Counseling, we focus on:

• EMDR Therapy: to address trauma that often underlies both mood challenges and substance use.

• Parts Work and IFS-informed approaches: to help clients understand the different parts of themselves that may be trying to cope.

• Skill-building: for managing stress, cravings, and emotions in healthier ways.

• Family support: to strengthen relationships and create a supportive environment for recovery.

Taking the First Step

Healing from co-occurring disorders is possible. It starts with reaching out for help. Whether you’re a teen, an adult, or a parent supporting a loved one, professional counseling can provide tools, guidance, and hope for lasting change.

If you or a loved one is struggling with anxiety, depression, and substance use, you are not alone. Support is available, and recovery is within reach.

For more information, contact: ehughes@innerharmonyandwellness.com