Note from Josh: While I take an extended break this summer, I wanted to provide some kind of content, so Patrick Bailey was once again nice enough to contribute several entries you’ll read over the next few weeks.
By Patrick Bailey
People who have gone through withdrawal or have witnessed someone suffer because of addiction understand how difficult it is. Besides the physical discomfort and pain, people in this process suffer from devastating depression that makes the recovery even more difficult.
Depression is a mental illness that can affect anyone and anywhere in the world, even those in rehabs. According to the report released by the Center for Disease Control, 10 percent of physician’s visit is because of depression. The World Health Organization reports that it is the leading cause of disability.
Depression is a mental illness that can happen anytime. In fact, it often strikes during recovery from alcohol or substance abuse and addiction. The symptoms often show during the first few weeks or months of the recovery phase. It is therefore essential that the treatment facility, be it a regular type or a luxury rehab in California, offers dual diagnosis treatment in order to effectively provide care should depression happen during recovery.
Causes of Depression During Recovery
There are many factors that could cause depression during the addiction recovery process. This includes the following:
Post-acute withdrawal syndrome
Post-Acute Withdrawal Syndrome or simply PAWS is the usual phenomenon related to recovery. Depression can function as PAWS and commonly happens in the days or weeks after symptoms of acute withdrawal died down. The symptoms of acute withdrawal often coincide with detoxification and linger until the first few weeks of recovery. On the other hand, depressive symptoms can last for months during the recovery stage.
Changes to the brain related to addiction
During addiction, the brain is affected by alcohol or drugs. When you go to a rehab or a treatment facility, you are treated. As a result, your brain adjusts to the effects of the substances by decreasing the production of neurotransmitters that give you the high or feel good sensation. This includes dopamine, GABA, and serotonin.
These neurotransmitters are responsible for modulating your mood or simply tell you how you should feel. When these chemicals are at their optimum levels they can be translated as a positive outlook or a good mood. When these neurotransmitters are at their lowest levels, this could manifest as depression.
During the early stage of recovery, when the brain is still adjusting to life without harmful substances like alcohol or drugs, depression can happen due to low levels of dopamine, GABA, and serotonin. This usually happens approximately 90 days without drugs or alcohol. A brain functioning lower than normal and producing lower levels of these neurotransmitters can show symptoms of depression ranging between mild and severe.
Dual Diagnosis has a higher chance of occurring to people with substance addiction. Although there are also other factors at play such as family history. Usually, an untreated dual diagnosis like bipolar disorder, major depression, and other depressive mental issues may be the reason for depression during recovery. After all, there is a strong link between alcoholism and dual diagnosis as well as depression and substance addiction. Several studies show that many cases of substance addiction are due to the patient’s effort to numb the pain he is feeling.
Feelings of despair
Most patients undergo the stage where they grieve for the loss of drugs or alcohol in their life. This usually happens at the start of the recovery process. Letting go of your old habits or addiction, however crucial to your well-being, can still cause you to feel a sense of loss. In addition, emotions that were once repressed by alcohol or drugs can suddenly arise causing sudden negative changes in your mood.
During the addiction recovery stage, it is important to be aware of the symptoms of depressions. Signs can include the following symptoms that could manifest alone, or all at the same time:
- Persistent emotional numbness or being in a sad, empty, or low mood
- Recurrence of negative thoughts
- Difficulty to focus or concentrate
- Changes in appetite (eating remarkable more or significantly less)
- Having trouble sleeping, oversleeping, or staying asleep
- Lack of motivation for hobbies that you once loved
- Feeling of worthlessness
- Frequent feeling of being guilty
If you or your loved one is experiencing or manifesting any of the symptoms listed for a couple of weeks or more, consult a healthcare professional about this.
Risks of Untreated Depression
Clinical depression that goes untreated and allowed to progress can compromise your recovery in rehab centers, treatment facilities, or wherever you are admitted. This is applicable especially during the first few weeks of the recovery stage when cravings are at their strongest. Negative emotions like anger, grief, sadness, feeling of helplessness, can trigger anyone to go back to their old habit.
There is also a great chance that the patient will have the urge to escape the facility because of the painful situation he is undergoing. Patients usually report ebbing of suicidal thoughts. The worst thing that could happen when depression happens during recovery is drug or alcohol relapse. Going back to alcohol or substance at this stage could have fatal results because of the high risk of overdose and deadly health effects.
Patrick Bailey is a professional writer mainly in the fields of mental health, addiction, and living in recovery. He attempts to stay on top of the latest news in the addiction and the mental health world and enjoy writing about these topics to break the stigma associated with them.