Common Mental Health Disorders That Co-Occur With Substance Use: What You Need to Know
- Felicia Parris

- 2 days ago
- 4 min read
When someone struggles with both mental health challenges and substance use, it can feel like navigating two battles at once. These co-occurring conditions, also known as dual diagnosis are more common than many realize and require specialized, compassionate care. Understanding how mental health disorders and substance use disorders interact can help individuals, loved ones, and caregivers take meaningful steps toward healing.
At DeLand Treatment Solutions, we believe that recovery begins with awareness and support. If you or someone you care about is dealing with both mental health challenges and substance use, compassionate help is available. Call (386) 866-8689 to speak with a dedicated professional who can guide you through treatment options and support your journey toward wellness.

What Are Co-Occurring Disorders (Dual Diagnosis)?
A co-occurring disorder means a person is facing both a mental health condition and a substance use disorder at the same time. These conditions often influence one another: substance use can worsen mental health symptoms, and mental health challenges can lead to increased substance use as a form of self-medication.
Common situations include:
Someone with anxiety using alcohol to calm nerves
A person with depression turning to opioids for emotional relief
A trauma survivor using drugs to numb painful memories linked to post-traumatic stress
Co-occurring disorders are complex, but they are treatable, especially when both the mental health condition and the substance use disorder are addressed simultaneously.
Why Co-Occurring Disorders Are So Common
There are several reasons why mental health challenges and substance use often occur together:
1. Self-Medication
Individuals experiencing emotional distress may use substances to temporarily relieve symptoms like anxiety, sadness, or insomnia. Over time, this can develop into dependency.
2. Shared Risk Factors
Genetics, trauma, stress, and environmental influences can increase the likelihood of both mental illness and substance use disorders.
3. Neurochemical Interactions
Substances such as alcohol, opioids, or stimulants can disrupt brain chemistry, often exacerbating underlying mood or anxiety symptoms and increasing the impact of substance abuse on mental health.
Common Mental Health Disorders That Co-Occur With Substance Use
1. Anxiety Disorders
Anxiety disorders, including generalized anxiety, panic disorder, and social anxiety, are frequently observed alongside substance use. Individuals may turn to alcohol or drugs in an attempt to cope with intense worry, fear, or panic.
Anxiety that goes untreated can fuel continued substance use, while substance use can worsen anxiety symptoms over time, creating a challenging cycle described in understanding the long-term effects of anxiety.
2. Depression
Depression is one of the most frequently co-occurring mental health disorders with substance use. Persistent sadness, loss of interest, or feelings of worthlessness may overlap with major depressive disorder and lead individuals to self-medicate.
Substances can intensify depressive symptoms, increasing the need for depression treatment programs.
3. Post-Traumatic Stress Disorder (PTSD)
PTSD often develops after exposure to traumatic events such as violence, abuse, accidents, or combat. Many individuals experience overlapping symptoms with substance abuse and PTSD.
Addressing both PTSD and substance use concurrently supports long-term recovery and emotional regulation.
4. Bipolar Disorder
Bipolar disorder, marked by mood swings between depressive and manic episodes, frequently co-occurs with substance use disorders. Impulsivity during manic phases and emotional lows during depressive phases may increase substance use.
Treatment often aligns with guidance found in effective treatments for bipolar disorder and requires integrated care.
5. Attention-Deficit/Hyperactivity Disorder (ADHD)
ADHD in adults can coincide with substance use, particularly when impulse control and focus challenges are present.
When ADHD and substance use occur together, structured care such as how to manage ADHD as an adult, can enhance outcomes.
How Co-Occurring Disorders Impact Daily Life
Living with co-occurring disorders can affect multiple areas of life, including:
Work and productivity — difficulty concentrating or maintaining consistency linked to mental health and education
Relationships — misunderstandings and emotional strain related to interdependence vs. codependence
Physical health — increased risks outlined in how does drug addiction affect mental health
Emotional regulation — mood instability connected to feeling impulsive
Treatment for Co-Occurring Disorders
Successful treatment for dual diagnosis involves an integrated approach that addresses both conditions together.
Key elements often include:
Evidence-based therapy such as cognitive behavioral therapy
Coordinated medication management
Community and accountability through how support groups help in mental health recovery
Long-term planning through aftercare programs
How DeLand Treatment Solutions Can Help
At DeLand Treatment Solutions, our dual diagnosis treatment programs are designed to meet the unique needs of individuals facing co-occurring mental health and substance use disorders. Our compassionate team provides integrated care that supports long-term recovery.
📞 Call (386) 866-8689 to begin a recovery path tailored to your needs.
Hope, Healing, and Recovery Are Possible
With the right support, individuals can stabilize emotional health and move forward with confidence. Understanding co-occurring disorders and seeking addiction and mental health treatment is a powerful step toward lasting wellness.



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