What depression can look like
Depression can affect mood, sleep, appetite, motivation, concentration, and self-worth. It can also show up as irritability, numbness, or withdrawal—not only sadness.
Many people describe depression as “dragging a weight,” “living on autopilot,” or “being tired no matter how much I rest.”
When substance use overlaps
Alcohol and drugs can temporarily blunt pain—but often worsen mood over time by disrupting sleep, increasing shame, and reducing motivation.
- Sleep disruption and low energy
- Increased shame and isolation
- Reduced motivation and follow-through
- Higher relapse risk during low mood
How treatment helps
Therapy can support routines, coping skills, and meaningful goals—while coordinated care addresses co-occurring substance use patterns.
Treatment often includes behavioral activation (small steps that rebuild momentum), CBT tools for hopeless thinking, and support systems that keep you connected even when you don’t feel like showing up.
Signs you may be stuck in a depression cycle
Depression often creates a self-reinforcing loop: less energy → less activity → less reward → worse mood. Recognizing the loop helps you interrupt it.
- Avoiding friends, responsibilities, or routines
- Sleeping too much or not enough
- Feeling guilt or shame about “not doing enough”
- Using substances to escape, sleep, or feel something
When to seek urgent help
If you have thoughts of self-harm, suicide, or you feel unsafe, seek immediate help. Call 911, go to the nearest emergency room, or contact a crisis line.
You don’t have to carry that alone—help is available right now.
If you or someone you love needs help, we can walk you through next steps and build a plan that fits your situation.
Educational information only; not medical advice. If you feel unsafe or at risk of harming yourself or others, call 911 or go to the nearest emergency room.