Cookie Settings
close

February 26, 2025

PTSD and Addiction

Post-Traumatic Stress Disorder (PTSD) often arises from witnessing a traumatic or life-threatening event—such as military combat, serious accidents, assault, death of a loved one, terrorism, or natural disasters. With PTSD, many individuals develop a co-occurring condition, such as anxiety, depression, or substance use disorder (SUD).

Substances may offer a way to “escape” the pain or experience some sense of reward and pleasure. However, many substances are highly addictive, leading to further mental health issues and even problems in other areas of your life. The good news is that it is possible to overcome both PTSD and addiction.

At Freedom Recovery Centers, we integrate treatment to address co-occurring conditions, ensuring we leave no stone unturned. Below, we take a closer look at how PTSD and addiction co-occur and what we can do to help. If you’re ready to begin your recovery journey, call us at 804-635-3746. For more information about PTSD and addiction, keep reading.

_______________________________________________________

What is PTSD?

Post-Traumatic Stress Disorder (PTSD)1 is a mental health condition that develops after experiencing a traumatic event. Symptoms may include:

  • Intrusive thoughts
  • Flashbacks
  • Nightmares
  • Avoidance of people, situations, or places that remind you of the event
  • Negative thoughts about self or the world
  • Memory issues
  • Blame, guilt, fear, or shame
  • Lack of interest in regular activities or hobbies
  • Easily frightened or startled
  • Self-destructive behavior
  • Irritability
  • Difficulty concentrating
  • Suicidal thoughts2

These symptoms can vary in their severity. For some, they may only arise when reminded of the event. For example, a person may have flashbacks or be easily frightened by a car backfiring. For others, these symptoms can persist, interfering with their daily life.

However, PTSD can be successfully treated. But, at the same time, some individuals may turn to illegal substance use or alcohol to try to numb their pain or avoid it. This can have the opposite effect, however, worsening PTSD symptoms in the long run. If you or a loved one is struggling with PTSD and addiction, call us at 804-635-3746. The FRC team is here to help in any way we can.

Symptoms of PTSD (Categorized)

Category Symptoms
Re-experiencing Intrusive thoughts, flashbacks, nightmares
Avoidance Avoiding triggers, emotional numbness
Negative Mood Negative thoughts, memory issues, guilt, shame
Arousal and Reactivity Hypervigilance, irritability, self-destructive behavior
Cognitive Difficulties Difficulty concentrating, dissociation, memory issues
Severe Symptoms Suicidal thoughts, extreme anxiety or depression

_______________________________________________________

What is Addiction?

Addiction is when a person feels unable to stop using a substance, even when it’s causing harm. Substance abuse rewires the brain’s reward system, creating intense cravings and a loss of control. Over time, this cycle can take a toll on health, relationships, and daily life—making it difficult to break free.

With PTSD and addiction3, substance use often becomes a way to cope with overwhelming emotions, flashbacks, or anxiety. The brain links the substance to temporary relief, reinforcing the cycle of use. Over time, this can make both conditions worse—PTSD symptoms become harder to manage, and addiction takes a stronger hold. 

Breaking free requires the right support, including therapy, healthy coping strategies, and a strong support system. But recovery is possible, and help is available. You don’t need to try to overcome PTSD and addiction alone.

Differences Between PTSD and Addiction (Detailed Explanation)

Factor PTSD Addiction How They Interact
Trigger Traumatic event Substance use PTSD triggers may lead to substance use as a coping mechanism.
Emotional Symptoms Anxiety, fear, irritability Euphoria, depression, mood swings Addiction can numb PTSD symptoms, but worsens them over time.
Physical Symptoms Insomnia, hypervigilance Withdrawal, cravings, tolerance buildup PTSD symptoms can increase substance use cravings.
Long-Term Effects Chronic stress, emotional distress Brain changes, dependency The combination makes recovery harder without integrated treatment.

_______________________________________________________

Risk Factors of Co-Occurring PTSD and Addiction

PTSD and addiction won’t always occur hand-in-hand. It’s theorized that certain factors can increase a person’s risk of developing an addiction alongside PTSD. These include4:

  • A very severe or long-term traumatic event or experience
  • Being physically injured in the event
  • Experiencing early childhood trauma
  • Being in the military, a first responder, or having another career or occupation that exposes you to repeated traumatic events
  • Having anxiety or depression
  • Lacking a good support system
  • Having a family history of PTSD or addiction (or both)

At FRC, our team diagnoses and addresses co-occurring conditions—ensuring a comprehensive approach to recovery. By addressing both addiction and underlying mental health challenges, we help pave the way for lasting and sustainable healing.

_______________________________________________________

Treatment for PTSD and Addiction

With PTSD and addiction, it’s imperative to address both5. This is because one can perpetuate the other. By tackling both issues, you can work your way toward a healthier, happy, and fulfilling life where addiction and PTSD aren’t holding you back.

While with FRC, every treatment program is personalized for the individual, when treating PTSD and addiction, your treatment plan may include:

  • Cognitive Behavioral Therapy (CBT): This type of therapy works to help untangle negative thought patterns, change your thoughts, feelings, and behaviors, and support healthy coping strategies.
  • Medically Assisted Treatment (MAT): For some, prescribed medication may help stabilize mood and create a pathway toward real change. At the same time, medications may also be used during the detoxification phase to manage withdrawal symptoms and cravings.
  • Mindfulness: Mindfulness treatment approaches, such as meditation and yoga, can help you reconnect with yourself and become more aware of your emotions and triggers.
  • Health & Wellness Strategies: At FRC, we incorporate various physical activity classes and opportunities, as well as nutritional education, to help you get back on track with your overall health.
  • Group Therapy & Support: Our team strives to foster a sense of belonging. You aren’t alone on this journey, and we encourage you to connect with others going through similar circumstances. 

Curious to learn more? Or are you ready to begin your journey toward a better life? We answer our phone lines 24/7. Call us today at  804-635-3746. We can also help verify your insurance before beginning treatment, ensuring no surprises await you down the line.

_______________________________________________________

FAQs

How does PTSD affect daily functioning?

PTSD can have various consequences on daily life, including relationships, career, family, and more. For example, it can lead to missed work days, strained relationships, and emotional outbursts. Yet, with the right help, PTSD can be treated successfully.

Why do PTSD and addiction co-occur?

Often, individuals with PTSD may use drugs or alcohol to self-medicate. While this temporarily may relieve symptoms of distress, it can create a vicious cycle of substance abuse and even worsen PTSD symptoms.

Reviewed

Medically and professionally reviewed by Freedom Recovery Center

Are you ready to live free?

We're here for you 24/7. Call us and we’ll take care of you.

804-635-3746
"Getting sober was the single bravest thing I've ever done and will ever do in my life”
Jamie Lee Curtis
“I finally summoned up the courage to say the three words that would change my life: 'I need help'"
- Elton John

Are you ready to live free?

You don't have to see the whole staircase. Just take the first step at FRC.