Substance/Medication-Induced Depressive Disorder occurs when depressive symptoms—such as persistent sadness, loss of interest, fatigue, changes in sleep or appetite, feelings of guilt or worthlessness, and suicidal thoughts—emerge during or soon after substance use, intoxication, or withdrawal. These symptoms must be directly linked to substance use rather than an independent mood disorder. Common triggers include alcohol, opioids, stimulants, sedatives, and certain medications like corticosteroids or hormonal treatments.
From a self-psychological perspective, substance-induced depression can reflect deeper emotional pain and a fragmented sense of self. Substances may be used to numb unresolved emotional wounds, often rooted in early experiences of misattunement or trauma. While offering short-term relief, substance use can block the emotional integration needed for long-term healing.
Therapy focuses on creating a deeply empathic, attuned relationship in which you can explore the roots of both the depressive symptoms and the need for substances as emotional regulators. Through this process, we work to restore self-cohesion, build resilience, and develop more authentic, sustainable ways to manage emotional pain.
If you’re struggling with depression tied to substance use, you don’t have to face it alone.