How can drugs and alcohol help mask depression?

Someone with an underlying depression is more likely to become dependent on drugs or alcohol because the drug use is so rewarding. One widely held theory of human and even animal behavior holds that behaviors that are rewarded will increase and behaviors that are punished will decrease. In accordance with this universal theory, someone who is depressed and uses drugs is likely to find the behavior very rewarding and therefore use is likely to turn into abuse.

Additionally, once a person stops using the drugs that are medicating the symptom of depression, the symptom is likely to return -- along with symptoms of withdrawal. In this way, stopping use of the drug will seem very punishing, and this, too, will maintain the habit. As a result, using drugs and/or alcohol to numb out a depression is probably the most insidious way of masking depression.

And, to make matters worse, the complications of an addiction on top of a depression make it very difficult to access the underlying meaning of the depression. The reason for this is that addiction requires a great deal of work and commitment to recover from in itself, which is magnified when a depression lies underneath the addiction.

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