PTSD and Alcohol Abuse

Here’s why the link exists, and how you can recover

Ready for a change in your relationship with alcohol?

After experiencing a traumatic event, it’s common to feel differently than you did before. Maybe you feel constantly alert or on edge. Maybe you’re experiencing unwanted thoughts or flashbacks to the traumatic event. You might have trouble falling asleep at night. Maybe you even feel the urge to drink to help you forget these stressful memories or help you fall asleep.

It’s common for people to feel an urge to drink after going through a traumatic event. But, unfortunately, trauma and alcoholism can make a dangerous combination. 

If you or a loved one has developed PTSD after a traumatic event and also struggles with alcohol abuse, we’ve compiled some information about the relationship between PTSD and alcohol. We’ve also included some helpful information on how to get help for PTSD and alcohol abuse.

Read more: Alcohol and Mental Health

Table of Contents

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What Is PTSD?

PTSD stands for Post-Traumatic Stress Disorder. PTSD is a mental health condition that can occur after witnessing or experiencing a traumatic event.1 PTSD is characterized by extreme anxiety, flashbacks, nightmares, irritability, isolation, and depression. PTSD affects roughly 3.6 percent of people every single year.2

Complex PTSD (or C-PTSD) is a similar condition that can occur when someone experiences repeated, ongoing trauma. Symptoms can be similar, but people with C-PTSD also tend to experience emotional flashbacks, disassociation, and low self-esteem.

shadow of a young man, ptsd and alcohol

What Are Common Causes of PTSD?

A common misconception about PTSD is that only military veterans get PTSD. In reality, many different traumatic situations and life experiences can cause it. Any traumatic event can cause PTSD, whether there is a threat to the physical, emotional, or social safety of yourself or someone else.

Some common causes of PTSD include:

  • Witnessing or experiencing physical violence
  • Abuse or neglect
  • Childhood trauma
  • Sexual assault
  • Emotional abuse
  • Natural disasters
  • Illness or death of a loved one

What Is the Link Between PTSD and Alcohol?

It’s common for people who experience PTSD to also struggle with alcohol abuse or abuse of other substances. Many people who experience a traumatic event may use alcohol as a means to cope with experiencing extreme stress.

Why is there a link between PTSD and drinking? Many people with PTSD may turn to alcohol as a way to cope with their PTSD symptoms. People with PTSD might also use alcohol as a means to avoid negative thoughts and emotions, using alcohol as a way to disassociate and numb themselves. 

In the short term, alcohol might help with some common PTSD symptoms, like difficulties relaxing and trouble falling asleep. But in the long term, it can lead to some worrisome outcomes. People with PTSD might turn to alcohol to help self-medicate their condition, but generally, PTSD and alcohol make a dangerous combination. Research finds that PTSD and drinking can lead to worse PTSD symptoms, relationship difficulties, other mental health issues, violence, and even suicide or death.3

PTSD Alcohol Statistics

It’s common for people to increase their drinking after experiencing a traumatic event. Research has found that anywhere from 28 to 85 percent of people with PTSD will also experience alcohol use disorder (AUD) at some point, with the higher end of estimates coming from veterans seeking medical treatment.4

Problem drinking tends to be more common after experiencing a traumatic event when the person also has other health problems.5

PTSD and Alcohol in Veterans

Combat veterans are more likely to struggle with alcohol abuse, whether they have PTSD or not. Military service is associated with an increased risk of substance abuse disorder.6 Veterans might drink more as a means to connect socially with other veterans or as a way to cope with military trauma.

PTSD and alcohol abuse are also common in veterans. The National Center for PTSD reports that 60 to 80 percent of Vietnam veterans seeking care for PTSD also show problem drinking behaviors.7 Veterans are also more likely to engage in binge drinking, consuming a large quantity of alcohol over a short period.8

PTSD and Alcohol Among Women 

Research finds that almost 50 percent of women will experience a traumatic event at some point in their lifetime. Women are more likely to experience trauma in the form of sexual assault or childhood trauma. 

Women who have experienced a traumatic event are nearly three times more likely to have a drinking problem compared to women without PTSD. When asked why they drink, women with PTSD and alcohol abuse report that they drink to cope with the stress and anxiety caused by their traumatic experiences.9

Troublingly, some research suggests that women who experience PTSD after a sexual assault are less likely to seek mental health or substance use treatment if they also engage in problem drinking behaviors.10

Childhood Trauma and Alcohol

Every person deserves to grow up in a safe and supportive environment. But, unfortunately, sometimes traumatic events in childhood can negatively impact a person’s sense of safety and belonging. Childhood trauma is unfortunately quite common, with two out of every three children experiencing at least one traumatic event before age 16.11 This might include things like witnessing or experiencing physical violence, the death of a parent or caregiver, neglect, or emotional abuse.

Experiencing childhood trauma can put a person on a path that leads to a host of negative outcomes, including alcohol abuse. Research finds that childhood trauma and alcoholism are closely related, with victims of childhood trauma being up to seven times more likely to struggle with alcohol use.12

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Why Alcohol Can Make PTSD Worse

There are many reasons that PTSD and alcohol make a dangerous combination. Many people with PTSD self-medicate with alcohol because it temporarily makes them feel better. Drinking alcohol causes the brain to release neurotransmitters that give you a sense of pleasure and euphoria, including dopamine, serotonin, and endorphins. 

These positive sensations can alleviate the negative side effects of PTSD for a short time, but once those chemicals leave your body, you’ll be left feeling even worse than before. This can lead some people to drink again, leaving them trapped in a vicious cycle.

PTSD and alcohol can also make a dangerous combination, leading to several negative outcomes. People with PTSD are more likely to be violent if they also struggle with alcohol abuse.13 Alcohol abuse might prevent some people with PTSD from seeking treatment.14 PTSD and alcohol abuse are also associated with higher rates of suicide and death.15

Treatment For PTSD and Drinking

When it comes to alcohol, it can be helpful to develop other, safer coping mechanisms that won’t make your PTSD worse. In fact, there are treatment options available that can help with both PTSD and alcohol abuse simultaneously, some of which you can access from the comfort of your own home.

Here are some effective therapies for people with both PTSD and alcohol use issues:

  • EMDR – EMDR stands for eye-movement desensitization and reprocessing. EMDR is a common therapeutic technique that’s used to help treat trauma. EMDR can help reduce your traumatic symptoms and desensitize you to your traumatic memories.
  • CBTCognitive Behavioral Therapy, or CBT, is an evidence-based treatment for anxiety disorders, which includes PTSD. CBT can be especially helpful for treating conditions like PTSD because of its link to reframing negative thinking patterns and developing healthy coping skills.
  • Telehealth and coaching – We all need social support, and telehealth and recovery coaching can be great ways to heal while connecting to other people. Online treatments have the added benefit that they can be accessed from anywhere, making them more accessible to a greater number of people.
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About the Author

Dr. Chelsea Hetherington (she/her) is a developmental psychologist, writer, coach, and consultant. She helps therapists, coaches, and other businesses in the mental health space connect with their audiences and attract their dream clients through educational content writing. Her writing bridges the gap between research and practice by making complex mental health and personal development topics more accessible and easy to understand. You can find more of her writing at www.mindfultype.co

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