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July 14, 2019 by Alan Zupka

6 Ways that Alcohol Makes Depression Worse

A great many alcoholics are also suffering from major depression. Because alcohol can feed our brain’s serotonin receptors, it can make someone feel good for a short amount of time. But eventually the person crashes and feels even worse than they did before.

And this vicious cycle continues and is, unfortunately, very hard to break without asking for professional help.

The Chicken or the Egg Theory

Both alcoholism and depression are psychiatric illnesses that cause distress and impair a person’s ability to function. It is not surprising at all that these two diseases are linked, but which tends to come first?

Researchers have found that alcoholism doubled a person’s risk of developing depression. In fact, the analysis indicated that alcoholism was more likely to cause or worsen depression than depression was likely to cause or worsen alcohol use/misuse.

6 Ways That Alcohol Can Worsen Depression

  1. Alcoholism can eventually lead to isolation, which exacerbates depression. Humans are social creatures and we can become very depressed when left alone for too long.
  2. Alcoholism also leads to poor economic outcomes, as is common with the loss of a job. Chronic financial stress can cause or worsen depression symptoms.
  3. Alcoholism can trigger health crises that can lead to or worsen depression. Fatty liver disease, heart disease and diabetes are just a few of the chronic illnesses linked with alcohol abuse.
  4. Alcohol can cause brain or metabolic changes that can lead to depression. For instance, alcohol can mess with a person’s endocrine system and the resulting hormonal imbalance can worsen their depression symptoms.
  5. Alcohol is a depressant. While it can make you feel “happier” initially, it eventually worsens the depression.
  6. Alcohol impairs judgement and increases impulsivity. This can lead to poor behavior and negative consequences that lead to or worsen feelings of depression.

The bottom line is alcohol abuse and depression are a dangerous combination. And unfortunately, this combination can be self-reinforcing and incredibly hard to break. Anyone who is feeling depressed and has a tendency to abuse alcohol should speak with a therapist to get their symptoms under control. A therapist will be able to offer coping strategies as well as refer you to a local addictive treatment center.

If you or a loved one are interested in exploring cognitive behavioral treatment, please be in touch with me. I would be happy to discuss how I may be able to help.

Filed Under: Addiction, Depression

July 4, 2019 by Alan Zupka

How Chronic Illness Can Affect Your Mental Health

If you are suffering from a chronic illness, you are not alone. Almost half of the population in the United States is currently battling some form of chronic physical illness. In fact, chronic illness is the number one driver of healthcare costs in America.

Some of the most prevalent examples of chronic illnesses are:

  • Epilepsy
  • HIV/AIDS
  • Endometriosis
  • Lupus
  • Arthritis
  • Diabetes
  • Heart disease
  • Fibromyalgia

Many people suffering from a chronic illness can become depressed. It is estimated that roughly one-third of chronic illness patients suffer from depression, a rate that is significantly higher than in the general population.

Depression is often an immediate response to the diagnosis. It can be overwhelming to be told you will need to be treated for your illness for weeks, perhaps even a lifetime. Certain types of chronic illness can also, and quite suddenly, change how a person lives their day-to-day life. They may not be able to do the same things and, in some cases, completely lose their independence.

There are physical illnesses which can cause depression by hampering the central nervous system or endocrine system. Some examples would include thyroid disease, Cushing’s disease, Parkinson’s disease and chronic pain.

Symptoms of Depression

If you or someone you know has recently been diagnosed with a chronic disease, it’s important to watch out for signs of depression. These can include:

  • Feeling sad and hopeless
  • Losing interest in once-loved hobbies and activities
  • Changes in appetite (eating too much or too little)
  • Trouble with sleep (sleeping too much or too little)
  • Lack of energy
  • Trouble focusing
  • Thoughts of suicide

Becoming educated about the link between chronic illness and depression is extremely important. So is seeking help. Be sure to discuss any symptoms with your doctor. He or she may be able to refer you to a therapist.

Many patients have found they can treat their depression right alongside their illness by using medication, psychotherapy or a combination of both. It is also helpful to surround yourself with a loving support network of friends and family.

If you or a loved one is experiencing depression as a result of living with a chronic illness and would like to explore treatment options, please be in touch. I would be more than happy to discuss how I may be able to help.

Filed Under: Depression, General

June 19, 2019 by Alan Zupka

4 Subtle Signs of Trauma: When You’re Dealing with More Than You Think

When you think about someone experiencing trauma, incidents such as a violent or sexual assault or a terrible car accident might come to mind. But there are other, subtler forms of trauma that can negatively affect our lives and hinder our relationships.

Emotional trauma is often overlooked and minimized, and we may think we’ve “gotten over” some emotional pain that we’ve simply buried, and not dealt with. A break up, being passed over for a promotion at work or even a simple but negative childhood experience can cause emotional trauma. Read on to see if you recognize any of these four subtle signs of trauma in yourself.

Overwhelm

Anxiety and stress may develop in the aftermath of trauma, causing you to feel overwhelmed in numerous ways. You might feel out of control, like there is too much to do, or that people in your life are taking up too much of your time and attention. If you often feel as though your life has become unmanageable, this could be a sign that you have some unresolved emotional trauma.

Overreacting

Emotional overreactions are a common symptom of trauma. A victim of trauma might redirect their overwhelming emotions towards others, such as family and friends. Because these undealt with emotions are always bubbling under the surface, any incident that brings feelings forward can unleash these pent-up emotions. If you can recall times when you’ve overreacted, and perhaps have even been surprised at your own reactions, this may be a sign of trauma.

Shame

It’s not uncommon for people suffering from emotional trauma to have feelings of shame and self-blame. If you have feelings of shame because of a traumatic event, you may devalue yourself or see yourself as weak. You might feel a stigma from what you endured, and this may prevent you from admitting that you may be traumatized, or prevent you from seeking help.

Daydreaming

Another subtle sign of trauma is “zoning” or “spacing out.” You might feel disconnected from others or have difficulty staying present in social situations. Emotional trauma can cause you to slow down internally, numbing your emotions or causing you to feel exhausted. Because of the trauma you experienced, you may be averse to the expression of painful emotions, so you turn those emotions off. As you withdraw, your relationships with others suffer, causing you further psychological pain.

If these signs seem familiar and you believe you may be suffering from trauma, help is available. A caring, licensed professional trained in trauma treatment can help. Take the first step by giving me a call today, and let’s set up a time to talk.

Filed Under: Trauma / PTSD

June 9, 2019 by Alan Zupka

Creating a Safe Home Environment After Rehab

If you or a loved one have gone through a program in a drug or alcohol rehabilitation center, you know that much of the time spent in rehab focuses on preparing you for your move back home. This can be a dangerous and scary transition if you’re unprepared. Although throughout your stay in rehab you’ve accomplished many things and overcome serious and difficult hurdles, the toughest challenges lie ahead.

Returning home will make you want to settle into familiar routines, which would be a perilous mistake. When you consider that most relapses take place only weeks after leaving rehab, you can value the importance of making immediate changes to accommodate your new, healthier lifestyle.

Clean Up

If possible, have a friend or loved one remove all drugs, alcohol and paraphernalia from your home before you return. If this isn’t possible, recruit a sober friend or your sponsor to help you clean up as soon as you get home. There may also be other reminders or triggers of your former lifestyle in your home. Throw or give these away. Take the time to clean your home and make it comfortable and cozy. Rearrange furniture or change décor to refresh your place as much as possible.

Locate a Support Group

There are lots of sources for continued support for your life after rehab. Seek out an individual therapist you can meet with on a regular basis, find support groups with like-minded individuals, or start attending a local 12-step meeting.

Find New Friends

Immediately delete contacts of friends from your former way of life. It’s vital for those in recovery to make new, sober friends. The temptations and cues to use will drop if you’re surrounded by other sober people. To maintain your sobriety, it’s also important to identify and cut out negative or toxic people from your life. Recovery means creating a more positive and healthy life for yourself, and that includes choosing the people you surround yourself with.

 

Recovering from addiction will probably be one of the most difficult challenges you’ll ever face. This is a lifelong process and commitment and one that’s not without bumps along the road. But by taking it one day at a time, you’ll acquire strength from every passing moment of sobriety.

If you need help staying on a sober path after rehab, a licensed professional can help. Give my office a call today so we can schedule a time to talk.

Filed Under: Addiction

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Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

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