Consider the following: Most of us with depression who abuse substances are engaged in an attempt to make the effects of the illness more tolerable or to make the threatening fear of loss and unacceptability less alarming. But make no mistake: If the use of one or more substances—alcohol, street drugs, prescription drugs, carbohydrates, caffeine, or others—is employed in an attempt to avoid the symptoms of depression, this tactic will almost invariably ensure full, long-term development of the illness. Plus, at this time of horrid inner emotional state when life truly has become only about feelings, because of our vulnerability we can readily lock ourselves into some of the worst states of addiction imaginable. And although there may be some delay in the full impact of the illness because of the sense of relief the substance provides, and because of the body’s initial tolerance of it, this practice will result in an individual making himself/herself a hostage to the preferred substance(s). Thus, it becomes impossible to address and resolve the underlying depression and fear. ... Obviously, this chapter pertains to the dangers of developing substance abuse problems with depression. Helpers are warned of how tricky this problem can be. Also, middle-aged depression is addressed in Section IV. Grief and depression are compared to Section V.
