Depression can be defined as a protracted feeling of sadness and dejection over a lengthy period of time. The individual may feel hopeless and depression can affect their ability to concentrate and other functions of the body. Depression is a mood disorder characterised by persistent feelings of sadness, hopelessness and a lack of interest or pleasure in daily activities. It can also bring about other symptoms such as changes in appetite, sleep disturbances, difficulties in concentration and even thoughts of self-harm or suicide. Depression is not simply feeling down for a short period; it is an ongoing condition that can significantly disrupt your life.

Throughout history, it has become increasingly clear that depression and addiction often go hand in hand. Many individuals dealing with addiction also experience depression, which can complicate their recovery process. The reasons behind this co-occurrence are varied and complex with factors such as genetics, brain chemistry and life experiences all playing a role.

Depression increases the likelihood of substance abuse as individuals may turn to drugs or alcohol to dull feelings of despair. This habit can intensify depressive symptoms, leading to more severe episodes and creating futher negative thoughts and self-destructive actions. Beyond affecting emotions, depression can alter brain function, impacting executive skills, memory, focus and cognitive speed. There’s ongoing debate about whether depression often stems from substance abuse or vice versa with no clear consensus. Substance abuse can affect brain regions involved in mental health, potentially triggering or exacerbating conditions like schizophrenia, anxiety or mood disorders.

Symptoms of depression are varied and profound, ranging from persistent sadness and hopelessness to physical issues like insomnia or excessive sleep, fatigue and restlessness. Neurological studies, including fMRI scans, have observed decreased activity in the hippocampus among those with depression, correlating with emotional and cognitive difficulties. Depression fundamentally changes one’s sense of self, leading to a lack of motivation and pervasive negativity.

Depression often co-occurs with trauma-related disorders, such as PTSD, especially among those with substance use disorders, indicating a complex interplay between mental health issues and substance abuse.

Depression or major depressive disorder, is a widespread mental health condition characterised by ongoing sadness and a disinterest in life making it difficult for sufferers to engage with daily activities. According to the World Health Organization, it affects about 5% of the global adult population. Symptoms range from emotional (sadness, hopelessness, irritability) to physical (changes in sleep and appetite, fatigue) and cognitive (trouble thinking, thoughts of death or suicide). The causes are multilayered, including genetics, trauma and substance use, though in many cases, the exact trigger is unknown.

Treating depression within the context of addiction recovery is crucial. It is essential to address both conditions simultaneously to enhance the chances of successful rehabilitation. Many rehab facilities incorporate evidence-based therapies like cognitive-behavioural therapy (CBT) or dialectical behaviour therapy (DBT) to help individuals combat depression’s impact on their recovery process.

Additionally, some rehab centers may offer medication management for depression, employing antidepressant medications in conjunction with therapy. This approach aims to stabilise mood, reduce depressive symptoms and support a more positive mindset during the recovery process.

Enduring Sadness Can Cloud Our Perception Of Life's Joys

How does depression impact daily functioning and overall well-being for individuals struggling with persistent feelings of sadness and hopelessness? Get help from qualified counsellors.

• Covered by Medical Aid or Private Health Insurance
• Outpatient, Detox, Primary, Secondary, Sober Home
• Effective Addiction & Mental Health Treatment

START TODAY

View MoreHide

It’s Professional.

Qualified, accountable care

Speak with registered counsellors and be matched to accredited rehab centres. Discreet, judgement‑free guidance for patients and families.

Learn about our therapy options

It’s Affordable.

Clear fees & medical‑aid help

We explain costs up‑front, assist with medical‑aid queries, and find treatment that fits your budget—without delaying admission.

How paying for treatment works

It’s Convenient.

On your schedule, wherever you are

Phone, video, or WhatsApp check‑ins at times that suit you. We coordinate admissions, transport and updates with minimal admin.

What to expect in rehab

It’s Effective.

Right treatment, real outcomes

Evidence‑based programs, family involvement, and relapse‑prevention planning. If a placement isn’t right, we switch your referral—no drama.

Evidence‑based treatment explained