Some people try to cope with their Post Traumatic Stress symptoms by drinking heavily, using drugs, or smoking too much. People with PTS (or PTSD) have more problems with drugs and alcohol both before and after their PTS experience. Also, even if someone does not have a problem with alcohol before a traumatic event, getting exposure to a major traumatic event increases the risk that they will develop a drinking or drug problem.
Eventually, the overuse of these substances can develop into Substance Use Disorder (SUD), and treatment should be given for both PTSD and SUD to lead to a successful recovery. The good news is that treatment of co-occurring (happening at the same time) PTSD and SUD works.
How common is co-occurring PTSD and SUD in Veterans?
Studies show that there is a strong relationship between PTS/PTSD and SUD, in both civilian and military populations, as well as for both men and women.
Specific to Veterans:
- More than 2 of 10 Veterans with PTSD also have SUD.
- War Veterans with PTSD and alcohol problems tend to be binge drinkers. Binges may be in response to bad memories of combat trauma.
- Almost 1 out of every 3 Veterans seeking treatment for SUD also has experienced PTS.
- The number of Veterans who smoke (nicotine) is almost double for those with PTSD (about 6 of 10) versus those without a PTSD diagnosis (3 of 10).
- In the wars in Iraq and Afghanistan, about 1 in 10 returning soldiers seen in VA have a problem with alcohol or other drugs.
How can co-occurring PTSD and SUD create problems?
If someone has both PTSD and SUD, it is likely that he or she also has other health problems (such as physical pain), relationship problems (with family and/or friends), or problems in functioning (like keeping a job or staying in school). Using drugs and/or alcohol can make PTSD symptoms worse.
- PTSD may create sleep problems (trouble falling asleep or waking up during the night). You might “medicate” yourself with alcohol or drugs because you think it helps your sleep, but drugs and alcohol change the quality of your sleep and make you feel less refreshed.
- PTSD makes you feel “numb,” like being cut off from others, angry and irritable, or depressed. PTSD also makes you feel like you are always “on guard.” All of these feelings can get worse when you use drugs and alcohol.
- Drug and alcohol use allows you to continue the cycle of “avoidance” found in PTSD. Avoiding bad memories and dreams or people and places can actually make PTSD last longer. You cannot make as much progress in treatment if you avoid your problems.
- You may drink or use drugs because it distracts you from your problems for a short time, but drugs and alcohol make it harder to concentrate, be productive, and enjoy all parts of your life.
The MVOC has made it easier to get help. It is important to know that treatment can make a difference and that you are not alone. If you or a loved one is experiencing a substance abuse problem please do not hesitate to call the MVOC counseling or outreach services at
All inquiries and follow-up support will always remain confidential.