Mental health
PTSD and alcoholism: The self-medication trap
Published October 12, 2024 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.
PTSD and alcohol use disorder co-occur at very high rates. Up to 75% of combat veterans and 30% of civilian trauma survivors with PTSD also have AUD.
Why they co-occur
Alcohol numbs hyperarousal and intrusive memories. It provides temporary relief from flashbacks. Sleep-disrupting nightmares are partially suppressed. But alcohol worsens PTSD symptoms long-term by preventing trauma processing and increasing rebound anxiety.
Treatment
Integrated care addressing both simultaneously. Trauma-focused therapy (EMDR, CPT, PE) after initial stabilization. MAT for alcohol cravings alongside trauma work. Prazosin for PTSD nightmares.
Frequently asked questions
How are PTSD and alcoholism related?
Alcohol self-medicates PTSD symptoms temporarily but worsens them long-term. Up to 75% of combat veterans with PTSD have AUD.
Should PTSD be treated during alcohol recovery?
Yes. After initial stabilization, trauma processing should begin. Treating alcohol without addressing trauma leads to relapse.
What treatment works for both?
Integrated treatment: EMDR or CPT for trauma, MAT for alcohol, addressing both with a coordinated team.
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.