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  • depression, mental health

Dealing with Depression in Addiction Recovery

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Coping with depression can be a challenging process, especially for those in early recovery. Olivia Pennelle of Liv’s Recovery Kitchen recounts her own experience with depression, and her own strategies for managing it today.

  • By Olivia Pennelle

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In this article

I’ve suffered with bouts of depression for as long as I can remember.

In fact, I began drinking and using drugs at a very young age to self-medicate my depression symptoms. Most of my teenage years were punctuated by feeling lethargic, having zero motivation, comfort eating, and spending long periods of time in bed. Since I got sober, my depression has been (mostly) under control with medication, therapy, and various lifestyle factors, but there are periods where it rears its ugly head.

Coping with depression can be a challenging process, especially for those in early recovery. We have enough to try and manage: staying sober, attending meetings, going to therapy, and trying to figure out how to cope with life without drugs. If you self-medicated those dark days like me, you’ll know how frustrating it can be that there is no quick-fix in recovery. Gone are the days where we could obliterate our mood with a bottle of wine or four.

“Self-medication never worked. It only ever made my depression worse because alcohol is a depressant.”

The limits of self-medicating.

Here’s the thing, though: self-medication never worked. It only ever made my depression worse because alcohol is a depressant. It will only momentarily numb your reality. You’re left with a deeper hole to dig out of, and a hangover to boot. Towards the end of my drinking, I spiraled further and further into a pit of depression. At that point in my life, my depression was so acute that suicide seemed appealing.

Fortunately, that was my turning point. Had I not sunk that low, I may not have been faced with a choice: get sober or end my misery. Thankfully, in a moment of what can only be described as grace, I decided to get sober.

The pink cloud and beyond.

Initially, I felt great. I was waking up without a hangover, and I started to experience proper sleep, instead of just passing out and coming-to. I felt the hope of having a whole new life ahead of me. For several weeks, I gradually felt better and better. And then I didn’t. My depression was back with a vengeance. My limbs felt weighed down, I didn’t want to leave my apartment, I was exhausted, and I lost my sense of hope. Perhaps it was the stark reality of a life without anesthesia, or perhaps my brain chemistry was evening out—likely both. Whatever it was, it felt like I hit a wall.

“I can’t look after my spiritual wellness without looking after my mind and body.”

That was the point I learned that my recovery has to be holistic. Working the 12 Steps wasn’t enough. I can’t look after my spiritual wellness without looking after my mind and body. I am fortunate that in spite of suffering from recurrent depression, I’m pretty determined and resilient. That means I was able to dig deep and figure a way out.

I formulated a plan that I still use today to both maintain my mental health, and as a checklist for when depression hits:

1. Professional help.

I am in regular contact with my doctor and we closely monitor my mood. I take medication as prescribed, and we change it when necessary. Throughout seven years in recovery, I’ve tried several times to stop the medication, under the supervision of my doctor, and unfortunately, my depression returns.

I now accept that medication is a vital aspect of keeping my depression at bay. There is no recovery program in the world that can solve it. I leave my doctor to manage my mental health, not an unqualified sponsor or mentor.

2. Diet.

I drink lots of water and I eat a diet full of fruits, vegetables, and whole grains. I limit processed foods and fast-food in favor of cooking home-made meals from scratch.

3. Exercise.

I exercise most days, preferably outside, which boosts my mood naturally.

4. Sunshine.

I try to get outside for at least 30 minutes a day, to increase vitamin D levels.

5. Therapy.

I have regular therapy, which is like physical therapy for my mind. My therapist helps me sort through my feelings and deal with anything that is causing me distress.

6. Community.

I try to see friends several times a week for social support. This community ensures I don’t isolate, and they check on me if they don’t see or hear from me in a few days.

Depression is a reality of life for some, but I’ve learned that it doesn’t need to consume you and can be effectively managed.

Olivia Pennelle (Liv) has a masters in clinical social work from Portland State University. She is a mental health therapist, writer, and human activist. Her writing has appeared in STAT News, Insider, Filter Magazine, Ravishly, The Temper, and Shondaland. She is the founder of Liv’s Recovery Kitchen, Life After 12-Step Recovery, and Tera Collaborations. She lives near Portland, Oregon. Follow her on Instagram @Livwritesrecovery and @teracollaborations

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Any general advice posted on our blog, website, or app is for informational purposes only and is not intended to replace or substitute for any medical or other advice. Workit Health, Inc. and its affiliated professional entities make no representations or warranties and expressly disclaim any and all liability concerning any treatment, action by, or effect on any person following the general information offered or provided within or through the blog, website, or app. If you have specific concerns or a situation arises in which you require medical advice, you should consult with an appropriately trained and qualified medical services provider.

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Suboxone (buprenorphine/naloxone) is indicated for the treatment of opioid dependence in adults. Suboxone should not be taken by individuals who have been shown to be hypersensitive to buprenorphine or naloxone as serious adverse reactions, including anaphylactic shock, have been reported. Taking Suboxone (buprenorphine/naloxone) with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants can cause breathing problems that can lead to coma and death. Other side effects may include headaches, nausea, vomiting, constipation, insomnia, pain, increased sweating, sleepiness, dizziness, coordination problems, physical dependence or abuse, and liver problems. For more information about Suboxone (buprenorphine/naloxone) see Suboxone.com, the full Prescribing Information, and Medication Guide, or talk to your healthcare provider. You are encouraged to report negative side effects of drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

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