Frequently Presenting Co-Occurring Disorders

Signs and symptoms of common co-occurring disorders

The mental health issues that most routinely co-occur with substance abuse are clinical depression, anxiety disorders, and manic depressive illness.

Prevalent signs of depression

Sentiments of helplessness and hopelessness
Loss of interest in daily routines
Inability to feel joy
Appetite or weight changes
Sleep alterations
Lowering of energy
Substantial feelings of worthlessness or guilt
Concentration troubles
Anger, physical pain, and reckless behavior (particularly in males).
Standard symptoms of mania in manic depression.

Feelings of bliss or excessive irritation.
Unrealistic, grandiose expectations.
Lowered requirement for sleeping.
Increased energy.
Quick speaking and racing thoughts.
Diminished common sense and impulse control.
Hyperactivity.
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Anger or rage.
Standard signs and symptoms of anxiety.


Withdrawal From Alcohol Generally Begins 6 Hrs.-- 24 Hours After The Last Alcoholic Beverage and worry.
Feeling jumpy or restless.
Irritability or feeling "wired".
Racing heart beat or shortness of breath.
Nausea, tremoring, or dizziness.
Muscle tenseness, headaches.
Difficulty concentrating.
Sleep problems.