How Alcohol Impacts the Brain Northwestern Medicine

alcohol and depression brain

The substances may initially minimize or moderate the mood symptoms, but withdrawal and chronic abuse typically exacerbate mood degradation, leading to increasing abuse and ultimately dependence. When the concentrations of different neurotransmitters were determined in various brain regions of these animals, the levels of serotonin and its metabolites were lower in P rat brains than in NP rat brains. The differences were particularly pronounced in the nucleus does drinking make your depression worse accumbens, a brain area thought to be involved in the rewarding effects of ethanol (LeMarquand et al. 1994b; McBride et al. 1995). Moreover, the P rats had fewer serotonergic neurons in the raphe nucleus compared with the NP rats (Zhou et al. 1994), a finding that could explain the reduced serotonin and serotonin-metabolite levels.

How we reviewed this article:

If you have a mental illness or are struggling with your mental health and do not currently drink alcohol, the best thing to do is not to start. Drinking alcohol if you have a mental illness can have a negative effect on your mood and potentially make your problems worse. Generally, cutting down or stopping drinking can have a positive effect on your mental health. If drinking has been making you feel bad, after a few weeks of not drinking you might start to feel better physically and mentally. However, the relationship between alcohol and mental health is complicated, especially for people who have experienced trauma and need help to deal with underlying challenges so they can stop using alcohol. Alcohol consumption can lead to feelings of depression due to chemical reactions.

For more information about alcohol and brain health, please visit the Alcohol and the Brain topic page.

alcohol and depression brain

The results varied widely, with eight studies reporting significant or trend antidepressant effects and the rest finding none. Overall, the authors concluded that antidepressant medications demonstrated a modest beneficial effect for patients with combined depression and SUD. The finding of efficacy was more robust for studies of alcohol-dependent individuals than of drug-dependent individuals.

alcohol and depression brain

How can I tell how strong alcoholic drinks are?

If you are dependent on alcohol and struggle to stop drinking on your own, you might be offered further support. Alcoholic hallucinosis is where you hear sounds, voices or music when you aren’t drunk or haven’t suddenly stopped drinking. Alcohol withdrawal syndrome can be treated with a drug called a benzodiazepine. If you have alcohol withdrawal syndrome, you would be given a course of benzodiazepines for several days, or until your withdrawal symptoms have stopped. If you have struggled to stop using alcohol, or if alcohol is making your mental health worse, talk to your GP. There might be another reason that you are experiencing mental health problems, and you might need more help.

  • During a blackout you might do things that you later regret, end up in dangerous situations, or risk being harmed by other people.
  • Understanding the effects of alcohol on the brain, body, and mental health is critical to recognising when professional support is needed and finding effective solutions.
  • If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person.
  • Conversely, other recent data suggest a lower risk for dementia in people consuming a few alcoholic beverages a day.
  • Serotonin is produced in and released from neurons that originate within discrete regions, or nuclei, in the brain (Cooper et al. 1991).

alcohol and depression brain

In humans, for example, the levels of serotonin metabolites in the urine and blood increase after a single drinking session, indicating increased serotonin release in the nervous system (LeMarquand et al. 1994a). This increase may reflect enhanced signal transmission at serotonergic synapses. For example, increased serotonin release after acute alcohol exposure has been observed in brain regions that control the consumption or use of numerous substances, including many drugs of abuse (McBride et al. 1993). Researchers currently are trying to determine the exact mechanisms underlying the alcohol-induced changes. For example, they are investigating whether the net increase in synaptic serotonin levels results from alcohol’s direct actions on molecules involved in serotonin release and uptake or from more indirect alcohol effects. Serotonin is an important brain chemical that acts as a neurotransmitter to communicate information among nerve cells.

What effects does alcohol have on mental health?

Recently, Nuñes and Levin (2004) presented a systematic review and meta-analysis of studies of anti-depressant medications in the treatment of co-occurring depression and SUDs. While over 300 studies have explored this issue, only 14 were placebo-controlled trials that included subjects meeting recognized diagnostic criteria for depression and SUD. Of the 14, five used tricyclic antidepressants (TCAs), seven used SRIs, and two used other types of anti-depressant agents.

alcohol and depression brain

For example, the interaction of serotonin with one type of receptor stimulates the formation of small molecules (i.e., second messengers) within the cell. Second messengers interact with other proteins to activate various cellular functions, such as changes in the cell’s electrical activity or in the activity of certain genes (see figure). These changes can result either in the inhibition or the excitation of the signal-receiving neuron, depending on the cell affected. Through these mechanisms, serotonin can influence mood states; thinking patterns; and even behaviors, such as alcohol drinking. Conversely, other recent data suggest a lower risk for dementia in people consuming a few alcoholic beverages a day. This includes a 2022 study showing that in around 27,000 people, consuming up to 40 grams of alcohol (around 2.5 drinks) a day was linked to a lower risk for dementia versus abstinence in adults over age 60.

alcohol and depression brain

Alcohol and Depression: The Link Between Alcoholism and Depression

Recent studies also have evaluated the numbers and properties of different serotonin receptors in P and NP rats. These studies found that P rats have fewer 5-HT1A receptor molecules than do NP rats (DeVry 1995). If you have certain conditions, including depression, you could be at an increased risk of getting alcohol use disorder. Your symptoms can range from mild to severe and can include drinking more than you meant to, having trouble cutting back on drinking when you try, or being unable to quit drinking even though it’s causing problems in your daily life and relationships. If you or your loved ones are worried about your alcohol use or think you have alcohol use disorder, talk to your doctor or a mental health specialist about treatment options.

LEAVE A REPLY