PTSD PTSD and the Military PTSD and Alcohol Abuse in Veterans By Matthew Tull, PhD Matthew Tull, PhD Twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial process Updated on February 27, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Hinterhaus Productions / Getty Images Alcohol abuse in veterans is very common. In fact, veterans have been found to experience a number of difficulties, including posttraumatic stress disorder (PTSD), depression, physical health problems and problems controlling anger. Despite high rates of alcohol abuse, not much is known about why veterans may be at greater risk to develop alcohol use problems. Alcohol Use and Related Problems in Active-Duty Military Personnel A study in the Journal of the American Medical Association looked at alcohol use and problems from alcohol use (for example, not taking care of responsibilities due to alcohol use or driving a car after drinking) among 48,481 active-duty United States service members, many of which had been deployed to the wars in Iraq and Afghanistan. The study found that deployed service members who were exposed to combat situations were at greater risk for binge drinking as compared to non-deployed service members and deployed service members who were not exposed to combat. Those with PTSD or depression were more likely than those without PTSD or depression to have developed or experience continued alcohol-related problems. The Connection Between Combat Exposure and Alcohol Use It is not surprising that alcohol use was found to be connected with combat exposure, PTSD, and depression. In fact, a number of other studies have found a connection between alcohol/drug use and PTSD. Because of this, it has been suggested that among people with PTSD or who have experienced stressful life events, the use of alcohol or drugs may be motivated by desires to escape or alleviate uncomfortable feelings. Alcohol or drugs may be used to self-medicate distressing thoughts or feelings that arise from having PTSD or depression or the experience of a stressful life event. For example, in regard to the connection between alcohol and PTSD in particular, the severity of hyperarousal symptoms of PTSD has been found to be strongly connected with the use of substances that have a depressant or anti-anxiety effect, such as alcohol. Getting Help Drinking may initially result in a reduction in stress; however, in the long-run, it can cause many serious problems. It is only a short-term fix and the uncomfortable feelings you are trying to get away from may come back even stronger. In addition, excessive alcohol use can cause a number of problems in many areas of your life, such as negatively affecting your relationship with family and friends. Specialized treatments for people with PTSD and substance use problems have been developed. One such popular and well-established treatment is Seeking Safety. This treatment helps an individual understand the relationship between PTSD and his or her substance use while also providing the individual with additional skills for managing distressing PTSD symptoms, so there is less of a reliance on substances. Was this page helpful? Thanks for your feedback! Learn the best ways to manage stress and negativity in your life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 0 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Chilcoat HD, Breslau N. Investigations of causal pathways between ptsd and drug use disorders. Addictive Behaviors. 1998;23(6):827-840. Jacobson IG. Alcohol use and alcohol-related problems before and after military combat deployment. JAMA. 2008;300(6):663. doi:10.1001/jama.300.6.663 McFall ME, Mackay PW, Donovan DM. Combat-related posttraumatic stress disorder and severity of substance abuse in Vietnam veterans. J Stud Alcohol. 1992;53(4):357-363. doi:10.15288/jsa.1992.53.357 Najavits LM, Weiss RD, Shaw SR, Muenz LR. “Seeking safety”: Outcome of a new cognitive-behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence. J Traum Stress. 1998;11(3):437-456. doi:10.1023/A:1024496427434 Stewart SH, Conrod PJ, Pihl RO, Dongier M. Relations between posttraumatic stress symptom dimensions and substance dependence in a community-recruited sample of substance-abusing women. Psychology of Addictive Behaviors. 1999;13(2):78-88. doi:10.1037/0893-164X.13.2.78 Speak to a Therapist for PTSD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.