Abstract
‘Problem drinking’ is a major national concern as it can lead to long-term serious physical and mental health problems. Alcohol can mimic or accentuate many of the symptoms of depression: low mood, low energy, changes in appetite, weight or sleep pattern, poor concentration, feelings of guilt or worthlessness and suicidal ideation. Many people with depression can develop an alcohol problem as they may ‘self-medicate’ to feel more energetic or cheerful. In severe cases, alcohol misuse can lead to impaired judgement and increase the risk of suicide. Patients with severe depression and alcohol dependence coexisting are considered to have a ‘dual diagnosis’ and often require support from mental health specialist services such as community alcohol team in addition to primary care support.
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