Complex Trauma and Alcohol Abuse
CPTSD and Alcohol Abuse Connections: Understanding the Link and Finding Help at Purpose Healing Center
Get to Know the Links Between CPTSD and Alcohol Use Disorders
Complex Post-Traumatic Stress Disorder (CPTSD) is a common mental health condition that can seriously impact your functioning and quality of life. Due to issues like a delay in diagnosis, people with CPTSD sometimes go a long time without getting help.
At times, the symptoms of CPTSD can start to feel like your “forever” state, but this does not need to be the case. There are effective treatments for complex trauma.
One of the possible complications of untreated trauma is substance abuse. Like with C-PTSD, there are treatments for alcohol and drug abuse that work. At Purpose Healing Center, you can get quality care for both complex posttraumatic stress disorder and alcohol abuse.
The Connection Between Complex Trauma and Alcohol Use Disorder
Complex trauma exposure is connected to a variety of different health conditions, including CPTSD, mood disorders, anxiety disorders, and chronic pain. The link between Complex PTSD and alcohol use disorder (AUD)–the formal term for alcoholism–is largely explained by the following two components.
Similar Risk Factors
First, PTSD, complex trauma, and alcohol addiction share many of the same risk factors. You’re at a greater risk of developing both PTSD and a substance use disorder if you:
- Have a history of trauma. As you most likely know, a person needs to have experienced, witnessed, or been exposed to trauma to have PTSD. What you may not know is that trauma also raises your risk of drug and alcohol use disorders.
- Have a family history of substance abuse. People with a family history of substance abuse are more likely to develop substance use disorders themselves. They’re also more likely to develop PTSD. Serious illness affecting the family–which includes mental illness and substance abuse–is a possible cause of PTSD.
- Have a personal history of mental illness. People who already have a mental health condition can be more susceptible to PTSD. Similarly, mental disorders like depression, personality disorders, bipolar disorder, anxiety, and PTSD increase the risk of substance use disorders.
Social factors can also play a role in the development of both substance addiction and CPTSD. For example, social vulnerabilities like marginalization are linked to substance abuse. Lack of social support is linked to PTSD and CPTSD development, and real or perceived marginalization is associated with lack of social support.
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The Self-Medication Hypothesis
Some trauma survivors who develop alcohol addiction drink to self-medicate their PTSD and complex trauma symptoms. As with PTSD, C-PTSD involves mood and cognition, arousal and reactivity, avoidance, and re-experiencing symptoms. One example of self-medication could be drinking to alleviate feelings of depression, which is often associated with PTSD.
Symptoms like hypervigilance, feeling disconnected from others, and being startled easily, can come with CPTSD, too. In turn, you might drink to avoid feelings of anxiety, socialize more easily, or feel less overly-alert.
The self-medication hypothesis is a worthwhile consideration for people with addiction and any comorbid mental illness. No matter what mental health symptom(s) you are trying to cope with, it’d be considered self-medication if the goal of using the substance is to get through them.
Childhood Trauma and Alcohol Misuse
Even though any form of trauma can be linked to addiction, some types of trauma can make you particularly vulnerable to the development of substance use disorders. Childhood trauma is a prime example. Here are some examples of traumas in childhood that raise your chance of substance abuse.
- Childhood sexual abuse, emotional abuse, or physical abuse.
- Emotional or physical neglect in childhood.
- Bullying.
Research repeatedly shows that alcohol dependence and trauma early in life are linked. Similarly, studies often find that survivors of childhood trauma have more severe PTSD symptoms.
Treating Trauma as an Underlying Cause of Alcohol-Related Problems

When trauma of any kind is an underlying cause of addiction, addressing it is crucial. By addressing PTSD or complex trauma and addiction comprehensively, you can:
- Identify why you drink. For example, “to cope with depression.” Once you know why you use alcohol, mental health professionals like those at Purpose Healing Center can help you explore healthy, sustainable ways to meet your needs.
- Create a strong set of coping skills. We treat addiction and PTSD simultaneously so that you can develop the set of strategies you need to manage both. For example, urge surfing for addiction, cognitive reframing for thoughts associated with PTSD, and problem-solving skills for everyday life.
- Process traumatic experiences. The therapies used in our programs help you process traumatic events. In doing so, you will likely find that you are more able to work through avoidance symptoms and manage distress related to the event.
Integrated or dual-diagnosis treatment for addiction and co-occurring disorders like PTSD is linked to a range of positive outcomes. For example, a greater chance of recovery from or treatment of both disorders and a better quality of life.
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Integrated Alcohol and Complex PTSD Treatment in Arizona
Purpose Healing Center offers integrated addiction, trauma, PTSD and CPTSD treatment at all care levels. The following programs are available at our Phoenix and Scottsdale locations, and they are covered by most forms of insurance.
Medical Detox Program
When you first stop or decrease the amount of alcohol you use, your body goes through an adjustment period. If you use alcohol frequently and in large amounts, you may be at risk of alcohol withdrawal delirium (a severe form of alcohol withdrawal syndrome).
For this reason, medical detox is often recommended for individuals overcoming alcohol abuse. Even though the acute withdrawal stage can be challenging, it is short-lived. The majority of clients are in detox at Purpose for about one week.
Residential Inpatient Treatment

Purpose Healing Center offers residential inpatient treatment in a home-like environment. Clients stay at our cozy and comfortable facility during treatment and participate in an all-day therapy schedule during the day. Individual therapy, groups, and family therapy sessions are all a part of the program.
Most clients remain in inpatient treatment at Purpose for 30-90 days before stepping down to a lower level of care.
Partial Hospitalization Program
The partial hospitalization program (PHP) at Purpose Healing Center meets five days per week. Unlike clients in our inpatient rehab programs, you’ll be able to live at home or in sober housing while in PHP. This level of care is ideal for clients who don’t need the 24/7 supervision of an inpatient program but who need an immersive treatment schedule.
Sessions last for most of the day and involve groups, individual therapy, and family therapy sessions, much like inpatient treatment.
Intensive Outpatient Program
Our intensive outpatient program (IOP) for alcohol addiction and trauma meets a few days per week. IOP sessions are shorter than PHP sessions. That way, clients can participate in treatment while attending work or school. IOP can be a starting level of care, but it’s also used to help individuals transition out of a higher level of care.
Aftercare and Alumni Support
Purpose Healing Center will help you make an aftercare plan before your discharge date. This may include therapy 1-2 days per week, support groups for alcohol addiction, and other resources. For example, participation in our free alumni support program.
Effective Treatments for CPTSD and Alcohol Abuse

Purpose uses the most evidence-based therapies for addiction and mental health in conjunction with holistic treatments that support the mind, body, and spirit. Treatment for PTSD and comorbid alcohol dependence at Purpose may involve treatments including but not limited to:
- Prolonged exposure therapy.
- Cognitive processing therapy (CPT).
- Cognitive behavioral therapy (CBT).
- Eye movement desensitization and reprocessing (EMDR).
- Acceptance and commitment therapy (ACT).
- Dialectical behavior therapy (DBT).
- Medication-assisted treatment (MAT).
- Motivational interviewing (MI).
- Mind and body wellness.
- Meditation management.
- Experiential therapies.
- Life skills.
- 12-step.
No matter what level of care you’re in at Purpose Healing Center, you’ll get a personalized treatment plan. Every client is different, and we’re here to help you find what works.
Call Purpose for Proven Complex Trauma and Alcohol Abuse Treatment Programs
Purpose Healing Center is a Joint Commission-accredited addiction, mental health, and dual-diagnosis treatment center in Arizona, and we accept AHCCCS and many insurance in-network.
The Purpose team is here to verify your insurance coverage or start the intake process for PTSD and alcohol treatment at our center today.
Please call our admissions line today for more information about how Purpose Healing Center can help you or your loved one. All calls are completely confidential.
FAQs About CPTSD and Alcohol Abuse Connections
Is alcoholism a coping mechanism for Complex PTSD?
Sometimes, yes. Though alcoholism has more than one possible root cause, people with PTSD may misuse alcohol to cope with the condition. If that is true for you, integrated treatment can help.
Does CPTSD get worse with alcohol?
PTSD can get worse with alcohol. Even though it is common to drink to self-medicate PTSD, alcohol is a depressant. It can destabilize your mood and make it harder to think clearly, which can make it more difficult to process trauma.
What percentage of PTSD and C-PTSD patients are alcoholics?
Around 30-60% of people who seek help for alcohol use disorder have PTSD.
References
- https://pmc.ncbi.nlm.nih.gov/articles/PMC4393537/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC8126433/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC3860395/
- https://www.apa.org/ptsd-guideline/treatments/cognitive-processing-therapy
- https://www.apa.org/ptsd-guideline/treatments/cognitive-behavioral-therapy
- https://pmc.ncbi.nlm.nih.gov/articles/PMC6561396/