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PTSD and Addiction: Why Trauma Makes Recovery Harder

Oct 17, 2025
PTSD and Addiction: Why Trauma Makes Recovery Harder
Living with addiction may already feel like an uphill battle. When post-traumatic stress disorder (PTSD) is part of the picture, recovery can feel even more overwhelming. Our team has answers.

Trauma and substance use often go hand in hand, and understanding how the two interact is essential for lasting healing.

At Magnolia Medical Group in Wheat Ridge and Denver, Colorado, we see every day how addressing both conditions together creates the best path forward.

The connection between PTSD and addiction

Post-traumatic stress disorder (PTSD) develops after experiencing or witnessing trauma, such as combat, abuse, accidents, or sudden loss. Common symptoms include flashbacks, nightmares, anxiety, hypervigilance, and emotional numbness.

These overwhelming symptoms can push people toward drugs or alcohol as a way to cope. Substances may provide temporary relief by numbing fear or helping someone sleep. Unfortunately, they intensify PTSD over time.

This cycle of using substances to escape trauma and then feeling worse when the effects wear off fuels addiction. Studies show that individuals with PTSD are significantly more likely to develop substance use disorders compared to those without trauma.

Our team at Magnolia Medical Group believes this means recovery is not just about sobriety; it’s about healing the underlying wounds.

Why trauma makes recovery harder

A history of trauma can make recovery harder in several ways, including:

Triggers and cravings

Everyday sights, sounds, or smells can bring back traumatic memories. These triggers often increase cravings, making relapse more likely.

Sleep problems

Nightmares and insomnia are common with PTSD. Without healthy rest, it’s harder to manage emotions or focus on recovery work.

Poor sleep also affects your blood pressure, digestion, and other aspects of your physical health, which are essential components of recovery. 

Emotional avoidance

Trauma survivors often struggle to open up in therapy, fearing the pain of revisiting their past. This makes it difficult to address the root causes of addiction.

Higher risk of relapse

If underlying PTSD symptoms remain untreated, the stress can drive a person back to substances, even after months of sobriety.

The importance of integrated treatment

Treating PTSD and addiction separately is rarely effective. Recovery requires an integrated approach that addresses both conditions together.

 

Our team uses evidence-based therapies such as trauma-focused cognitive behavioral therapy (TF-CBT), prolonged exposure therapy (PET), and trauma-informed counseling to help individuals process trauma safely while building healthier coping strategies.

 

Medication may also play a role in stabilizing mood, reducing anxiety, and improving sleep. Combined with medical support, group therapy, and mindfulness practices, our comprehensive care provides individuals with the tools they need for sustainable recovery.

Finding hope after trauma

Although the road may be challenging, healing after trauma and overcoming substance abuse are absolutely possible. With the right treatment plan, many people learn to manage PTSD symptoms, break free from addiction, and build fulfilling lives.

If you or someone you love is struggling with both PTSD and addiction, recovery may be harder, but it is never out of reach.

Schedule a consultation at Magnolia Medical Group today. Please call the office or reach out to us using our online booking service. We tailor treatment to each individual’s history, needs, and goals.