The Link Between Trauma and Substance Use

Aug 12, 2025

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Understanding the connection between trauma and substance use is essential for effective addiction treatment. Many individuals who struggle with substance use disorders have a history of trauma, whether it’s childhood abuse, a serious accident, loss, or chronic emotional neglect. Left unresolved, trauma can create deep emotional pain and distress that some people attempt to numb or escape through drug or alcohol use.

At Pecan Haven Addiction Recovery Center, we recognize that healing from addiction often requires healing from trauma as well. This blog explores how trauma and substance use are related, why addressing both is critical in recovery, and what treatment options can help you break the cycle.

How Trauma Influences Substance Use

When someone experiences trauma, their brain and body can remain in a heightened state of stress for a long time. This condition, often referred to as dysregulation, can result in anxiety, depression, insomnia, or flashbacks. To cope with this overwhelming emotional pain, some individuals turn to substances that offer temporary relief.

Learn more from the National Institute of Mental Health.

Trauma and Self-Medication

People who use drugs or alcohol to numb emotional pain are often not trying to “get high” in the traditional sense, they’re trying to feel normal or calm. This pattern is known as self-medication. Over time, the brain becomes reliant on the substance to manage distress, which can lead to dependency and addiction.

Childhood Trauma and Long-Term Risk

Research consistently shows a strong link between early trauma and substance use later in life. Adverse Childhood Experiences (ACEs), such as abuse, neglect, or witnessing violence, increase the risk of developing substance use disorders. The more ACEs a person experiences, the higher their risk.

The Vicious Cycle of Trauma and Substance Use

While substance use may offer short-term relief from trauma-related symptoms, it often makes things worse in the long run. Using substances can create new sources of trauma, such as broken relationships, legal problems, or health issues, which then deepen emotional pain and drive further use. This creates a cycle that’s hard to break without targeted treatment.

Re-Traumatization in Addiction

Living with addiction can bring new traumas into a person’s life. For example, being in unsafe environments, experiencing financial instability, or facing discrimination can add to existing emotional wounds. These experiences can reinforce the original trauma and make recovery even more difficult.

Treating Both Trauma and Substance Use Together

Effective treatment must address both the trauma and the substance use, not one or the other. At Pecan Haven, we use an integrated approach that helps clients heal on multiple levels, mentally, emotionally, and physically.

Trauma-Informed Care

Our trauma-informed programs ensure that every aspect of treatment is delivered with safety, compassion, and respect. We recognize that certain therapies or situations could unintentionally trigger a traumatic response, so we prioritize emotional safety and client choice throughout the process.

Dual Diagnosis Support

Many clients who struggle with trauma and substance use also experience co-occurring mental health conditions such as PTSD, anxiety, or depression. Treating these issues alongside addiction is essential for long-term recovery. Our licensed therapists develop customized plans that address each client’s unique needs and history.

Healing Is Possible

The link between trauma and substance use doesn’t have to define your future. With the right support, it’s possible to process your pain, develop healthier coping tools, and build a life that feels safe, grounded, and fulfilling.

At Pecan Haven, we offer evidence-based therapies like Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness-based stress reduction to help clients heal from both trauma and addiction. Our programs combine clinical care with holistic support to promote full-person recovery.

If you or someone you love is struggling with trauma and substance use, call (318) 600-3333 to speak with a member of our compassionate team. Healing starts here—and we’re ready to walk with you every step of the way.