Skip to main content

Warning notification:Warning

Unfortunately, you are using an outdated browser. Please, upgrade your browser to improve your experience with HSE. The list of supported browsers:

  1. Chrome
  2. Edge
  3. FireFox
  4. Opera
  5. Safari

Psychological dependence on alcohol

Alcohol affects the chemical balance in your brain. It can change your mood, feelings and behaviour. This can be in a positive or negative way.

Most people drink because they like the way alcohol makes them feel, at least at the beginning.

For example, you may feel it helps you to:

  • relax
  • cope with stress or boredom
  • get a buzz, which can change mood and feelings
  • lose inhibitions and feel more confident

Some people use alcohol to:

  • release built-up emotions
  • cope with depression or anxiety
  • forget about difficult feelings or hide them
  • block emotional upset or traumatic memories

These effects are temporary. Drinking can lead to longer-term negative effects.

Alcohol and trauma

How feelings are linked to alcohol dependence

You may feel that your mood improves when you drink. Because of this, you might want to drink regularly.

Having an instant way to change how you feel can be powerful.

But alcohol is a depressant drug.

This means it lowers the activity of the nervous system. This is why you feel relaxed. It is also why, after drinking a lot over a short time, drowsiness or even a coma can happen.

As a depressant, alcohol can also lower your mood. This means it will not solve any emotional problems in the long term. It may even make you feel worse. Alcohol can contribute to mental health difficulties, such as depression.

Alcohol and depression

Non-urgent advice: Get help with problem alcohol use

For confidential advice, freephone 1800 459 459.

Chasing the positive feeling

If you drink heavily over a period of time, the brain’s chemistry adjusts to the effects of alcohol.

You may start to rely on alcohol to relieve negative feelings or deal with problems.

Over time, you may need to drink more to feel the same effect. This is called developing a tolerance. You might also find yourself drinking to stop withdrawal symptoms.

As you drink more, the risk of becoming dependent increases.

Tips to avoid alcohol tolerance

Being at risk of becoming dependent on alcohol

You may be using alcohol to try to cope with a problem. If so, you are at risk of becoming psychologically dependent on alcohol.

You may be psychologically dependent on alcohol if:

  • drinking alcohol is your normal way of coping with a difficult time
  • you find it hard to socialise or enjoy yourself without alcohol
  • you use alcohol to avoid being upset by negative feelings
  • you use alcohol to cope with depression, anxiety or other mental health difficulties

How alcohol affects your mental health

Information:

If you are worried about your alcohol use, find out what type of drinker you are by taking our alcohol test.

How to avoid psychological dependence on alcohol

If you have an urge to drink, check if there's a link to how you are feeling.

The urge may also be triggered by the way you are feeling about something that’s happening in your life.

Do not drink when you’re in a bad state of mind. Try to find a way to feel better before you have a drink. Do some exercise or go for a walk. Or distract yourself by doing another activity you enjoy.

Face your feelings. You can try to avoid them, but they will not go away unless you find a way to deal with them.

For example, you could:

As well as getting professional support, try to:

  • have more drink-free time
  • build a life away from alcohol
  • socialise with your friends away from the pub
  • try different ways to relax
  • find activities and hobbies to fill your time

All of these can help you to look after and improve your mental health.

Looking after your mental health

If you find it hard to cope without alcohol

You may need help if you:

Information:

You may need professional support or medicine to help you get back on track. Talk to your GP or find alcohol supports and services.

Weekly low-risk alcohol guidelines

Alcohol dependence treatment and recovery

Page last reviewed: 21 July 2025
Next review due: 21 July 2028