What This Treatment Is

Depression and alcohol use disorder co-occur frequently. National epidemiologic data show that adults with major depression have significantly higher rates of alcohol use disorder than the general population, and vice versa. The relationship is typically bidirectional: depression drives alcohol use as a coping strategy, and heavy alcohol use worsens depression through neurochemical mechanisms — most notably serotonin and dopamine dysregulation.

Why Treating Both Matters

Treating depression while active alcohol use continues meaningfully reduces the efficacy of antidepressant therapy. Alcohol is a central nervous system depressant that undermines the neurotransmitter changes SSRIs and SNRIs are meant to produce. Conversely, treating AUD while active depression is ignored leaves the emotional driver of drinking untreated, which increases relapse risk. Both conditions need targeted, evidence-based treatment — at the same time.

Elevated Suicide Risk Requires Clinical Vigilance

Both depression and AUD independently elevate suicide risk. The combination is a well-established clinical concern. Our program includes structured safety assessment at intake and at defined intervals, means restriction counseling when appropriate, and clear communication protocols with patient and (with authorization) family. This is not something we treat as a minor consideration — it is core to the clinical work.

Our Care Model: Specialty-Led, Distinct Primary Tracks

Elevated Healing operates separate primary treatment tracks for Mental Health and Substance Use, each led by the appropriate clinical specialty from day one. When both are present, our teams coordinate care across tracks so the full clinical picture is addressed without collapsing treatment into a single generalized program.

This is different from a blended or generalized model. Read more on our Care Model page.

Elevated Healing’s Specialty-Led Approach

Our Woodland Hills program treats co-occurring depression and AUD through coordinated specialty-led tracks. The psychiatric track leads on depression treatment. The substance use track leads on AUD treatment. Cross-team review keeps decisions aligned.

Practically:

  • Full psychiatric evaluation at intake for depression severity, subtype, and suicide risk.
  • AUD evaluation including drinking history, prior treatment, and medication candidacy.
  • Antidepressant medication when clinically indicated (SSRI, SNRI, or targeted agents based on the depression picture).
  • AUD medications: naltrexone (oral or Vivitrol), acamprosate, or disulfiram based on goals and pattern.
  • Evidence-based therapy: CBT for depression, motivational enhancement for AUD, EMDR when trauma is a factor.
  • Coordinated review of medication interactions — some AUD medications and antidepressants require careful pairing.
Evidence base. Combined pharmacologic and psychosocial treatment of co-occurring depression and AUD produces better outcomes than treating either condition alone, per the American Psychiatric Association. Naltrexone reduces heavy drinking; SSRIs address depression; the two work together.

Access at Our Woodland Hills Campus

Our campus is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, in the West San Fernando Valley. Access is straightforward:

  • From the 101 (Ventura Freeway) — exit at De Soto Avenue or Winnetka Avenue and drive a short distance north.
  • From the 118 (Ronald Reagan Freeway) — take Winnetka or De Soto south into the West Valley.
  • Nearby communities — Warner Center, Winnetka, West Hills, Canoga Park, Tarzana, and Encino are all a short drive.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video for California residents.

Parking and check-in details are provided at intake. If accessibility accommodations are needed, tell our admissions team when you call.

Program Levels That Deliver This Care

This service is delivered inside the level of care that matches your clinical need at intake. Level of care can shift over time as treatment progresses.

Partial Hospitalization (PHP)

Structured day program, five days per week, with psychiatric oversight and integrated therapy.

Learn about PHP

Intensive Outpatient (IOP)

Three-to-five sessions per week that allow work or school to continue.

Learn about IOP

Outpatient (OP)

Weekly therapy plus regular psychiatric visits — well-suited to step-down maintenance.

Learn about OP

Telehealth Follow-Up

Video visits with the psychiatric provider, available across California for eligible patients.

Learn about telehealth

Insurance, Cost, and Getting Started

Most commercial insurance plans cover depression and alcohol under mental health and substance use disorder benefits, which are subject to federal parity requirements under the Mental Health Parity and Addiction Equity Act. Parity means insurers cannot impose stricter limits on behavioral health services than they apply to physical health services — a real legal protection worth knowing you have when you call.

The first step is a conversation with our admissions team. This call is free, confidential, and carries no obligation. During it, we:

  • Verify your insurance benefits within one business day.
  • Confirm what’s covered, what your copay or coinsurance will be, and whether prior authorization applies.
  • Start any required prior authorization on your behalf so you’re not stuck on hold with your insurer.
  • Schedule a clinical evaluation — usually within a few business days of your first call, sooner when the situation is time-sensitive.

If insurance doesn’t cover the service or your plan design doesn’t fit, self-pay options can be discussed. There is no charge to have this conversation. Reach us at (747) 888-3000 or use our insurance verification form.

What Progress Looks Like

Recovery through depression and alcohol is not a straight line, and durable clinical outcomes rarely happen in weeks. Realistic timelines matter here more than optimistic promises. Most patients notice measurable improvement in the first month of consistent treatment — reduced cravings, more stable mood, better sleep, easier engagement with therapy. Substantive behavioral change typically takes root over three to six months.

Progress is reviewed at every clinical visit. We measure it in specifics: frequency of the target behavior, functional recovery in work and relationships, sleep quality, and — where medications are involved — how well the pharmacology is holding cravings and side effects. When something isn’t working, we adjust. That might mean a dose change, a therapy focus shift, or a step up or down in level of care. The plan follows the patient’s clinical picture, not the other way around.

Setbacks are treated as clinical data, not moral failure. If a relapse or symptom flare happens, the team’s job is to understand what led to it and refine the plan. Patients are not discharged for a relapse. Long-term recovery is often what happens after the acute treatment phase ends, and we plan for that from the first visit — through aftercare planning, coordinated hand-offs, and telehealth follow-up available across California.

Confidentiality and HIPAA Protections

Treatment records at Elevated Healing are protected under the Health Insurance Portability and Accountability Act (HIPAA) and, for substance use records specifically, under 42 CFR Part 2 — a federal regulation providing additional protection for substance use disorder treatment information. That means treatment status and clinical details are not disclosed to family members, employers, or third parties without your written authorization, except in narrowly defined legal circumstances (imminent harm, court order).

Practical protections include HIPAA-compliant scheduling and communication systems, secure insurance verification channels, and billing structured to minimize what appears on statements. Patients with heightened confidentiality concerns can request specific accommodations at intake — arrival timing, check-in flow, telehealth-first scheduling — and our admissions team will confirm what’s available.

Frequently Asked Questions

Do I have to stop drinking before starting an antidepressant?
Not necessarily — antidepressants can be started while active drinking continues. But efficacy will be blunted by ongoing heavy alcohol use. The goal is to start both tracks in parallel: antidepressant plus AUD medication plus therapy. As drinking decreases, antidepressant response typically improves.
What if my depression is really just from drinking?
Alcohol-induced depression is a real diagnostic category and often resolves with a period of sobriety. But many patients have primary depression that predated the drinking or continues after sobriety. Distinguishing the two requires clinical assessment. Our evaluation looks at timing of symptoms relative to drinking to help clarify the picture.
Can I take antidepressants if I'm still drinking?
Physically, yes — SSRIs are not dangerous with moderate alcohol use in the way benzodiazepines are. The concern is efficacy: heavy drinking reduces antidepressant benefit. Our clinical recommendation is to use both the antidepressant and the AUD medication (typically naltrexone) so reducing drinking is supported.
What about the suicide risk?
It’s real, and we treat it as a central clinical concern rather than a peripheral one. Intake includes structured safety assessment. Ongoing care includes clear communication about warning signs and access to acute clinical response. Means restriction is discussed when appropriate. Patients experiencing acute suicidal ideation should call 988 immediately.
Can family be involved?
Yes, with your written authorization. Family psychoeducation about depression and AUD is often helpful. Family involvement in safety planning, boundary discussions, and medication support is coordinated on a case-by-case basis.
Does insurance cover co-occurring depression and AUD care?
Yes — most commercial insurance covers both under mental health and substance use benefits subject to parity requirements. Our admissions team verifies specifics. Reach us at (747) 888-3000.

If You’re in Crisis

If you or someone you love is in immediate crisis, help is available 24/7. You are not alone.

Trusted External Resources

Independent, evidence-based sources on the topics covered on this page:

National Institute of Mental Health — Depression →

NIH institute’s overview of depression.

National Institute on Alcohol Abuse and Alcoholism →

NIH institute researching alcohol use.

SAMHSA — Co-Occurring Disorders →

SAMHSA’s clinical overview of co-occurring conditions.

American Psychiatric Association →

APA’s public-facing guidance.

988 Suicide & Crisis Lifeline →

24/7 free confidential crisis support — call or text 988.

Ready to Talk About Depression and Alcohol?

Our admissions team can walk you through what treatment looks like, verify insurance benefits, and answer questions. Conversations are confidential.

Call us confidentially at (747) 888-3000 — or request a consultation online.

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