10 Signs You Might Have a Co-Occurring Disorder (and Why You Shouldn’t Ignore Them)

📞 Need help now? Call Archangel Centers at (888) 464-6182 to speak with someone who understands.

Wondering Why Recovery Still Feels So Hard?

If you’ve gotten sober—or tried to—and it still feels like your world is unraveling, you’re not alone. Recovery is supposed to be hard, but it’s not supposed to feel like punishment. And if it does? That might be a sign that addiction isn’t the only thing you’re battling.

Many people with addiction also struggle with underlying mental health conditions like anxiety, depression, PTSD, or ADHD. When these exist alongside substance use, it’s called a co-occurring disorder or dual diagnosis. And if you don’t treat both? You’re left doing recovery with half the tools.

Here are 10 signs you might be dealing with a co-occurring disorder—and why recognizing it can be the key to finally feeling better.

 

1. You use substances to feel “normal.”

It’s not just about getting high or drunk. You drink or use to quiet your thoughts, calm your nerves, or feel anything at all. Without it, you feel out of control, on edge, or empty.

 

2. Sobriety makes you feel worse, not better.

Everyone expects early sobriety to be tough. But if weeks or months in, you’re more anxious, more depressed, or more emotionally unwell than you were when using, something deeper might be going on.

 

3. You’ve tried to get sober before—but something always pulls you back.

Relapse doesn’t always mean failure. It can also mean there’s something untreated—like trauma, anxiety, or undiagnosed depression—still driving your need to numb out.

 

4. You’ve had mental health symptoms for years.

You’ve experienced panic attacks, depressive episodes, racing thoughts, or emotional shutdowns—even during periods when you weren’t using. The signs were always there.

5. You’re sober but still feel emotionally unstable.

You’re not drinking or using, but you’re still not okay. You feel unpredictable, disconnected, or overwhelmed more often than not—and you don’t know why.

 

6. You have trouble connecting with other people in recovery.

Support groups feel frustrating or confusing. You hear other people talk about finding peace and clarity in sobriety, and you wonder, Why don’t I feel that yet?

 

7. You’ve been diagnosed with a mental health condition—or suspect you might have one.

Maybe you’ve heard the words: anxiety disorder, bipolar, PTSD, ADHD. Maybe you haven’t. But you’ve always known something else was going on beyond addiction.

 

8. You feel like you’re constantly white-knuckling your sobriety.

It doesn’t feel sustainable. You’re hanging on, but just barely. And the thought of staying sober forever feels impossible—not because of cravings, but because of how you feel inside.

 

9. You isolate—or feel like a burden.

Your brain tells you you’re too much for people. That no one would understand. That even in sobriety, you’re broken. (You’re not.)

 

10. You’ve said to yourself, “I thought getting sober would fix me. It didn’t.”

This might be the most telling sign of all. Because if addiction was the whole problem, sobriety would be the whole solution. But if sobriety hasn’t made you feel better, there’s probably more that needs care—and that’s okay.

💬 Real Talk: What If Sobriety Makes You Feel Worse?

Yes, early sobriety is hard. Most people feel a little unsteady at first—raw, emotional, uncertain. That’s normal.

But what isn’t normal—or at least, not inevitable—is feeling like you’re falling apart the longer you stay sober.

If you’re months or even years into sobriety and still feel hopeless, anxious, numb, or like you’re barely hanging on… that’s not a moral failing. That’s not a lack of effort. And it’s not just how sobriety is “supposed to feel.”

It might mean you’re dealing with a co-occurring mental health condition—like depression, anxiety, PTSD, or undiagnosed ADHD—that hasn’t been addressed.

Recovery shouldn’t feel like a punishment.
If it does, you don’t need more willpower—you need more support.

So many people suffer in silence because they think sobriety is supposed to be hard forever. That if they’re still struggling, they must be doing it wrong. But the truth is, white-knuckling your way through recovery isn’t recovery at all.

When you treat both the addiction and the underlying mental health piece, something changes. You stop just surviving—and start actually living.

You Deserve to Feel Better

At Archangel Centers, we understand how painful it is to do everything “right” in recovery and still feel like something’s wrong. That’s why we specialize in dual diagnosis treatment in New Jersey—a full-picture approach that treats addiction and mental health, together.

You don’t have to figure this out alone.

📞 Call (888) 464-6182 or visit our Dual Diagnosis page to explore what healing could look like for you.

 

You are not broken. You’re not doing recovery wrong. You might just need the right kind of care.