Clinical depression often accompanies addiction both before and during treatment, so it’s important to learn how to cope with depression in recovery. Some individuals started their addictive patterns as a result of depression – substance abuse was a way to cope with their depression. Those who enter treatment with the dual diagnosis of depression and addiction frequently have a repeating pattern of staying sober for a while and then relapsing because they feel miserable. The reason is that addiction often results in multiple negative consequences, such as relationship problems, declining job performance, loss of income, poor health and low self-esteem. These conditions often seem overwhelming and impossible to overcome, and many continue to want a quick solution to their depression while undergoing treatment – thus the difficulty in maintaining abstinence. Clinical depression, also known as “endogenous depression,” is usually chronic in nature and may be found in someone’s family members, indicating a genetic link. Other than clinical depression, there is situational depression, usually brought on by a single episode like the loss of a loved one or a job, not chronic and not genetic in nature. Though the two are different, they are usually treated in much the same way. Health care professionals will typically treat depression and addiction separately and then combine the treatment modalities into a single treatment plan. In addition to professional counseling and therapy, a treatment plan may also suggest coping strategies for depression in recovery, such as support groups, meditation, or the cultivation of hobbies, as well as an improved diet and exercise regimen. In addition to detoxification and behavioral modifications, a plan for treating the dual diagnosis of depression and addiction sometimes includes medication. Those managing a dual diagnosis should be careful of medication side effects and should fully disclose their substance abuse history so that medications that will not threaten abstinence are prescribed.