“Some people turn to alcohol or drugs to self-medicate distressing symptoms,” says Professor Frances Kay-Lambkin, institute director of the Hunter Medical Research Institute. “For others, prolonged use can trigger or worsen mental-health issues through changes in brain chemistry. Often, it works both ways — each issue feeding the other. That’s why integrated treatment is crucial; it’s far more effective. Around half of people with alcohol-use disorder also experience anxiety or depression.”
The treatments that can help
One of the most effective treatments to assist with mental health and addition issues is cognitive behavioural therapy (CBT) — a structured approach that helps people recognise negative thought patterns, build new coping strategies and reduce harmful behaviours.
Australian research shows web-based CBT can be effective in reducing co-occurring anxiety and harmful alcohol use. Treatment guidelines often recommend integrated, evidence-based care, with CBT as a core component.
But accessing treatment can be challenging. Cost, availability and stigma often create barriers. That’s where digital programs like eCliPSE may play a crucial role.
“Digital treatments can work just as well as face-to-face therapy,” says Prof Kay-Lambkin. “People can make the same improvements — and often feel more empowered to manage their recovery on their own terms.”
The eCliPSE portal offers free 24/7 access to evidence-based screening, eHealth treatments and resources for people with co-occurring mental-health and substance-use issues.
Profs Kay-Lambkin and Teesson’s team pioneered these integrated digital treatments*.
“Trials show people improve online as much as in person,” says Prof Kay-Lambkin. “eCliPSE programs are free and also offer booster sessions whenever extra support is needed.”
Evidence-based digital programs can help people manage cravings, reduce reliance on alcohol or drugs, and build healthier coping mechanisms — while also supporting families who often feel powerless watching a loved one struggle.Credit: iStock
What is CBT?
Cognitive Behavioural Therapy (CBT) can be one of the most effective treatments for alcohol, drug use and mental-health issues.
“It helps people recognise the patterns that keep them stuck in harmful cycles, then equips them with practical tools to change those patterns,” says Prof Kay-Lambkin.
It works by helping people:
- Identify and challenge unhelpful thoughts and behaviours (“I can’t cope without a drink”)
- Plan for high-risk situations and manage cravings
- Develop healthier coping strategies to replace substance use
- Prevent relapse and maintain long-term recovery
Real recovery
For people like Mark, recovery isn’t about a single turning point. It’s about having the right tools and ongoing support. Evidence-based digital programs can help people manage cravings, reduce reliance on alcohol or drugs, and build healthier coping mechanisms — while also supporting families who often feel powerless watching a loved one struggle.
Taking that first step is crucial. For some, it might mean talking to a GP, counsellor or trusted friend. For others, the privacy and accessibility of digital programs make it easier to begin.
“We know recovery is possible,” says Prof Kay-Lambkin. “With evidence-based treatments, we can support people to break the cycle, improve their mental health and rebuild their lives.”
eCliPSE is available anytime, anywhere. The free digital platform offers evidence-based mental-health and substance-use programs for Australians aged 18+. It was developed by leading researchers in collaboration with the NSW Ministry of Health, the NHMRC, the Ramsay Health Foundation, Beyond Blue and other trusted organisations.
Sponsored by eCliPSE
*Kay-Lambkin, F. et al. (Various). Digital CBT and integrated treatment trials for comorbid substance use and mental health conditions.
