Part of the complete guide to understanding addiction
Cross addiction is a phenomenon that many recovering addicts wonder about. Although there isn’t enough evidence to prove cross addiction conclusively, there are clinical observations and anecdotal evidence suggesting that it may be a valid concern.These observations also shed light on who is at risk for cross addiction, and why it occurs.
In this article, Avenues Recovery, leading addiction rehabilitation specialists, discuss what is cross addiction, why cross dependence occurs, which risk factors to be aware of, and how to avoid cross addiction during recovery.
What Does Cross Addiction and Cross Dependence Mean?
The definition of cross addiction and cross dependence is when individuals in recovery use and eventually become dependent on a different substance. With cross addiction, also known as addiction transfer and addiction interaction disorder (AID), the recovering addict does not relapse to their old behavior or substance of choice but instead develops a new addiction. Put simply, cross addiction is the action of replacing one addiction with another.
Cross addiction is not to be confused with dual diagnosis, which is when substance abuse disorder is accompanied by a mental health condition. Additionally, cross addictions do not strictly refer to addictions to substances like drugs and alcohol - they can also manifest themselves in process addictions, such as:
- Shopping
- Hair-pulling
- Smoking
- Eating
- Exercising
- Internet gaming
- Gambling
- Sex
- Self-harm
- Compulsive behaviors
Cross Addiction Causes
There are many possible explanations for why cross addiction and cross dependence occur. Every addict is different, and because there aren’t definitive statistics, these are only hypotheses from different addiction experts:
The Wiring of the Brain
Addiction changes the wiring of the brain so that the affected person is unable to resist the temptation to use their drug of choice. The patterns in the brain are ingrained and, therefore, quick to manifest themselves into different addictive behaviors.
Dopamine Craving
Addiction develops because drugs and alcohol cause the release of dopamine in the brain. Dopamine is a hormone in the brain associated with pleasure and reward. Once in recovery, the addict abstains from engaging in addictive behavior, which stops the release of dopamine. The recovering addict may crave dopamine and try to trigger its release by using a different substance.
Unrealistic Expectations
Individuals in recovery may have unrealistic expectations of what it means to live addiction-free. They may fantasize about sober life being more glamorous than the reality, causing them to start using a different substance to feel excitement or shut down negative emotions.
Unresolved Emotional Issues
Tension, trauma, stress, and other emotional difficulties play a big role in addiction. If an addict attends rehab but does not see a trauma specialist to resolve previous traumas, a cross addiction may develop as a coping mechanism.
Who Is at Risk for Cross Addiction?
Here are some risk factors for developing a cross addiction that you should be aware of:
Environment
If you are exposed to alcohol or drugs at home, with friends, or through prescribed medication, this increases your risk of beginning to use again.
Psychology
If you have a dual diagnosis like bipolar disorder, depression, or anxiety, leaving it untreated can lead to you replacing one addiction with another to numb the pain and difficult emotions.
Habit
If you do not actively find new hobbies, coping mechanisms, and healthy support systems, you will remain stuck in an unhealthy pattern that may lead to a relapse in addictive behaviors.
As a recovering addict, ask your therapist, trusted family and friends, and other mental health professionals to help you identify whether or not you are at risk of developing a cross addiction in recovery. Increase your awareness and understanding of cross addiction to prevent relapse.
How to Avoid Cross Addiction
Cross addiction is a frightening phenomenon for addicts in recovery. It is disheartening to know that even after years of sobriety, a recovered addict can fall into addiction again. However, employing the following tips can help you avoid cross addiction:
Honesty
Addicts often struggle with denial. They can convince themselves that certain behaviors are acceptable and that they can stop taking the substance as soon as they wish. Being honest with yourself allows you to identify a cross addiction as soon as it starts so that you can nip it in the bud.
Vigilance
If you’re recovering from an alcohol addiction, you may find yourself falling into a narcotic or morphine addiction instead. It’s important to inform doctors of your status as a recovering alcohol addict so they are aware not to prescribe medications with high abuse potential.
Ongoing Support
It is vital for an addict to constantly work on their recovery. Attending meetings, finding a supportive network of family and friends, and having weekly sessions with a psychotherapist are all very important in maintaining long-term sobriety and emotional health, helping the recovering addict avoid unresolved issues that can lead to cross addiction.
Hobbies
A recovering addict will find that the entire structure of their day has changed. Whereas previously, the whole day revolved around obtaining, using, and recovering from their substance of choice, once sober, they will find their day less busy, and parties and chilling with friends, less exciting. Filling your time with hobbies, surrounding yourself with healthy people, and engaging in meaningful activities is essential.
Habits
Replace previous compulsive behaviors with positive habits. Exercising, maintaining a healthy and balanced diet, and having proper sleep hygiene are instrumental in ensuring physical and emotional health, stamina, and resilience to overcome difficult emotions and avoid cross addictions.
Education
The more you know about addiction, recovery, and cross addiction, the greater the chances of you identifying the early stages of a new addiction and having the tools and resources to overcome it right away.
Common Cross Addictions
Recovering addicts can become addicted to any new addictive substance or behavior. Some recovering alcoholics become addicted to heroin, some to eating, and others to gambling. However, some common cross addictions which recovering addicts should be hyper-vigilant of include:
- MDMA addicts using meth
- Heroin addicts using painkiller medication
- Alcohol addicts using Benzos or gambling
- Sleep aid addicts using tranquilizers
Cross Addiction Treatment
Treatment options for cross addictions are the same as any addiction:
- Rehab (if it’s a substance use disorder like drugs or alcohol)
- One-on-one therapy
- Group therapy
- 12-step meetings
It’s worthwhile to note that the skills you learned to manage the first addiction can easily be applied to the new addiction, resulting in a potentially quicker recovery.
Get Help for Cross Addiction
If you or your loved one is in recovery from an addiction, it may be disheartening to know that they may be at risk of developing another addiction in the process. Keep in mind that there are excellent options available to help you or your loved one remain sober and not develop another addiction. At Avenues Recovery, we have a robust and active alumni program to help our clients maintain their hard-earned sobriety.