Reflecting the latest content in the DSM–5, The Spectrum of Addiction presents a comprehensive overview of addictive behaviors and habits from early use through risky use, severe-risk use, and addiction. Authors Laura Veach and Regina Moro draw from their experience in both teaching and counseling to provide real-world knowledge and evidence-based practices for working with clients who fall within the spectrum of addiction ranging from experimentation to physical addiction and recovery. With a unique focus on neuroscience, integration of CACREP standards, and extensive coverage of addictions across the lifespan, the book serves as a practical resource for future addiction counselors. The Spectrum of Addiction is part of SAGE’s Counseling and Professional Identity Series. To learn more about each text in the series, please visit

Cross Addictions and Comorbidities

Cross Addictions and Comorbidities

Learning Objectives

The learner will be able to

  • define cross addiction;
  • describe at least two evidence-based approaches to use in counseling individuals with cross addiction;
  • define comorbidities;
  • cite examples of comorbidities, both physical and psychological, as related to substance use or process addictive disorders; and
  • provide a description of one evidence-based approach for treating comorbidities and cross addiction.


For many years the concept of the individual in recovery for a substance use disorder was at a heightened risk for becoming addicted to a different or new substance has been emphasized in the addiction field. Important brain changes, according to research studies, show “that long-term drug abuse results in changes in the brain that persist long after a person stops using drugs” (National Institute on ...

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