What should I do if I'm struggling with multiple addictions?

Having multiple addictions, also called cross-addiction recovery or polysubstance use, is more common than many people realize. Many people struggle with alcohol and drugs simultaneously, or develop new addictions after getting sober from their primary substance. This requires a comprehensive treatment approach that addresses all addictive behaviors. Be honest with your treatment team about all substances and behaviors you're struggling with. This includes alcohol, illegal drugs, prescription medications, gambling, sex, shopping, or any other compulsive behaviors. Your treatment providers need complete information to develop an effective treatment plan. Understand that treating multiple addictions often requires addressing them simultaneously rather than one at a time. Focusing on just one substance addiction while ignoring others can lead to substitution—replacing one addictive behavior with another. Comprehensive treatment addresses the underlying issues that drive all addictive behaviors. Consider intensive treatment options like residential programs that can provide 24/7 support while you address multiple addictions. Outpatient treatment can also be effective, but you may need more frequent sessions and multiple types of support. Work with professionals who have experience treating co-occurring addictions. Not all addictive behaviors counselors are trained to handle multiple addictions, so it's important to find providers who understand the complexity of your situation. Be prepared for a longer and more complex recovery process. Addressing multiple addictions typically takes more time and requires more intensive support than addressing a single addiction recovery. This doesn't mean recovery is impossible—it just means you need to be patient and committed to the process. Consider attending multiple support groups if they're available in your area. For example, you might attend both AA and Gamblers Anonymous if you struggle with both alcohol and gambling. Some areas have support groups specifically for people with multiple addictions. Focus on developing healthy coping skills that can help with all your addictive behaviors. Psychological stress management, emotional regulation, and healthy lifestyle habits support recovery from all types of addiction. Remember that having multiple addictions doesn't make you weak or hopeless—it makes you someone who needs comprehensive, professional support to achieve lasting recovery.