Cross Addiction

June 16, 2021

This is a closed course and registrations are not being accepted. 

Educational Need

According to the National Survey on Drug Use and Health, approximately 20.1 million people age 12 or older had a substance use disorder (SUD) related to their use of alcohol or illicit drugs in the past year. The rates of addiction are different for different people as noted by the Surgeon General’s Report. Unfortunately, only one in 10 people receive treatment for their addiction. Many people do not seek a treatment program because they are not ready to stop or think they can do it on their own, while others do not think they have a problem.

Cross addiction, also known as addiction transfer or Addiction Interaction Disorder, is when a person has two or more addictive behaviors. The addictions can include alcohol or other drugs, but can also include addictions to food, gambling, sex, gaming or other compulsive behaviors.

Addiction is the continued use of a substance or engagement in a behavior despite the potential for personal problems, harm and negative consequences.

Cross addiction occurs for a variety of reasons, but often it is accidental. Someone may have surgery and be prescribed an opioid painkiller like Oxycodone or Tramadol. The good feeling they get from the drug reinforces continued use, eventually leading to increased use until it becomes an addiction.


  • Review how cross addiction affects the brain.
  • List common cross addictions.
  • Recognize when recovery begins.
Course summary
Available credit: 
  • 1.00 IBON
Course opens: 
Course expires: 
Event starts: 
06/16/2021 - 12:00pm CDT
Event ends: 
06/16/2021 - 1:00pm CDT

Suzanne Shawver, RN

Ms. Shawver has been in the nursing field for 30 years. Her nursing background consists of Med/Surg nursing Trauma centers, Correctional Facilities, and in the Field Case Management position for Work Comp claims. She is currently the Nurse Manager of the PIPBHC program at Prelude Behavioral Services in Des Moines, Iowa. The PIPBHC team evaluate patients for the PIPBHC grant, admit patients that meet the grant criteria into the program and work closely with Primary Health Care to assure these patients are having both their mental and physical health issues addressed through physicals, lab work, medication management and counseling services over the course of the two year grant program. Once the patients are discharged from the residential program, the team follows them for two years via phone and in person to check in with them and see how they are doing with their mental and physical health. We discuss their medication and how they are managing their compliance and help them troubleshoot any difficulties they are having and help them make referrals to the necessary provider/s as needed.

Edward Wollner

Edward is a trained Peer Recovery Coach and Peer Support Specialist working at Prelude Behavioral Services. His role in the PIPBHC grant is to help patients connect with outside resources and help their transition from substance abuse treatment services into stable housing and introduce them to the recovery community. As someone in recovery and a graduate of Prelude himself, Edward is able to connect with patients on a personal level and use his own experience to aid them in their early recovery journey. Prior to working at Prelude, Edward was a personal trainer and continues to be focused on exercise and nutrition which he tries to express to all patients. He also leads weekly groups for patients in residential on mindfulness meditation and self-esteem to help patients learn skills they can use when they leave residential treatment. 

Accreditation Statement

  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.0 continuing education contact hour(s). No partial credit will be awarded.


The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 1.00 IBON


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This is a closed course and registrations are not being accepted.