© 2008

Anxiety and Substance Use Disorders

The Vicious Cycle of Comorbidity

  • Sherry H. Stewart
  • Patricia J. Conrod

Part of the Series in Anxiety and Related Disorders book series (SARD)

Table of contents

  1. Front Matter
    Pages I-XIX
  2. Theoretical Issues

  3. Research Findings

    1. Front Matter
      Pages 35-35
    2. G. Ron Norton, Peter J. Norton, Brian J. Cox, Shay-Lee Belik
      Pages 81-98
  4. Treatment Strategies

    1. Front Matter
      Pages 99-99
    2. Keith C. Klostermann, William Fals-Stewart
      Pages 101-117
    3. Carrie L. Randall, Sarah W. Book, Maureen H. Carrigan, Suzanne E. Thomas
      Pages 139-155
    4. Tony Toneatto, Neil A. Rector
      Pages 157-175
    5. Michael J. Zvolensky, Amit Bernstein, Andrew R. Yartz, Alison C. McLeish, Matthew T. Feldner
      Pages 177-200
    6. Margo C. Watt, Sherry H. Stewart, Patricia J. Conrod, Norman B. Schmidt
      Pages 201-219
  5. Integration And Conclusions

    1. Front Matter
      Pages 237-237
  6. Back Matter
    Pages 259-276

About this book


"It takes my worries away…it helps me unwind when I’m tense…"

Those with an anxiety disorder are at two to five times greater risk of having an alcohol or drug use disorder than those without an anxiety disorder. And although anxiety disorders are among the most common co-occurring conditions affecting people with substance issues, mainstream methods often fail to treat both halves of the picture.

Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity addresses this gap with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder both across types of substances (alcohol, tobacco, street and prescription drugs) and the range of anxiety disorders (PTSD, social phobia, panic disorder, OCD) to give the reader comprehensive knowledge in a practical format. Informed by the reciprocal relationship between the two types of disorders (such as the contributions of substance abuse to anxiety-related symptoms), the book:

  • Brings together neurobiological, psychosocial, and cognitive perspectives on its subject.
  • Outlines theoretical models of co-occurring anxiety and substance abuse, its epidemiology, and etiology.
  • Offers up-to-date research findings on the nature, origins, and treatment of specific combinations of substance use and anxiety disorders.
  • Presents detailed reviews of emerging targeted treatment methods—including cognitive-behavioral, personality-based, and medical interventions—with latest data on their efficacy.
  • Pinpoints future directions in understanding and treating the dually diagnosed.

This integrative approach makes Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity an important resource for all mental health professionals. It will also serve as an excellent clinical text.



Intervention Management alcohol anxiety co-occurring diagnosis drugs epidemiological etiology neurobiology obsessive-compulsive panic posttraumatic stress

Editors and affiliations

  • Sherry H. Stewart
    • 1
  • Patricia J. Conrod
    • 2
  1. 1.Departments of Psychiatry and PsychologyDalhousie UniversityHalifaxCanada
  2. 2.Institute of PsychiatryKing’s CollegeLondonUK

About the editors

Sherry H. Stewart, Ph.D., is a professor of psychology at Dalhousie University and is an Associate Editor of the Cognitive Behavior Therapy journal. Since receiving her doctorate from McGill University in 1993, she has published many articles and taken part in numerous scientific presentations on the subjects of anxiety and addictive behaviors (particularly alcoholism and gambling). She is currently conducting research on the co-morbidity of gambling and alcohol use disorders, funded by a grant from the Nova Scotia Gaming Foundation.

Patricia J. Conrod, Ph.D., is a clinical psychologist and Clinical Lecturer at the National Addiction Centre, Institute of Psychiatry, King's College London. She was previously Assistant Professor at the University of British Columbia and at the State University of New York at Stony Brook.  Her research focuses on cognitive, personality and biological risk factors for alcohol and drug misuse and the factors that mediate the co-occurrence of addictive behaviors with other mental disorders. Her experimental research focuses on factors that make people more susceptible to seek out behavioral reinforcement from drugs of abuse. She has published several studies demonstrating that personality factors determine the type of reinforcement experienced from substances of abuse. More recently, her research findings have led to the development of new approaches to substance abuse treatment and prevention that target personality risk factors for substance misuse.

Bibliographic information