The 7 Stages of Crack Cocaine Use

0 to 7 Stages of Crack Cocaine Use and Withdrawal Pattern

0) Currently using: Auditory hallucinations, hypertensive, hyper vigilant. During usage a person may think they hear sirens, cars pulling up outside, music, people talking, etc. Some people will experience tactile hallucinations such as skin crawling or seeing bugs on their skin. They will be extremely alert to the point of paranoia — perhaps suspicious of any movement around the area where they are using. It is common to hide out in the area where use is occurring and refuse to answer the door.

1) Panic stage: 1-3 hours after last use. During this phase money for more is the prime concern. In this phase a person may look for something around their house to sell or pawn or may consider where they may beg, borrow or steal something to sell for cocaine. Looking for lint on the rug hoping something has fallen is common at this point. In this acute withdrawal period, people have been known to try to rob crowded public places (mall stores, convenience stores, fast food restaurants) to obtain goods to sell or money for more crack. The withdrawal is so intense and craving so high that the person has little ability to think or reason logically.

2) Crash Stage: 3-24 hours after last use. Depression; remorse (suicidal); brain is in desperate need of rest but the chemicals (serotonin) necessary for sleep have been depleted and it is difficult, at first, to sleep. In this phase one wonders why they spent all their paycheck, used funds that did not belong to them, pawned valuable household items for less than actual value, stole from persons they truly care about, etc. Often, under the influence of cocaine-induced depression, one makes promises to never do it again in this phase and believes it. Highest risk for suicide is during this period.

3) Honeymoon Stage: 1-5 days after last use. Characterized by feeling very good. The craving is not noticeable or is easily manageable during this phase. The drug effects seem to be wearing off and one is starting to regain confidence in their ability to handle the addiction. During this phase it is common to hear a person say, “I don’t even think about it, I’m not going to have any problem with it. I do not even want it anymore.” A delusive way of thinking that ignores their past cycles and paves the way for the next binge. The chemical messengers of the brain (serotonin/dopamine) necessary to enjoy crack are still depleted and behind this lack of interest in crack. This is a dangerous stage as it is easy to think there is not a problem and therefore, why worry about it? People let down their guard during this phase and commonly use defense mechanisms, e.g., rationalizing and minimizing, to convince themselves this time they are cured and so have no need of further support or treatment. There is a high risk for people in treatment to leave during this phase as they no longer feel, or are aware of, the physical and emotional affects of the original crisis.

4) Return of Craving: 5-14 days after last use. Tremendous upsurge of acute drug hunger, depression, anger. The body has produced enough serotonin/dopamine for the person to want to use more cocaine but not enough to affect stability of mood and emotions. During this phase one may experience vivid dreams, fantasies, and acute drug hunger. Thoughts may cycle around using until a person feels like giving in to the obsession to use. Defense mechanisms (rationalization, intellectualization, denial, minimizing) begin to make a strong comeback after being knocked down by the original crisis.

5) Emotional Augmentation: 14-28 days start – up to 1-2 years. Over-response to the normal stress and events of everyday life. At the top of the mood swing one is unusually happy and at the bottom one is unusually sad. The state of making mountains out of molehills. This is related to biochemical responses induced by strong emotions that stimulate areas where mood and mind altering drugs act on the brain. The body is now seriously undertaking the repairs of areas damaged by drug use and is replacing important chemicals needed to regulate mood and emotions. As a result, one is slightly off balance chemically without being consciously aware of it. There there is a strong need for accurate feedback on one’s behavior from an objective support group. (Recommend AA or NA or another type recovery support group.) This cannot be stressed too highly for long term success in recovery. Also, low impact exercise – walking, jogging, bicycling, low impact aerobics – and a well-balanced diet will shorten this phase and reduce the severity of the symptoms. Irritability, depression, anxiety, mood swings, memory loss, difficulty concentrating, short attention span, nightmares, insomnia, fatigue, and headaches are some of the normal recovery symptoms of the emotional augmentation stage.

6) Covert Cravings: 28-35 days. Secrets and bad judgments characterize this phase. Craving is not as strong on a regular basis but one may have periodic strong cravings and not want to admit it for various reasons. Thinking it is a sign of weakness, poor moral character, that they are not working a good program, that they simply should not be having cravings. Generally, the cravings are of a low level, e.g. euphoric recall (glorifying war stories), vivid dreams that trigger cravings upon awakening, or just general mild drug hunger. Without someone to talk with concerning these normal protracted withdrawal symptoms, they can evolve into high level cravings, e.g. acute drug hunger, drug seeking behavior, obsession and on to compulsion. Again the need for a support system is strongly recommended.

7) Cue Conditioning: 35 days upward. Cue conditioning – referred to as triggers – could be money, anger, disappointment, music, a film, or extreme joy. Anything strongly associated with using could cue/trigger a craving. The strength of these cue cravings will diminish in time but continue on for years although becoming few and far between. They can catch a person off guard and evolve into higher level cravings. Again, a long term support plan for sobriety AA/NA or recovery support group is recommended to alleviate these natural manifestations.

It is a normal part of recovery to have strong cravings due to acute withdrawal 3-7 days and then continued cravings at a lower level well into protracted withdrawal 6 months-2 years. Time and severity of protracted withdrawal depend upon type, amount, and frequency of drug used. Again, a program of good nutrition and low impact exercise can alleviate these normal recovery symptoms.

Please note that behavioral symptoms: compulsion, obsession, loss of control over time, place, amount used and continued use despite adverse consequences are secondary symptoms of the disease process. With continued treatment of the disease with abstinence and a good support system, these behavioral symptoms will diminish to normal discussions over time.

The above information was provided to a friend of a friend of mine in 2000 while he was in detox for crack cocaine addiction, and she recently emailed me a copy when she learned I was going to write about crack and homelessness. Thanks, friend. :)

>> See also, “What You Need To Hear About Crack Cocaine”

968 comments on “The 7 Stages of Crack Cocaine Use

  1. Shaz November 4, 2014 9:16 pm

    Rech u need out gal big time girl, Sharon said it rite, but fuck doin that to his dad! Ur man is proper on self destruct don’t u c that, do u wanna b next ask urself that?wot happens if u got pregnant?b ok for a bit then u wud put urself in danger & baby?think ur man is in two deep gAl,time to get out truth! Wots hap to al&ap?sharon we will hold fort till they come bk lol xxlove&peace to all xxx

  2. REC November 5, 2014 2:20 pm

    Thank you Shaz and Sharon. I know. It’s scary. Well, he’s in the hospital now and I’m hearing that “I’ll never do it again, I don’t even want it. It stopped being fun a long time ago.”

    It’s weird. After being so in love with him, I’m not sure what I’m feeling now. Disconnected, I suppose..

  3. Shaz November 6, 2014 1:49 am

    Rech we have all been there,I’m married to my addict wen he 1st done it I woz naive didn’t know wot it woz all fun which they make us believe wen found out went mental,think he had stop using now! But feel had the life suck outa me! If I can help sum1 have stop goin throu the pain&hurt I’ll try,so chin up gal xxx

  4. condanita November 24, 2014 8:21 pm


  5. Sharon B November 24, 2014 9:00 pm

    Hi Condanita….you are right sweetheart and you must take care of yourself. If you read through any of the posts, you know that some many of us have been there. So many have lost everything they have, money, health, home, dignity by trying to love them out of their addiction. It does not work. The only one that can save them is themselves. If you have reached the end of your rope, the you just either get him out or you get out. Protect yourself.

    Shaz, Ap, Al and all others, please let us know how you are and give us a wellness check. Love and peace to all

  6. Cj November 25, 2014 9:18 am

    Paul, I’ve been keeping up too! It’s unbelievable how similar your story is to my boyfriends, I almost think he is writing it! He binges every 2 weeks and this last one was a good $1200 binge. I Know you have said it, but are you still available for email contact. He won’t speak openly with anyone close to him.. Hoping to get someone who has been were he is to give him something I can’t seem to give to him. Keep up the good work and keep posting how you’re doing! “encouragement in the brokenness”

  7. Shaz November 27, 2014 1:16 am

    Conanita, his to much on it gal!ur rite u got to think ov urself, cuz e don’t, I’m bout 5yrs down the line &still don’t feel right,feel had shit kick outa me, my man been clean 4 time.,but u know wot feel crack as already made its mark,Sharon gal still ere, come on this site most days check in,but seems really quiet ope that’s a good thing! Thoughts wid everyone xxxc

  8. Sharon B December 19, 2014 2:57 pm

    I hope all is good with everyone…Shaz, Al, Ap and all. Been very quiet here. Wishing all a very Merry Christmas, a Happy New Year and lots of love and peace!

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