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”

862 comments on “The 7 Stages of Crack Cocaine Use

  1. Sharon B July 20, 2014 1:18 pm

    AP, if my words caused you distress then I sincerely apologize. I am no better than anyone else and certainly the only throne I sit on is in the bathroom. A dear friend who was an addict passed away last week and after spending many days with members of AA and their talk, I was on overload and also needed to vent So if you will accept my apology if I caused you pain, it was not intentional. Every circumstance is differrent, every story is different, we have all done hurtful things and all will have to deal with it in the best way we can. I have alwwys felt I could come here and say exactly what I was thinking and still do, but nothing I say is personal to any of you It is my way of dealing with the day to day of living with an addict. I point no fingers, because I am not pefect and again I regret if I hurt you.

  2. A.P. July 20, 2014 2:19 pm

    Accepted , Forgiven and My condolences on the loss of your Friend.
    I too have been on overload lately, as I briefly stated in my chat with shaz. You have never struck me as a malicious person and I have always held you and everyone on this site in high regard. Even under the cloak of anonymity it still takes a lot of courage to be buck naked honest. So it was bad timing. Making amends is a vital component of my recovery. Although I have pretty much given up on ever re-uniting with my ex. I still had to clean my side of the fence. And im o.k. with that. I have someone in my life now that is very special to me. What im not o.k. with is the fact that I may die before ever seeing my kids again. That hurts down deep. I have asked forgiveness and tried on several occasions to reconcile. And I keep getting doors slammed in my face. So when I read what you said, it was like :if I knocked you in the head with a crowbar, then asked you what’s all the blood about? that didn’t hurt! you manage to say how the hell do you know! and I reply because I didn’t feel anything.: As much as I may try to feel what you ladies or other children of addicts my feel. I cannot, unless the same thing happens to me. Just as you all will never know what its like to anticipate that fist crack hit of day so bad that you shit on yourself. Unless you been there.

  3. Sharon B July 20, 2014 3:04 pm

    Thanks A.P… took my husband many years to reconcile with his kids and then when he relasped it was like starting all over. His daughter is more forgiving and has become a big part of our lives, but his son is still stand offish, so it was with great joy that he came to our house on July 4th for a BBQ. My husband takes what he can get and that was such a huge gift. So i will hope and pray and perhaps one day your kids will be able to forgive. Other members of my husbands family do not have anything to do with him, and like I tell him when he is down on himself, he has done all he can and he cannot control them. Still hard, but as you know I support my hub 100% in his daily struggle and I never ever ever call him bad. His actions were bad and as I said earlier, I have my bad past too, so all I can ask is each day he stays sober. And no, you are right..I have never walked in your shoes and cannot imagine and as you stated you cannot know what we feel either. Perhaps just keep talking and opening doors and we can all gain a lot of knowledge. Peace and Love

  4. A.P. July 20, 2014 3:46 pm

    AGREED. understanding the best thing in the world. Wars have been waged and hundreds of millions lives lost because of misunderstandings.

  5. michael July 22, 2014 6:14 pm

    hello every one sorry i went off the grid i just was in detox to fully reap the rewnot givinards of g into temptations of crack sorry al i have not responded to you messages today i am on a day of leave but have togo back to rehab

  6. al July 23, 2014 12:21 am

    Michael, thank you! So glad you are alive, and doing what is best for you right now. :-)

  7. michael July 23, 2014 12:42 am

    as i emailed to you as i am writing here i have relapsed and i had to go to rehab since now i remeber how to produce crack aka make it in my past when i was on the street i was making crack but forgot how to make it due to the lifestyles i had well for this reason ( as you have said guilty sad mad even upset that i relapsed it happened around the same time i went off the grid well i am in rehab and good to be there hence now i remebering how to cook crack is too dangerous

  8. michael July 23, 2014 2:14 am

    one way i know of to remove yourself from panic and anxiaty atacks is to do as a child would for fear of bad dreams and afraid of the dark slowly but gradualy working on what caused the panic in the first place

  9. Shaz July 25, 2014 12:03 am

    Hey plp bk again!michael so sorry u fell,but least u back in rehab,ap we all feel ur hurt god think we seen it a lot from our loved ones,we get it from ur point&u help us understand more problay cuz u say ow it is!my husband ain’t used since March think it’s been longest since we married,but think hurts already done,take one day at time sorry can’t help it,as say 2 him so proud of him(which I truly am)but not sure y I’m still losing weight,lost all weight I put on,really gone ov food,big time,I read frm addicts wot it’s done to xthink hold on sounds like me!i read about illness that catch up wid addicts wen there older,breaks my heart!what stops us frm becoming addicts to our addicts?we rember the good!what there like wen not using,ma husband had a good upbringing so it’s not that all the time,ma god my upbringing i shud b a crackhead!only takes once that so called brill 1st hit that gets you to turn u,thing is yes I’ve tried crack naive didn’t know wot it woz,but my hubby them b”friend cud ov got me on it that hurt,always will,but we will pass on that one!anyway yesterday my little sis (Titch)had a baby boy!her 2nd one so proud ov her,her ova lads dad died ov cancer 31 & she’s put up wid so much so brave, a god she can moan at me way I look,my bubbly loud personality gone!all cuz crack!new day new battle,ope to god we win the battle cuz that’s wot it is so to the addicts&love ones my love ,Ali thinking ov u Sharon gal u crease me!this site needs pickin up!ap your thoughts do count&we do listen,woz gona say mite 2 u all but it’s 5:03 here lol, anyway u lot thinking ov u all (&mean all)xxxxx god I can go on xxxx

  10. A.P. July 26, 2014 1:20 am

    I know its been said before but tell me again. Where are you from? And where are you living now? Hope you don’t mind me asking its just your dialect is so smooth!

  11. A.P. July 26, 2014 1:24 am

    and also, do you have any trouble at all understanding us sometimes with all of our different slangs and sayings?

  12. Rose Lacade July 26, 2014 6:38 am

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