The 7 Stages of Crack Cocaine Use

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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”

981 thoughts on “The 7 Stages of Crack Cocaine Use

  1. It’s the strangest thing, last night out of the blue I suddenly had the taste of crack cocaine in my mouth that lasted for only a split second. Haven’t had that happen in well over 2 years. Don’t know what triggered it, but I guess it’s that cue-conditioning they talk about. I figured it was time to come back and visit.
    Greetings, all! I haven’t posted in a long time and I apologize for my absence because I’m sure I said I’d come back more often. Things are much the same as before–I’m working 40 hours a week on night shift and keeping pretty much to myself on weekends. Still seeing my therapist every two weeks and it looks like I may be finally emerging from my annual winter slump. The bad weather and general boredom invariably cause me to fall into bad habits and dissipation every year, and this year has been particularly bad. At least it hasn’t involved crack this time, only suboxone, caffeine, nicotine, junk food, and lots lying on the couch watching TV. I’ll never forget the winter of 2011-12 when I had the gas cut off at my house and no money for groceries. I had to fill a cooking pot with water and warm it on a space heater so I could wash my face and hair to keep from looking like a hobo at work. Ah, the memories.
    It’s good to see you Al, Sharon, and the rest of you folks. I’m glad that you’re still coming back around to share your thoughts every now and then. I wish I had a better message to convey, but the truth is my life is not so great even though I’ve been crack free now for 2 years and 7 months (wow, can that be right?). Sure, all my basic physical needs are being met, but it’s clear that the essential thing that has caused me to do drugs in the past, isolate from others, and shy away from living life to the fullest has not been fully identified and dealt with.
    I’ve been doing a lot of thinking lately and have realized that instead of forging ahead with life and making dreams come true, I’ve mostly just accepted whatever has been thrown at me. I didn’t really choose the career path I wanted, it was just a temporary job that became a permanent one because I was too lazy and afraid to do what was necessary to become what I wanted to be. I didn’t exactly choose the house I live in either–I just moved in temporarily to help my sister. Then she moved out and I now I’ve been living here alone for 3 and a half years because I haven’t had the initiative to work toward finding and procuring a home of my own. The same goes for the car I drive. This is the third vehicle I’ve ever had and each one has been given (more like loaned) to me by my dad (which is really nice of him), but I’ve never felt like I had my own car and my confidence has really suffered for it. It’s no wonder I can’t seem to feel comfortable in my own skin–in a way, it’s not even really my skin.
    And it’s all due to the fact that I’ve accepted the hand-me-downs and never had the experience of making my own way in life. There is some underlying fear that has always kept me from being my own person and I believe the drugs are a symptom of this fear. Doing crack, drinking alcohol, etc. have suppressed and perpetuated it over the years. I only hope that sooner or later I can eliminate all these bad habits and let the fear come out in the open so that I can face it and overcome it. And I’m sure it will take years.
    The bad thing is that what I’ve said in this post is basically the same thing I’ve said in many of my other posts from the past couple years and I’ve still got the same problem after all this time. Well, I don’t know what it is, but something feels different now. I think all this wasted time is starting to get to me and I’m ready to begin a major reformation.
    I’ll try to remember to come back and post an update in a month or two to let you know if anything has gotten better.

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    • Well friends, this site has been so quiet. I hope all are doing well. I have had a bit of upheaval in my life. A couple of weeks ago, my hub accused me of cheating. That’s like the biggest joke in the world. I have enough on my hands without even thinking of something like that! He went on a number of new pain meds in Dec. so my initial thought was they are messing with his mind. We talked, I felt I had assured him that that was the furthest from the truth and I thought we had put it to bed. The next morning we got up early because I had to bring him in for cataract surgery. It had snowed the night before and I wanted to get an early start to make sure we got there in time. Lord, he brought it up again and was irrationally angry with me. I got scared. I got dressed, left the house and called his sponsor . No answer. Turns out he was on the phone with his sponsor asking him to come take him to surgery. I waited around the corner for an hour and then saw his sponsor pull up to our house and take him. While my hub was in surgery, his sponsor called me and I told him not to bring him back to this house. He has not been right n his head since Dec. Around dinner time, hub walked in! I told him to leave. What a mess. I am not sure what I am going to do. His sponsor actually lives in our rental, so hub is there. Sponsors wife passed away last summer, so I think he is glad to have hub there ,not only to help him, but to have the company. So we begin counseling later this month, not sure what that will do for us but hopefully help make clearer what needs to be done. I miss each and every one of you. Hoping life is better for all, especially Paul E who has been struggling.

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  2. Hi every 1,had anoth now lost 2 jobs,got batterd Friday
    Nice blk eye just walkin again,I hate my life so much but will cum throu this,ova on England there’s tong called domestic violence,in that as well,but feel so lonely over the hill,but o know it’s note only feel at peace wen I’m asleep I not feelin gd really luv u all xxx

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