an image of crack cocaine, representing crack cocaine addiction

Crack Addiction: Signs, Symptoms, & Treatment Options

Crack addiction is a chronic condition that affects people of all ages and backgrounds. It can take hold quickly—sometimes after just one use—and trigger life-changing harm. While the intense highs of crack cocaine are fleeting, the damage it causes can last a lifetime. Families, friendships, and health suffer as addiction sets in. 

This page outlines what crack addiction means, the most common warning signs, and the dangers of using this Schedule II controlled substance. You will also discover how to kickstart crack addiction recovery if you’re one of the 997,000 people who used the drug in 2023.

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What is Crack Cocaine Addiction?

Crack addiction—cocaine use disorder—is a brain disorder that occurs when someone cannot stop using crack despite adverse outcomes. Crack is a smokable form of cocaine, a stimulant of the CNS (central nervous system). It comes in small, rock-like pieces smoked in glass pipes. The high from crack is powerful but short-lived, fading within minutes and prompting people to use more of the drug to recreate the euphoric high. 

Crack use changes how the brain works. It makes the brain release dopamine, a brain chemical known as the happy hormone. With repeated use, the brain relies on crack to produce dopamine. Without the drug, a person may feel tired, sad, or empty, making it challenging for them to stop using crack, even if they want to quit. 

Addiction doesn’t happen right away for everyone, but crack is one of the most potent addictive substances. Like all addictions, cocaine use disorder typically worsens unless treated but responds well to evidence-based therapy.

Crack Abuse vs. Crack Addiction

Although crack abuse and crack addiction are related, they’re not the same thing. Crack abuse includes any use of this controlled substance. A person who abuses the drug may use it to feel good, stay awake, or self-medicate stress. They may believe they can control how often they use it but abuse can lead to addiction.

Crack addiction is a chronic and relapsing condition characterized by compulsive crack use, even when it damages all areas of life. Addiction provokes permanent brain changes, making it challenging for the person to feel good without the drug.

If someone is abusing crack cocaine, getting help right away can prevent addiction from developing. If they are already addicted, professional intervention can help them recover.

Signs of Crack Addiction

Addiction changes the way people think, act, and look. Crack addiction signs can be physical, behavioral, and emotional. These include: 

  • Using more crack than planned
  • Neglecting personal and professional commitments
  • Experiencing intense cravings to use crack
  • Spending lots of money on the drug
  • Avoiding loved ones to hide crack use
  • Engaging in risky behaviors 

If you notice these crack warning signs, the person may need treatment for crack addiction.

Physical Signs of Crack Addiction

Crack addiction changes a person’s body. Some signs are easy to spot, while others may take time to notice. Common physical indicators include: 

  • Weight loss: Crack suppresses appetite, so people addicted to the drug may lose a lot of weight quickly.
  • Dilated pupils: Their pupils—the black parts of the eyes—may look enlarged, even in bright light.
  • Burned lips and fingers: Smoking crack from a hot glass pipe can leave burns on the lips or fingers.
  • Rotting teeth: Crack abuse can damage teeth, causing them to decay or fall out.
  • Rapid breathing and heart rate: Crack cocaine makes the heart beat faster and can speed up breathing, too.
  • Shaking or twitching: Abusing crack may trigger tremors or twitches.

 

Physical signs typically worsen over time. Long-term crack addiction can provoke severe health complications, including heart attacks, strokes, or lung damage. 

Behavioral Signs of Crack Addiction

Crack abuse also influences how a person behaves. Common behavioral signs of crack addiction include: 

  • Mood swings: The individual may go from happy to angry or sad.
  • Restlessness: They may seem unable to sit still or relax.
  • Aggression: People addicted to crack may get angry or violent for no clear reason.
  • Paranoia: The individual may feel like people are watching them or trying to harm them.
  • Lying or stealing: They might lie about their whereabouts or steal money to buy more crack.
  • Neglecting hobbies: The person may stop doing activities they once enjoyed in favor of smoking crack.
  • Staying awake for days: Crack can keep people awake for long periods, prompting complete exhaustion during the comedown phase.
  • Binge use: People addicted to crack may use the drug repeatedly for days, ignoring everything else.

 

These changes in behavior can unravel relationships with friends and family, causing the person to become isolated, spending time only with others who use crack. Timely intervention can prevent these behaviors from worsening and causing more damage.

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an image of crack pipes, representing crack addiction paraphernalia

PARAPHERNALIA

Crack pipes are easy to spot. These glass tubes are often stuffed with steel wool and will often be cracked and covered in burn marks.

an image of dirty dishes representing crack addiction unmanageabilty

UNMANAGEABILITY

Crack addiction is often accompanied by the inability to manage daily tasks. Neglecting chores declining hygiene are often red flags.

an image of someone with a crack addiction

MOOD SWINGS

Crack addiction is often accompanied by intense highs and lows. Periods of euphoria followed by depression are warning signs.

an image of someone with a crack addiction dealing with sleep issues

SLEEP ISSUES

When under the influence, crack users rarely sleep. These periods are often followed by a crash that consists of days of sleep.

Crack Addiction Symptoms

Crack addiction is diagnosed as mild, moderate, or severe based on the symptoms outlined in DSM-5-TR (the fifth revised edition of the Diagnostic and Statistical Manual of Mental Disorders): 

  • Taking crack in larger amounts or for longer than intended.
  • Making repeated failed attempts to stop using crack.
  • Spending a lot of time getting, using, or recovering from crack cocaine.
  • Experiencing intense urges to use crack.
  • Failing to meet obligations at home, work, or school due to crack use.
  • Encountering problems with family, friends, or coworkers because of your crack use.
  • Giving up hobbies or activities you enjoyed because of crack.
  • Using crack in dangerous situations like driving.
  • Ongoing crack use even though it’s harming your physical or mental health.
  • Developing tolerance so you need more crack to deliver the initial effects.
  • Getting withdrawal symptoms when you stop using crack.

Crack Treatment & Recovery

Treatment for crack addiction helps people stop using the drug safely and recalibrate their lives. Everyone’s crack recovery is different, but steps usually include detox, therapy, and aftercare. 

Detox

Detoxification involves eliminating crack from the body and addressing physical dependence on crack cocaine. Withdrawing from the drug in a detox center streamlines cravings and withdrawal symptoms and prepares the person for ongoing treatment in an inpatient or outpatient setting. 

Therapy

Ongoing treatment tackles the psychological aspect of crack addiction and may involve: 

  • Individual therapy
  • Group therapy
  • Family therapy
  • Talk therapies like CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy)
  • Motivational therapies 

Aftercare

Aftercare is the support people get after leaving rehab. This may include: 

  • Ongoing outpatient treatment
  • Sober living communities 

Effective aftercare helps people stay on track and avoid relapse in recovery. 

Understanding Crack Cocaine Treatment

Crack cocaine treatment usually follows a similar framework, although the best treatment plans are personalized. The overarching goal is to help the person stay drug-free and rebuild their life so they can thrive rather than simply survive in recovery. 

Evidence-Based Treatment

Evidence-based treatments for crack addiction have been proven to work through research. Examples include: 

  • CM (contingency management): This method uses rewards to encourage people to stay drug-free, with vouchers or small prizes for passing drug tests or attending therapy, helping them stay motivated through positive reinforcement.
  • MI (motivational interviewing): This form of motivational therapy helps people find their reasons for quitting drugs. 

These methods have helped many people initiate sustained recovery from crack addiction. Evidence-based treatments are often blended with holistic interventions to deliver superior treatment outcomes. 

Holistic Care

Holistic care treats the whole person by focusing on the mind, body, and spirit. Combining holistic interventions with traditional treatments can help people recover more fully. Examples include: 

  • Mindfulness and meditation: These practices help people relax and manage stress and cravings by staying calm and focused.
  • Yoga: This ancient practice combines physical exercise with deep breathing to reduce anxiety and improve mental health.
  • Art and music therapy: Creating art or music helps people express their feelings healthily and positively.
  • Exercise and nutrition: A healthy body supports a healthy mind. Exercise releases natural feel-good chemicals and good nutrition helps the body heal.
  • Acupuncture: This treatment can help reduce cravings and ease withdrawal symptoms. 

Long-Term Sobriety

Staying sober after crack addiction treatment takes effort, commitment, and ongoing support. Here’s how to achieve this: 

  • Join peer support groups: Groups like Narcotics Anonymous or Cocaine Anonymous offer ongoing support. Being around people who understand your struggle can help you stay motivated and accountable in sober living.
  • Continue therapy: Ongoing therapy helps you deal with stress and avoid triggers.
  • Build healthy habits: Exercise, eat well, and get enough sleep. A healthy lifestyle supports a drug-free life.
  • Avoid triggers: Stay away from people, places, or situations that tempt you to use crack.
  • Set goals: Focus on things you want to achieve, like hobbies, a new job, or rebuilding relationships.

 

Long-term sobriety is a lifelong journey. There may be challenges and obstacles along the way, but determination and the right support can help you remain abstinent and embrace life drug-free.

HOW IS CRACK ADDICTION TREATED?

With the right treatment, crack addiction is very treatable. At Tree House Recovery, we provide holistic, individualized care that including addiction education, individual therapy, writing therapy, and fitness therapy. We treat the whole person in order to give our clients the strength to find a lasting recovery. Tree House Recovery has great success because we don’t simply treat the addiction. We teach the tools necessary for our clients to manage their addiction by themselves. We replace self-destruction with healthy habits and life skills.

Crack Addiction Recovery in Orange County at Tree House Recovery

If you or someone you care about is battling crack addiction, reach out to Tree House Recovery, a treatment center for men in Costa Mesa, California. We treat the whole person not just the symptoms of crack addiction through a blend of science-backed and holistic therapies.

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