What Cravings Look Like
Cravings are intense urges or desires to return to substance use or harmful behaviors. They can feel physical, emotional, or mental in nature. While cravings often lessen over time, they’re especially common during early recovery and can arise unexpectedly even years later.
Common Signs of Cravings
- Intrusive thoughts about using the substance.
- Physical sensations such as tightness in the chest, restlessness, or feeling “itchy” inside.
- Emotional spikes, including anxiety, irritability, sadness, or sudden excitement.
- Romanticizing past use, thinking about the “good times” while ignoring the consequences.
- Avoidance behaviors, like isolating, daydreaming, or revisiting old environments.
- Impulsive thinking, feeling like you “need” the substance immediately.
Cravings are normal—they do not mean a person is failing. They’re a conditioned response triggered by stress, memories, places, people, or even smells.
Healthy Coping Strategies for Managing Cravings
1. The “Ride the Wave” Technique
Cravings come in waves: they build, peak, and fade. Instead of fighting the craving, acknowledge it and let it pass.
- Notice what you’re feeling.
- Remind yourself it will crest and fall.
- Use slow breathing to stay grounded.
2. Grounding and Mindfulness
Grounding helps interrupt craving-driven thoughts.
- 5-4-3-2-1 sensory technique.
- Slow, deep breathing.
- Mindful observation of your environment.
3. Distraction and Behavioral Replacement
Shift your focus toward something that occupies the mind or body:
- Take a walk or exercise.
- Call a supportive friend.
- Engage in a hobby, cleaning, or journaling.
- Work on a project, puzzle, or craft.
4. HALT Check
Cravings often intensify when basic needs aren’t met. HALT stands for:
- Hungry
- Angry
- Lonely
- Tired
Check in with yourself: “What do I actually need right now?”
A snack, a nap, or a conversation can sometimes defuse a craving entirely.
5. Positive Self-Talk
Challenge the craving with affirmations and realistic reminders:
- “This feeling will pass.”
- “I’ve gotten through cravings before.”
- “Using again will take me back to places I don’t want to be.”
6. Connection and Support
Reaching out isn’t a weakness—it’s a recovery strength.
- Call a sponsor, friend, or family member.
- Attend a meeting.
- Check in with your therapist or peer support group.
7. Healthy Routine Building
Structure reduces vulnerability to cravings.
- Regular sleep.
- Balanced meals.
- Consistent exercise.
- Set work and relaxation times.
8. Avoid High-Risk Triggers
When possible, stay away from people, places, or situations associated with past use—especially early in recovery.
If unavoidable, plan ahead: bring support, transportation, and an exit strategy.
9. Use of Coping Cards or Journals
Keep a small note or card listing:
- Why did you choose recovery
- Coping techniques
- Words of encouragement
Reading it during a craving helps shift perspective.
10. Professional Tools
- Cognitive Behavioral Therapy (CBT)
- Medication-assisted treatment (MAT)
- Mindfulness-based relapse prevention
- Recovery coaching or counseling
Why Healthy Coping Matters
Every time someone resists a craving using healthy strategies, the brain rewires itself. Neural pathways linked to substance use weaken, and new coping pathways grow stronger. Over time, cravings become:
- Less frequent
- Less intense
- Easier to handle
Recovery isn’t about never having cravings—it’s about building the resilience and skills to manage them safely and confidently.