Learn / Managing Cravings: Essential Techniques for Long-Term Sobriety
Cravings are a common challenge for those starting their recovery journey. They play a large role in perpetuating your addiction in the first place, and are a major factor in relapse for many people who are trying to stay sober.
Luckily, there’s plenty you can do to manage cravings and increase your chances of successful, long-term recovery.
We’ll explore why cravings occur, practical strategies for managing them, the role of professional support, and how you can use your social support network to empower yourself against these overwhelming urges.
Cravings come into the picture well before recovery. They play a major role in how addiction is formed. According to the National Institute on Drug Abuse (NIDA), addiction is “characterized by intense and, at times, uncontrollable drug craving,1 along with compulsive drug seeking and use that persist even in the face of devastating consequences.”
Cravings are a conditioned response that results from how addiction rewires your brain. Using a substance for a prolonged period trains your brain to believe that having it is crucial to your survival—as important as eating or breathing.
The Substance Abuse and Mental Health Services Administration (SAMHSA) defines cravings2 as a primary symptom of addiction:
Cravings are a powerful drive that goes far beyond a simple desire to do something. One man in recovery, Tom Coderre, describes his experience of cravings3 this way:
I no longer desired it…I needed it. It was an overwhelming obsession that was created in my mind. I could taste it; see it; visualize it. I could almost feel the euphoria. I would experience kind of pre-euphoria feelings about it. It was a very, very powerful feeling.
Cravings are a significant challenge for those trying to stay sober, especially in early recovery. They can lead to relapse if they aren’t managed properly.
Both physiological and psychological factors trigger cravings.
Physiological triggers include physical withdrawal symptoms like nausea, sweating, and anxiety, which can occur in the early stages of recovery. These symptoms can be intensely uncomfortable, and can make it hard to resist using substances to make them go away. This is why it’s so important to detox from drugs and alcohol in a medically supervised environment.
Psychological triggers, on the other hand, are often related to the emotional or mental associations you have with certain substances. People, places, or situations can act as cues to use, as can stress, boredom, and loneliness. Psychological triggers are trickier to manage, as they’re often harder to identify and avoid.
Triggers are prompts that lead to a craving.
Cravings consist of a series of stages:4
These happen in rapid succession, and the sooner you can interrupt the process, the easier it is to stop. Thankfully, there are techniques for doing just that.
While cravings can feel overpowering at times, mindfulness is one effective tool for managing them. Practicing mindfulness grows your awareness of your thoughts, feelings, and bodily sensations in the present moment, without judgment. By becoming more aware of a craving as it arises, you separate yourself from the automatic urge to act on it.
Several mindfulness techniques can help you manage cravings:
By practicing these techniques regularly, you develop the ability to acknowledge cravings without getting swept away by them. This space between craving and action empowers you to make conscious choices that support your recovery.
Cravings don’t have to dictate your actions. Cognitive behavioral therapy (CBT) is often used in rehab. It works by teaching you to challenge negative thinking patterns and develop healthy coping mechanisms. Cognitive restructuring6 involves examining the distorted thoughts that fuel cravings. You can learn to identify and replace thoughts like “I can’t handle this without using” with more empowering beliefs like “This craving is temporary, and I have the skills to manage it.”
In addiction treatment, CBT teaches behavioral strategies for managing cravings. Identifying and avoiding triggers is a key part of this. If certain places or situations consistently trigger you, your therapist can help you develop a plan to avoid them or create healthier alternatives. When a craving hits, distraction techniques can also be highly effective. These are simple activities that take your mind off the craving and allow it to pass. That might look like going on a walk, making a cup of tea, or doing a puzzle.
By combining cognitive restructuring with practical sobriety strategies, you build a toolkit to handle cravings with confidence and stay committed to your recovery goals.
Exercise isn’t just good for your body; it also strengthens your mind against cravings. Physical activity releases endorphins, your brain’s natural feel-good chemicals. These endorphins boost your mood, reduce stress, and diminish the intensity of cravings. Even a short bout of exercise, like a brisk walk or a jog, can have significant short-term effects on mood and craving management. One scientific review of the benefits of physical activity in addiction recovery7 found that multiple studies “documented a significant change in addiction-related outcomes (e.g., more days abstinent, reduced cravings) in response to exercise exposure,” and confirmed that “exercise can be a helpful aspect of addiction treatment.”
If you want to make exercise a regular part of your life in recovery, the type of activity you choose is less important than finding something you enjoy and can stick with. Try to get 30 minutes of exercise at least 4 days a week. Walking, swimming, cycling, dancing—anything that gets your body moving helps. Start slowly and gradually increase the intensity of your workouts as your fitness improves.
A few simple changes can help you make physical activity part of your daily life. Take the stairs instead of the elevator, park further away from the building, or find a workout buddy to help you stick to your plan. By making exercise a regular habit, you’ll empower yourself against cravings and improve your physical health in the process.
What you eat also plays a significant role in managing cravings. Food choices impact your blood sugar, energy levels, and mood, all of which can affect cravings.
Here’s how nutrition supports your recovery:
There’s no single recovery diet—the key is to find a healthy relationship with food that works for you. Consider consulting a nutritionist who specializes in addiction recovery and can create a personalized plan to address your specific needs. Some rehabs offer nutrition counseling as part of their addiction treatment programming.
Recovery is rarely a solo journey. Building a strong social support network can help you manage cravings and stay on track. Surround yourself with positive, supportive people who understand your struggles and encourage your progress. Here are some ways you can identify and connect with a community that supports your healing journey:
Here are some ways to effectively communicate your needs:
By expressing your needs to your loved ones, you allow them to support you through this important journey.
Cravings are a normal part of recovery, and occasional slip-ups don’t define you. Having a relapse prevention plan in place can significantly reduce the risk of relapse and empower you to manage cravings effectively.
If you attend rehab, your treatment team should help you start planning for relapse prevention from the time you start your program. Here’s what that looks like:
While craving management techniques help, cravings sometimes feel downright overwhelming. If you’re struggling to manage cravings on your own, or if they become intense and persistent, don’t hesitate to get professional help.
Addiction treatment specialists can help you prevent and manage challenges:
You can use these resources to find treatment providers:
It’s hard to reach out for help, especially when you really need it. But seeking guidance and support for what you’re going through is a powerful sign of self-awareness and strength. It’s proof of your commitment to your recovery, and to improving your life.
If you’re struggling to stay sober and need professional support, search addiction treatment programs and reach out to a center directly today.
“Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).” National Institute on Drug Abuse. January 2014. https://nida.nih.gov/sites/default/files/podat-3rdEd-508.pdf
SAMHSA. Triggers and Cravings (Part 1): What Is Addiction? 2012. YouTube, https://www.youtube.com/watch?v=ZlPCEIKGaD0.
SAMHSA. Triggers and Cravings (Part 1): What Is Addiction? 2012. YouTube, https://www.youtube.com/watch?v=ZlPCEIKGaD0.
SAMHSA. Triggers and Cravings (Part 6): Dealing with Triggers and Cravings. 2012. YouTube, https://www.youtube.com/watch?v=9nPoWK_Arw0.
How Do I Do Body Scan Meditation? -Mingyur Rinpoche. www.youtube.com, https://www.youtube.com/shorts/6sAYeuvfmnE. Accessed 18 Apr. 2024.
Karekla, Maria, et al. “Cognitive Restructuring vs. Defusion: Impact on Craving, Healthy and Unhealthy Food Intake.” Eating Behaviors, vol. 37, Apr. 2020, p. 101385. ScienceDirect, https://doi.org/10.1016/j.eatbeh.2020.101385.
Patterson, Megan S., et al. “Exercise in the Treatment of Addiction: A Systematic Literature Review.” Health Education & Behavior, vol. 49, no. 5, Oct. 2022, pp. 801–19. DOI.org (Crossref), https://doi.org/10.1177/10901981221090155.
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