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Recovery skills

How to deal with cravings: 12 skills that work in the moment

A craving feels like an order. It is closer to a wave: it rises, peaks and passes. Here are practical, pathway-neutral skills for riding out drug and alcohol cravings.

The HEAL Team10 min read
A woman on a porch with her eyes closed and a hand on her chest, breathing slowly beside a mug of tea

Here’s the thing nobody tells you about cravings: they lie about how long they’ll last. In the moment, a craving feels permanent and urgent, like an order you have to follow. But cravings move in waves. They build, peak and fall, and every time you ride one out without using, you teach your brain something new.

This guide is about how to deal with cravings in real time, whether they’re for alcohol, opioids, stimulants, cannabis or something else. You’ll find a dozen skills, from urge surfing to the HALT check, plus guidance on when a craving is a signal to get more support. Take what works and leave the rest.

What a craving actually is

A craving is an intense desire to use, and it’s one of the defining features of a substance use disorder. Repeated substance use changes the brain’s reward and stress systems, so cues linked to using can set off powerful urges long after you stop (NIDA). Those cues might be a place, a person, a smell, payday or a particular feeling.

That has two practical implications:

  • Cravings aren’t a character flaw. They’re a predictable result of how your brain learned. Having them doesn’t mean you don’t want recovery.
  • Cravings are learnable. The same brain that learned the cue can learn a new response, and that takes practice.

A craving is a feeling, not a command. You can have it, notice it and let it pass without obeying it.

How to deal with cravings in the first 15 minutes

When a craving hits hard, you don’t need a philosophy. You need a sequence. Here’s a simple one to memorize:

  1. Name it. Say it out loud or in your head: “This is a craving.” Labeling it creates a little distance.
  2. Move your body away from the cue. Leave the room, cross the street, step outside, or put the phone down.
  3. Breathe slowly. Make each breath out a little longer than the breath in. Do it for a couple of minutes.
  4. Contact a person. Text or call someone who knows your recovery. You don’t need a speech. “Having a rough one, can you talk?” is enough.
  5. Pick one skill from below and do it until the wave drops.

The craving toolkit: 12 skills

1. Urge surfing

Urge surfing comes from mindfulness-based approaches to relapse prevention, and it’s associated with the late psychologist G. Alan Marlatt’s work. Instead of fighting the craving or giving in to it, you observe it like a wave and ride it out.

  • Sit or stand somewhere steady. Notice where you feel the craving in your body: chest, stomach, jaw, hands.
  • Describe the sensations to yourself: tight, hot, buzzing, heavy. Notice whether they change.
  • Use your breath as a surfboard. Breathe with the sensation as it rises, peaks and falls.
  • Notice when the intensity drops, even a little. That drop is the point.

It feels awkward the first few times. With practice, many people find it’s one of their most reliable tools, because it works anywhere.

2. The HALT check

HALT is a recovery-community acronym: Hungry, Angry, Lonely, Tired. These four states make cravings louder. When an urge hits, run the check:

  • Hungry? Eat something with some protein in it.
  • Angry? Move, vent to a safe person, or write it down before you act.
  • Lonely? Reach out. A text counts.
  • Tired? Rest, even for 20 minutes, or plan an early night.

Some people add an extra letter for stressed or sick. The point is the same: fix the body state and the craving often shrinks.

3. Delay, distract, decide

Many counselors teach a version of the “Ds.” A simple one goes like this:

  • Delay. Tell yourself you won’t decide anything for the next 20 or 30 minutes. You’re not saying “never.” You’re saying “not now.”
  • Distract. Fill that time with something absorbing: a walk, a shower, a puzzle game, cooking, cleaning or a call.
  • Decide. When the wave has dropped, decide with a clearer head. Most of the time, the decision makes itself.

4. Play the tape forward

Cravings show you the first five minutes of using. Play the whole movie instead. Picture the next hour, the next morning and the next week. Who would you have to lie to? How would you feel waking up? Then picture the version where you don’t use. Some people keep a note on their phone describing their own worst morning after, written in their own words, to read during cravings.

A young man jogging along a riverside path in the early morning
Movement is one of the fastest ways to change your body state when a craving spikes.

5. Move your body

Physical activity shifts your attention and your physiology. You don’t need a gym. A brisk ten-minute walk, stairs, push-ups against a counter or dancing in the kitchen all count. If you have health conditions, check with your doctor about what kinds of exercise are right for you.

6. Change the temperature

Cold water on your face, holding something cold, or a cool shower can interrupt a spiral of rising tension. Many people find it a quick reset. It’s not a cure, just a pause button that buys time for your other skills.

7. Talk back to “permission-giving” thoughts

Cravings often come with a script: “Just once won’t hurt.” “I deserve it.” “Nobody would know.” Write down the thoughts that show up for you, and next to each one write a reply in your own voice. For example: “Just once has never been once for me.” Reading your replies during a craving is surprisingly steadying.

8. Use your people

Calling someone isn’t a sign of weakness. It’s a skill. Build a short list of three to five people (a sponsor, a SMART facilitator, a peer coach, a friend in recovery, a family member) and tell them in advance that you might call during a craving. Agreeing ahead of time makes the call much easier to make.

9. Get out of the environment

If the craving was triggered by a place or situation, leaving is a complete and valid strategy. You don’t owe anyone an explanation for walking out of a party, a store aisle or a conversation.

10. Use a ready-made distraction list

Your brain is a bad brainstormer mid-craving. Make a list now and keep it on your phone. It might include a show you’re into, a podcast, a playlist, a recipe, a puzzle app, a cleaning task or a place to walk.

11. Go to a meeting, now

Mutual support meetings exist for exactly these moments. Many 12-step, SMART Recovery, Recovery Dharma and other groups run online meetings around the clock, so there’s usually one you can join within the hour.

12. Write it down afterward

Once the wave passes, jot down what triggered it, how strong it got, what you did and what helped. Over a few weeks, patterns appear: the time of day, the person or the feeling. That’s the raw material for a stronger relapse prevention plan.

A woman at a kitchen table talking on her phone with a reassured smile
Agreeing in advance who you’ll call makes reaching out much easier when it counts.

Cravings in tricky situations

Some cravings are predictable, and you can plan for them before they arrive.

  • Late at night. Fatigue lowers your defenses. Have a wind-down routine and a person you can text late, and keep your distraction list by the bed.
  • At social events. Arrive with your own non-alcoholic drink, have an exit plan and a reason ready (“I have an early morning”), and bring someone who supports your recovery if you can. It’s fine to skip events that feel too risky right now.
  • After an argument. Anger and hurt are classic triggers. Step away, move your body and talk to someone outside the conflict before you decide anything.
  • Payday or a windfall. Cash on hand can be a powerful cue. Some people set up automatic bill payments or ask a trusted person to help with money for a while.
  • Celebrations and good news. Cravings don’t only come with bad feelings. Plan a sober way to mark wins, like a favorite meal, an outing or a call to someone who’ll be glad for you.

If a situation reliably sets off strong cravings, it belongs in your written plan, with a specific response next to it.

Reduce cravings before they start

In-the-moment skills matter, but the bigger wins come from lowering how often and how strongly cravings show up in the first place.

  • Protect your sleep. Tiredness makes urges louder. Keep a regular sleep schedule as best you can (MedlinePlus).
  • Eat regularly. Long gaps without food can feel a lot like cravings, and they make real cravings worse.
  • Map your triggers. Note the people, places, times and emotions that set off urges, and plan around the big ones.
  • Fill the empty hours. Boredom is a common trigger in early recovery. Schedule your high-risk times on purpose.
  • Treat co-occurring conditions. Anxiety, depression, trauma and chronic pain can all feed cravings. Treating them is part of recovery.

Medication can help with cravings

For some substances, there are FDA-approved medications that reduce cravings or the risk of returning to use. For opioid use disorder, these include buprenorphine, methadone and naltrexone. For alcohol use disorder, they include naltrexone, acamprosate and disulfiram (SAMHSA; NIAAA).

Using medication is a valid recovery pathway, and it fits alongside meetings, therapy and everything else in this guide. If your cravings feel relentless, talk to your doctor or a prescriber about whether medication is right for you. The NIAAA Alcohol Treatment Navigator can help you find providers for alcohol use disorder, and FindTreatment.gov lists programs that offer MOUD.

Needing more than willpower isn’t failure. Skills, people and medication all work better together than any one of them alone.

When a craving is a signal to get more help

Reach out to your care team soon if cravings are getting more frequent or intense, if you find yourself planning how you’d use, or if you’ve started to make contact with old sources. Those are warning signs, not failures, and they’re much easier to address early.

Get help right away if:

  • You’re thinking about harming yourself. Call or text 988 (Suicide & Crisis Lifeline).
  • You or someone with you may be overdosing. Call 911 and use naloxone if you have it.
  • You need help finding treatment or support. Call the free, confidential SAMHSA National Helpline at 1-800-662-4357, available 24/7.

Key takeaways

  • Cravings are waves: they rise, peak and pass. You don’t have to act on them.
  • In the moment: name it, move away from the cue, breathe, contact a person, pick a skill.
  • Urge surfing, HALT, and delay-distract-decide are simple, portable tools.
  • Sleep, food, structure and treating co-occurring conditions reduce how often cravings hit.
  • Medication can reduce cravings for opioids and alcohol. Ask your doctor.

Frequently asked questions

How long does a craving last?

It varies by person and situation, but a single wave usually rises and falls rather than staying at its peak. Many people find the most intense part passes within minutes to roughly half an hour, especially if they change what they’re doing. That’s why delay strategies work.

Do cravings ever go away completely?

For many people, cravings become less frequent and less intense with time and practice, though they can still pop up during stress or around strong cues. Each time you ride one out, you weaken the link between the cue and using.

Does having cravings mean I’m about to relapse?

No. Cravings are a normal part of recovery, and having them doesn’t mean you’ll use. They are worth paying attention to, though. If they’re increasing, treat that as a cue to lean on your supports and check in with your care team.

What is the HALT method in recovery?

HALT stands for Hungry, Angry, Lonely, Tired. It’s a quick self-check for body and emotional states that make cravings stronger. Addressing whichever one applies (eating, venting safely, reaching out or resting) often takes the edge off.

Are there medications for cravings?

Yes, for some substances. FDA-approved options exist for opioid use disorder and alcohol use disorder. They’re prescribed by a clinician based on your situation, so talk with your doctor about whether one fits your recovery.

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Written by
The HEAL Team
Community & Safety

Last updated October 28, 2026. Stories reflect personal experience and are not medical advice.

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