Case Study 00211 – 12 Jan 2026 – 30 Questions a Hypnotherapist might ask to Customize a Healing Program for you to address your Cocaine Addiction using Hypnotherapy.

Below is a professional, therapeutic intake question set designed for:

Case Study 00211 – 12 Jan 2026
Custom Healing Program for Cocaine Addiction using Hypnotherapy

These questions are structured to uncover behavioral patterns, emotional drivers, subconscious beliefs, trauma links, triggers, and motivation for change, allowing a hypnotherapist to safely and ethically tailor a healing program.

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Section 1: Presenting Issue & History of Use

1. When did you first use cocaine, and what was happening in your life at that time?

2. How often are you currently using cocaine, and in what amounts?

3. In what situations or environments do you most commonly use cocaine?

4. What role does cocaine play for you (e.g., energy, confidence, escape, numbness)?

5. Have there been periods when you stopped or reduced use? What helped or hindered you?

6. What do you feel immediately before you use cocaine?

7. What do you feel immediately after using cocaine?

8. What do you feel during the comedown or crash?

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Section 2: Triggers, Cravings & Control

9. What emotional states most strongly trigger your cravings?

10. Are there specific people, places, or times of day linked to your use?

11. How does stress influence your desire to use cocaine?

12. What thoughts or inner dialogue usually precede a relapse?

13. On a scale of 1–10, how intense are your cravings—and when are they strongest?

14. What happens in your body when a craving begins?

15. What do you fear would happen if you did not use cocaine during a craving?

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Section 3: Emotional & Psychological Roots

16. What emotional pain do you believe cocaine helps you avoid or manage?

17. When you imagine life without cocaine, what feelings arise?

18. Are there unresolved experiences (loss, rejection, trauma, shame) connected to your use?

19. Did you experience emotional neglect, criticism, or instability earlier in life?

20. What emotions feel most difficult for you to tolerate without substances?

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Section 4: Subconscious Beliefs & Identity

21. What do you believe cocaine gives you that you lack without it?

22. Do you associate cocaine with confidence, belonging, success, or control?

23. How do you currently define yourself—as a person and in relation to addiction?

24. Do you believe you deserve healing, freedom, and peace? Why or why not?

25. What fears do you have about becoming sober?

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Section 5: Safety, Support & Coping

26. Who knows about your cocaine use, and who supports your recovery?

27. What healthy coping strategies have worked for you in the past?

28. How do you usually cope with emotional overwhelm without cocaine?

29. What would help you feel safer and more supported during recovery?

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Section 6: Motivation, Goals & Readiness for Change

30. If hypnotherapy were successful, how would your life look in 6–12 months?

31. What would you gain emotionally, physically, and spiritually by quitting cocaine?

32. What is your deepest reason for wanting to heal now?

33. What might happen if nothing changes?

34. On a scale of 1–10, how committed are you to change—and what would raise that number?

35. What does “freedom” mean to you?

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Section 7: Hypnotherapy Readiness & Preferences

36. Have you experienced hypnosis or meditation before? What was it like?

37. Do you feel safe accessing memories and emotions in a therapeutic setting?

38. Are there any fears or concerns about hypnotherapy?

39. What helps you relax and feel grounded?

40. What words, imagery, or metaphors feel calming or empowering to you?

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Section 8: Ethics, Safety & Integration

41. Are you currently receiving medical, psychological, or addiction support?

42. Have you experienced severe withdrawal symptoms in the past?

43. Are there any medical or mental health conditions we should be aware of?

44. Are you open to combining hypnotherapy with other support systems if needed?

45. What boundaries or limits would help you feel safe during sessions?

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Clinical Note (for Practitioners)

Hypnotherapy for cocaine addiction should support—not replace—medical or psychological care.
These questions assist in identifying subconscious drivers, relapse patterns, trauma links, and motivational anchors for change.