Coping is an internal process where various kinds of efforts are utilized to manage life stressors. Coping is one factor that can make the difference between successful adjustment and failure in the outcome of a particular situation. There are two types of higher order coping functions: problem-focused coping and emotion-focused coping. Problem-focused coping strategies involve problem solving where changing the environmental context and eliminating the source of strain are used. Emotion-focused coping involves responses that control the meaning of the problem, such as avoidance, distancing, and applying or finding positive value from negative events. Specific types of coping strategies are associated with healthier or more positive outcomes, whereas other coping strategies may contribute to substance use and depression. The sample for this study included 449 cocaine dependent women from 3 treatment programs who were assessed for level of addiction severity, family difficulty, medical problems, and types of coping strategies at treatment entry. Results showed that, although mean scores indicated that women used both problem focused and emotion focused coping, they used two problem focused strategies (problem solving and cognitive restructuring) more than emotion focused strategies. The coping strategy of seeking social support was associated with express emotions, cognitive restructuring, and problem solving. Women used social support when it was available to express anger rather than “act out” their emotions in a destructive manner. Social support had a direct positive impact on problem focused coping. Helping women utilize healthier and more effective coping strategies could result in decreased substance use and longer periods of sobriety. Matching clients to appropriate settings and preparing treatment providers to expect certain behaviors and respond accordingly could lead to lower drop out rates and relapse behaviors. 3 tables, 57 references