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There are various types of ecstasy abuse that addiction recovery can help. Ecstasy use can be categorized into five main areas, with most ecstasy users falling into the experimental and recreational categories. Harms associated with ecstasy use can occur at all levels of use.

Experimental Ecstasy Use: when a person tries ecstasy once or twice out of curiosity. Novice users run the risk of a lack of tolerance to the drug and of not knowing how they will react. They also run the risk of various other side effects associated with the drug.

Recreational Ecstasy Use: where a person chooses to use ecstasy for enjoyment, particularly to enhance a mood or social occasion.

Situational Ecstasy Use: where ecstasy is used to cope with the demands of particular situations. For example, amphetamines have been used by long distance truck drivers to maintain alertness and by athletes to gain energy. People who experience bereavement are often prescribed benzodiazepines (minor tranquillizers) to cope with grief.

Intensive Ecstasy Use: also known as "bingeing", where a person consumes a heavy amount of ecstasy over a short period of time, or use is continuous over a number of days or weeks.

Dependent Ecstasy Use: where a person becomes dependent on ecstasy after prolonged or heavy use over time. They feel a need to take the drug consistently in order to feel normal or to avoid uncomfortable withdrawal symptoms. Dependence can be psychological, physical, or both. Only a relatively small number of ecstasy users become dependent drug users.

It is common for people to move between categories, and one stage does not inevitably lead to the next. Movement between categories occurs for complex reasons, as a person attempts to balance the perceived benefits from using the drug against what the person believes are the costs of using ecstasy.