The objective of this work is to understand the use of crack in women, their life stories and clinical characteristics from a gender perspective. This is a case study of qualitative character. The participant Maria, a pregnant crack user, was in hospital. Her story was permeated by violence, vulnerabilities and family difficulties. Through the instruments (semi-structured interviews and clinical and Cognitive Screening), revealed a preserved cognitive functions, generalized anxiety disorder, episode (hypo) maniac past, and antisocial personality disorder. Prejudice made the access to treatment difficult, requiring social character interventions, with specific treatments for women who use crack.