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Cocaine Addiction Treatment & Rehab

Making the decision to find a treatment center for Cocaine addiction is the first step toward living a sober and more fulfilling life. Reaching out for help is one of the most difficult steps and important one. Consistent cocaine abuse comes with cravings and changes in mental status that make users feel like they need the substance, similar to a crutch.

Treatment for a Cocaine addiction starts with detox and inpatient rehab followed by stepping down to lower less structured levels of care as progression happens. Participating in the full continuum of care greatly increases the chances for full recovery both physically and mentally from cocaine addiction.

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What Therapies Are Effective During Cocaine Rehab?

It’s important to understand the difference between therapy and levels of care that take place in rehab. Evidenced-based therapy is a broad term used to describe types of treatment that have gone through university studies and have been proven to be effective based on data.

Therapy is different from levels of care that take place in rehab and are used to denominate the level of intensity in which therapy occurs. For instance, evidence-based therapy sessions like cognitive behavioral therapy may take place more frequently in the inpatient rehab level of care, while in the outpatient level of care, they still take place but the frequency of therapy sessions will be less.

Evidence-based therapies can take place at all levels of care in a substance use treatment center. Evidenced-based therapies are the same as therapeutic recovery modalities which begin at the highest level of care for addiction treatment which is medical detox. Common evidence-based therapies used to treat substance use disorder include the following:

  • Cognitive behavioral therapy (CBT)
  • Medication-assisted treatment
  • Relapse prevention
  • Dialectal behavioral therapyRational Emotive Behavioral Therapy (REBT)
  • EMDR Therapy

Cocaine Recovery Is Possible


CBT is an evidence-based substance abuse treatment and it is effective in the treatment of cocaine dependency. The goal of CBT is to enhance motivation to stop using drugs and change behavior through skills training. They also learn to identify drug cues and triggers, learn about the consequences of continued drug use, and develop alternative activities.

CBT approaches include:

  • contingency management
  • cognitive therapy
  • motivational incentives & Interviewing
  • stress inoculation training
  • community reinforcement therapy

These treatment modalities often involve individual or group-based therapies where the individual will be able to process information in a safe environment under supportive guidance.


Dialectical behavioral therapy (DBT) is based on the concept of dialectics, a philosophy that supports the idea of personal truths. Rather than dismissing these personal truths, they are embraced and adapted for real-life situations.

The philosophy was recently adapted to apply it to substance abuse theory; dialectical behavioral therapy (DBT). It suggests that substance abuse is a byproduct of an individual’s struggle to balance the hardships in their life. The goal of DBT treatment for cocaine use is to help individuals better understand and manage their emotions, thereby enabling them to avoid drug use and pursue more positive goals.


REBT is a cognitive-behavioral therapeutic approach commonly used in cocaine rehab that is goal-oriented and helps the patient to identify which behaviors they need to change by challenging irrational beliefs.

The most important aspect of REBT treatment for cocaine abuse is identifying and challenging any irrational beliefs that could lead the individual down the wrong path, such as “I have no willpower” or “Once I start using, I can’t stop.”

Some of the strategies used to challenge these types of beliefs include journaling and talk therapy. The patient may also use:

  • role-playing
  • modeling exercises
  • assertiveness training
  • visualization techniques
  • humor

By challenging irrational thoughts and beliefs, the individual can be better equipped to recover.

What Are The Symptoms Treated During Cocaine Treatment And Rehab?

As time passes, your body becomes used to cocaine in its system and requires more of it to function properly. If you suddenly stop using it, you will experience withdrawal symptoms including:

  • anxiety
  • depression
  • fatigue
  • nightmares
  • sweating
  • headaches
  • upset stomach
  • Irritability
  • lack of motivation

Cocaine addiction doesn’t happen overnight. It often starts with casual use or socially. Many times drug dealers are also selling cocaine that contains other drugs, like fentanyl. This can be fatal for someone who thinks they’re just purchasing cocaine.

People don’t realize that snorting cocaine will often lead to injecting cocaine. Someone starts off snorting it and then they want a bigger and more intense high so they switch to injecting it. People who inject the drug also risk contracting life-threatening diseases like HIV and Hepatitis C when sharing needles with other users.

What Are The Levels Of Care In Cocaine Treatment Centers?

Cocaine is a dangerous drug that can ruin people’s lives in an instant. Education is key when it comes to preventing it from taking over your community or loved one’s life.

Never be afraid to ask someone if they need help because most people will keep their addiction secret until it’s too late. There is no shame in asking for help. Rather it shows a lot of courage and strength to do so. There are many different levels of care available including:

Finding the right treatment center with the appropriate level of care to meet individual needs is very important since treatment centers can have different clinical and medical modalities that serve different purposes.

What Alternative Treatments For Cocaine Addiction Exist?

Many individuals struggling with cocaine use disorder attend peer recovery groups like the oxford groups, Cocaine Anonymous (CA) and focus on lifestyle changes and wellness practices like reiki and Yoga. In addition, there are many books on cocaine and movies created about cocaine addiction that might serve as an inspiration.

Final Thoughts On Treatment For Cocaine Addiction

There are many different types of treatment that help withdrawal symptoms and therapies that support long-term recovery. If you or someone you love is struggling with cocaine addiction, it’s important to get help immediately. Seeking professional treatment for cocaine addiction can help on the path to sobriety. If you are struggling with substance use disorder, contact a professional addiction treatment provider immediately.

What Are Common Questions About Cocaine Rehab?

What Is The Most Effective Form of Treatment & Rehab For Cocaine Addiction?

Abuse of cocaine is significantly linked to morbidity and mortality. In some populations, cocaine overdose deaths now outnumber those from heroin and other opiates in the United States. Cocaine use disorder (CUD) is still best treated with psychosocial interventions, with common strategies including cognitive behavioral therapy and contingency management. These treatments are ineffective for the majority of patients, though, and their effect sizes are small. In order to increase the effectiveness of psychosocial treatments, researchers have worked to create pharmacological medicines. Despite these initiatives, no drug has yet been demonstrated to be both safe and efficient for the treatment of CUD. The use of dopamine agonists, such as long-acting amphetamine and modafinil, or glutamatergic and GABAergic drugs, such as topiramate, is now one of the most promising pharmacological approaches for the medication-assisted treatment of CUD. 

What Are The Different Types Of Treatment Used In Cocaine Rehab?

There are numerous care levels available, including:
  • Cocaine Detox
  • Inpatient rehab
  • Partial Hospitalization
  • Intensive Outpatient Therapy
  • Outpatient therapy
  • Sober Living
  • Alumni & Aftercare
  • 12-step recovery programs Holistic strategies
  • Finding the best solution for the individual situation is essential for rehabilitation.

How Long Does Cocaine Rehab Last?

Cocaine rehab typically lasts 30 days at a residential facility followed up to 6 months of aftercare and maintenance treatment that takes place at home.

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Kampman, K. M. (2019). The treatment of cocaine use disorder. Science Advances, 5(10).

Kawa, A. B., Allain, F., Robinson, T. E., & Samaha, A. N. (2019). The transition to cocaine addiction: the importance of pharmacokinetics for preclinical models. Psychopharmacology, 236(4), 1145-1157.

McLellan, A. T., Alterman, A. I., Metzger, D. S., Grissom, G. R., Woody, G. E., Luborsky, L., & O’Brien, C. P. (1997). Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: Role of treatment services. In G. A. Marlatt & G. R. VandenBos (Eds.), Addictive behaviors: Readings on etiology, prevention, and treatment (pp. 718–758). (Reprinted from the “Journal of Consulting and Clinical Psychology,” 62, 1994, pp. 1141–1158)American Psychological Association.

Pierce, R. C., Fant, B., Swinford-Jackson, S. E., Heller, E. A., Berrettini, W. H., & Wimmer, M. E. (2018). Environmental, genetic and epigenetic contributions to cocaine addiction. Neuropsychopharmacology, 43(7), 1471-1480.


Medical Advice Disclaimer

Magnified Health Systems aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

This content is verified and moderated by Dr. Brendan Bickley

This content is verified and moderated by Dr. Brendan Bickley

Dr. Bickley graduated from U.C. Irvine with honors: Phi Beta Kappa, Golden Key International Honor Society, Cum Laude. He has been featured on national radio and print media. He is also a frequent lecturer at National Conferences. He holds an A.S. degree in Drug & Alcohol Studies, and two B.A. degrees in Criminology & Psychology, and masters and doctoral degree in Clinical Psychology. He is a licensed California Drug & Alcohol Counselor Level II, a licensed Clinical Supervisor and is certified in treating Eating Disorders.

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