The Hope Institute provides cocaine addiction treatment for adults recovering from cocaine and other stimulant use. Our treatment for cocaine addiction is outpatient rehab built on contingency management, cognitive behavioral therapy and individual and group counseling, the approaches with the strongest research behind them for cocaine use disorder.
We treat co-occurring depression, anxiety and trauma in the same plan, across partial care, IOP and outpatient levels, and we help families who are looking for help with cocaine addiction for someone they love. Our cocaine program works with Aetna, Cigna, Blue Cross Blue Shield, Humana, TRICARE and other major insurance plans. Call (855) 659-2310 to verify your benefits and start cocaine addiction treatment.
What Is Cocaine Use Disorder?
Cocaine use disorder is a stimulant use disorder in which cocaine use becomes hard to control. Cocaine produces a short, intense high followed by a crash, so use often comes in binges as people try to hold on to the effect. Over time the brain’s reward system adapts, and cravings start to drive use.
Common signs include using more than intended, strong cravings, changes in spending, secrecy around use and mood swings between high energy and low mood. Physical signs can include restlessness, reduced appetite and disrupted sleep.
Cocaine use often happens alongside alcohol use, and many people also live with depression or anxiety. Your first assessment covers alcohol use and mental health as well, so your plan treats all of it from day one.
How Treatment for Cocaine Addiction Works
Behavioral therapy is the standard treatment for cocaine use disorder. Medications for stimulant use disorders are still being studied, and three therapies have the strongest evidence. Our cocaine addiction treatment uses three of them together.
Contingency Management
Contingency management rewards drug-free progress with clear, tangible incentives. Each confirmed milestone earns a reward, which strengthens the new habit while cravings ease. It is one of the most effective tools for cocaine use disorder.
Cognitive Behavioral Therapy
Cognitive behavioral therapy helps you spot the people, places and feelings that trigger use and build skills to handle cravings. You practice those skills in session and use them the same day.
Individual and Group Counseling
Individual therapy gives you one-on-one time with a primary therapist. Group therapy adds peer support and accountability from people working on the same goals.
Cocaine Withdrawal and the First Weeks
Cocaine withdrawal is mainly psychological. After the last use, people often feel a crash: fatigue, long sleep, increased appetite, low mood and strong cravings. These symptoms usually ease over the following weeks as sleep and mood settle.
Care during this stage focuses on stability. Your team checks in on mood, sleep and cravings at every session, helps you rebuild meal and sleep routines and treats co-occurring depression or anxiety. Low mood can feel heavy for a while after stopping, so if it ever brings thoughts of hurting yourself, tell your team right away or call or text 988 for immediate support.
When medical detox is the right first step, for example when heavy alcohol use comes with cocaine use, we connect you with a trusted detox facility and bring you into our outpatient cocaine rehab once you are stable. Many people start outpatient treatment directly.
Our Outpatient Cocaine Rehab Programs
We treat cocaine addiction across three outpatient levels, plus aftercare, so you get structured care while living at home.
| Level of care | Weekly schedule | Who it suits |
|---|---|---|
| Partial care (PHP) | Daytime, Monday to Friday | Full-day structure in early recovery |
| Intensive outpatient (IOP) | 3 to 4 sessions, about 3 hours each | Structure around work, school or family |
| Outpatient (OP) | 2 to 3 sessions, 45 to 60 minutes each | Steady support as recovery holds |
| Aftercare | Continued groups and check-ins | Long-term relapse prevention |
Most people begin at the level that matches their use and step down as recovery stabilizes. Evening and virtual IOP tracks help you keep working during cocaine treatment, and our 12-step program is available for people who want peer support alongside therapy.
Cocaine and Alcohol, Depression and Anxiety
Cocaine use often comes with other conditions, and we treat them together. Many people who use cocaine also drink, and many use cocaine to lift low mood or push through anxiety.
Our dual diagnosis treatment builds the mental health side into the same plan, with one clinical team coordinating therapy across both. When alcohol is part of the picture, your plan can include our alcohol addiction treatment, including medication such as naltrexone when it fits your care.
Your sessions cover both sides. A CBT session might work on the stress that leads to a binge and the coping skills that replace it, while your therapist tracks mood and sleep each week. Today’s cocaine supply can also contain fentanyl, so keeping naloxone, the medication that reverses an opioid overdose, on hand is a sensible safety step.
Relapse Prevention in Cocaine Abuse Treatment
Relapse prevention runs through every stage of our cocaine abuse treatment. Cravings for cocaine often come in waves tied to specific cues, such as payday, certain friends, nights out or stress at work. With your therapist, you map those cues and build a written plan with coping skills, people to call and clear next steps for high-pressure moments.
Contingency management keeps that plan on track by rewarding each drug-free milestone, and CBT helps you handle the thoughts that come with a craving. As you step down from IOP to outpatient and aftercare, the same plan travels with you, so support stays in place as you take on more of daily life. Alumni groups and 12-step meetings add peer support for people who want it.
Cocaine Intervention and Help for Families
Many families search for a cocaine intervention or cocaine addiction help when someone they love is using. A calm, honest conversation usually works better than confrontation. Choose a quiet moment when your loved one is sober, describe specific things you have noticed, say how much you care and offer one clear next step, such as calling for an assessment together.
Our admissions team can explain how cocaine addiction treatment works and answer questions about insurance before you talk with your loved one. Once treatment starts, family sessions help you understand stimulant use disorder, set healthy boundaries and support the routines your loved one builds in therapy.
Families also benefit from their own support. Family support groups give partners and parents a place to talk with others in the same situation.
Cocaine Rehab Cost and Insurance Coverage
Most commercial insurance plans cover outpatient cocaine addiction treatment. Your cost depends on your plan, your deductible and your level of care, and outpatient cocaine rehab costs less than residential treatment because you live at home and pay for treatment only.
Plans we work with for cocaine treatment include Aetna, Cigna, Blue Cross Blue Shield, Humana, TRICARE and NYSHIP. We verify your benefits confidentially and confirm the details directly with your insurer.
Your benefits check covers your deductible, copay or coinsurance, how many sessions your plan allows at each level of care and whether prior authorization applies. Private pay options are also available, and our team explains what your plan includes before your first session.
How to Start Cocaine Addiction Treatment
- Insurance verification: call (855) 659-2310 or submit the form on this page.
- Clinical assessment: a clinician reviews your cocaine use, any alcohol or other substance use, your mental health and your goals.
- Personal treatment plan: your team sets your level of care, your therapy mix and your contingency management goals.
- Begin treatment: you start partial care, IOP or outpatient cocaine rehab.
For the call, have your insurance card and a list of any medications you take. If you are calling about a family member, our team explains how cocaine rehab begins and how you can take part.
Call (855) 659-2310 to get help with cocaine addiction and start outpatient cocaine rehab with contingency management and CBT. Every call is confidential.
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Frequently Asked Questions
What is the best treatment for cocaine addiction?
Contingency management and cognitive behavioral therapy, combined with individual and group counseling, are the most effective treatments for cocaine addiction.
What medicines are used to treat cocaine addiction?
Cocaine use disorder is treated with behavioral therapy, since medications for stimulant use disorders are still being studied. Medication can treat co-occurring conditions as part of your plan.
How do you treat cocaine addiction?
Treatment combines contingency management, CBT and counseling at the level of care you need, from partial care to outpatient, with support for any co-occurring condition.
How long does cocaine treatment take?
Length follows your progress. A common path is a few weeks of partial care or IOP, then outpatient care and aftercare over the following months.
What does cocaine withdrawal feel like?
Cocaine withdrawal is mainly psychological, with fatigue, low mood and cravings that ease over the following weeks. Your team monitors mood closely during this stage.
Do you treat cocaine and alcohol use together?
Yes. One plan covers both, and alcohol treatment can include medication such as naltrexone when it fits your care.
How do I help someone with cocaine addiction?
Talk calmly when they are sober, share what you have noticed and offer to call for an assessment together. Our team can explain treatment options when you call.
Does insurance cover cocaine rehab?
Most commercial plans cover outpatient cocaine rehab. Aetna, Cigna, Blue Cross Blue Shield, Humana and TRICARE are among the plans we work with, and we check your coverage before your first session.
Can I keep working during cocaine treatment?
Yes. Evening IOP and outpatient sessions fit around a work schedule, and virtual IOP lets you join from home.
Is the 12-step approach part of cocaine treatment?
It is available for people who want it. Our 12-step facilitation runs within group therapy, and our team can connect you with community 12-step meetings.