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Cocaine Detox & Rehab in Pembroke Pines

Cocaine withdrawal does not shake the body the way alcohol or opioid withdrawal does. It crashes you instead: exhaustion, deep sleep, and cravings in waves. That crash carries real psychiatric risk, and we monitor it for anyone with heart problems, severe depression, or more than one substance in play. We provide supportive care and medical monitoring, then move you into evidence-based therapy. Call (855) 981-8935.

Cardiac MonitoringPsychiatric EvaluationSupportive Care
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
Florida DCFLicensed Provider
HIPAACompliant
DEARegistered

Cocaine withdrawal, the crash

Cocaine withdrawal is a crash that runs in the head and not through the body. Fatigue settles in and does not lift. Sleep runs long or will not come. Mood drops and irritability follows. Cravings come in waves and will not sit still. It usually starts within hours of last use.

The psychiatric side of the crash is the part to take seriously. Suicidal thoughts, severe depression, and paranoia can show up in this window. Long stimulant use can leave the heart real wear, and we monitor it here. If mood or ADHD problems sit underneath the use, we treat.

Our job is supportive care, medical monitoring, psychiatric assessment, and a quick move into evidence-based therapy in residential.

0 to 24 hr
Early crashFatigue, long sleep, appetite returning.
24 to 72 hr
Peak crashLow mood, heavy cravings, slowed movement. Psychiatric assessment.
Day 3 to 5
StabilizationMood and energy slowly turning around. Cardiac workup if indicated.
Day 5 to 7
TransitionResidential intake. Therapy begins.
Week 2 to 6
Post-acuteCravings come in bursts, mood steadies.
Months 1 to 3
Extended post-acuteCravings and low mood keep coming back.

Supportive care

Every cocaine detox here begins with a full clinical and cardiac assessment, shaped around your medical history and psychiatric picture.

Cardiac MonitoringEKG and continuous vitals

We take a baseline EKG on arrival for every patient, and those with a cardiac history stay on continuous telemetry.

Psychiatric EvaluationMood, psychosis, ADHD

Cocaine use disorder often sits on top of a mood or anxiety disorder, or an ADHD never diagnosed.

Supportive MedicationsSleep, mood, anxiety

Non-stimulant ADHD medication, non-habit-forming sleep aids, and antidepressants when indicated.

Cardiac ConsultationInternal medicine coordination

We work with internal medicine consultants on heart symptoms or concerning lab results.

Nutritional and Sleep SupportRest, hydration, food

Long stimulant use leaves people thin and running on little sleep. We restore both first.

Crisis-Ready EnvironmentSuicidal ideation protocol

The depression of the crash can turn toward suicidal thoughts. Our staff is trained to respond to it.

24/7 Physician OversightSergey Litvinov, MD personally reviews each active patient.
Validated MonitoringContinuous vitals and cardiac monitoring for patients with stimulant-related cardiac risk.
Psychiatric CoverageSame-day psychiatric evaluation, with crisis protocols for suicidal ideation during the crash.
Dual-Diagnosis StandardPsychiatric care runs at the same time as detox.

Medicine, then therapy Therapy changes the pattern

CBT

Cognitive-Behavioral Therapy

CBT changes the thought patterns that drive use.

DBT

Dialectical Behavior Therapy

Skills-based emotion regulation and distress tolerance, with strong evidence when mood disorders ride along.

EMDR

EMDR Trauma Therapy

We run EMDR sessions that process trauma with certified clinicians.

MAT

Medication-Assisted Treatment

The American Society of Addiction Medicine (ASAM) criteria set your level of care. No FDA-approved medication-assisted treatment (MAT) exists for stimulants, so we treat the co-occurring conditions instead.

Group

Group Therapy

Peer-supported sessions.

Fam

Family Programming

Family sessions and education, once the patient gives consent.

What to Expect

From first call to stable in care

I
Phase One

Admissions and Assessment

A full, unhurried clinical assessment: use history, medical and psychiatric comorbidity, and insurance verification.

II
Phase Two

Cocaine Detox

Supportive care, cardiac monitoring, psychiatric evaluation, rest and nutrition. The length is whatever the American Society of Addiction Medicine (ASAM) criteria and your medical team decide are right for you.

III
Phase Three

Residential Inpatient

Evidence-based therapy, psychiatric care, family work, and step-down planning, for as long as the clinical team judges you need it.

Why families choose Pines

Physician-led, accredited, and built for unhurried care.

Families weigh credentials and the environment against cost and coverage. That is what brings them to our 18,000 sq ft private clinical campus in Pembroke Pines, Florida.

Physician-ledPsychiatrist Medical Director

Medical Director Sergey Litvinov, MD, a board-certified psychiatrist, directs clinical care. Every patient is reviewed by an attending physician, not a counselor signing off on a protocol.

Joint Commission accreditedGold Seal of Approval

The Joint Commission accredits Pines independently and surveys the program against its safety and quality standards.

LegitScript certifiedVerified addiction-treatment provider

LegitScript certification is what Google, Microsoft, and Meta require before an addiction treatment provider can advertise with them. It means an outside audit of how the facility operates.

Co-occurring capabilityDual diagnosis from day one

Depression, anxiety, trauma, and ADHD frequently co-occur with substance use. Psychiatric assessment and care run alongside detox from the first day.

Out-of-network PPO benefits acceptedBCBS, UHC, Aetna, Cigna, Tricare

Most commercial and military plans are accepted. Verification is free, confidential, and typically completed in under 60 seconds.

Private 18,000 sq ft campus40-patient maximum

Private bedrooms, a dedicated medical detox wing, therapy rooms sized for real clinical work, and outdoor grounds.

Further Reading

Authoritative references and related resources.

Clinical authorities & sources. NIDA: stimulants · CDC: stimulant overdose prevention · ASAM: Clinical Practice Guidelines · SAMHSA: National Helpline · CDC: Overdose Prevention

Related Pines resources. Medical detox · Residential inpatient · Dual diagnosis · Admissions process · Insurance carriers · For families

Cocaine detox is medically necessary

Under federal parity law, commercial insurance covers medically necessary cocaine detox at parity with medical benefits, in most cases.

Verify Coverage
BCBS · UnitedHealthcare · Aetna · Cigna · Tricare · Humana Military · VA CCN

Questions families ask answered plainly.

Is cocaine withdrawal dangerous?+
The crash after cocaine carries real psychiatric risk: severe depression, suicidal ideation, and cardiac complications in chronic users. We watch the heart and mood through it.
How long does cocaine detox take?+
The acute crash phase resolves over several days. Post-acute symptoms (cravings, mood swings, slow thinking) run for weeks and are managed in residential treatment.
Are there medications for cocaine detox?+
We have no medication to hand you for cocaine detox or maintenance, so we treat the co-occurring conditions (depression, anxiety, ADHD) with supportive medication for sleep and mood.
What is the greatest risk during cocaine withdrawal?+
Severe depression and suicidal thoughts during the crash, and relapse driven by cravings. Medical monitoring and immediate psychiatric care address both.
Can cocaine damage my heart?+
Chronic cocaine use does damage the heart: it can injure the heart muscle, throw off the rhythm, and bring on coronary artery disease early. We screen with an EKG and work with internal medicine when indicated.
Does insurance cover cocaine detox?+
Because cocaine detox is medically necessary, commercial insurance plans cover it. We are in-network with Tricare and work with VA Community Care.

Reviewed by Sergey Litvinov, MD (Medical Director and board-certified psychiatrist at Pines Recovery Life). Updated April 2026.

Authoritative references: NIDA: cocaine · SAMHSA · CDC Stimulants · ASAM

Frequently Asked Questions

What are cocaine withdrawal symptoms?

Cocaine withdrawal is mostly psychological: depression, fatigue, increased appetite, vivid unpleasant dreams, and intense cravings. Physical symptoms are mild, but the risk of suicidal thinking in early withdrawal is what we monitor.

How long does cocaine detox take?

Acute withdrawal usually lasts 5 to 7 days. Cravings, low mood, and sleep problems can run for weeks, and residential therapy takes that up.

Are medications used during cocaine detox?

No FDA-approved medication exists for cocaine withdrawal. We treat the co-occurring conditions, like depression, anxiety, and ADHD, with supportive medications, and we watch for suicidal thinking and heart problems.

Why is residential treatment so important after cocaine detox?

Most people who finish detox without residential treatment relapse. Inpatient care is where therapy works on the thinking patterns and triggers that drive the use.

What about co-occurring depression or anxiety?

Many people with cocaine use disorder also carry depression, anxiety, or ADHD that keeps the use going. We run dual-diagnosis psychiatric assessment and treatment from day one.

Does insurance cover cocaine treatment?

Plans with out-of-network benefits cover cocaine treatment. Our in-network coverage is with Tricare, and we work with VA Community Care. We also accept out-of-network benefits from BCBS, UHC, Aetna, Cigna, and Humana.