Cocaine rehab. Medical care for stimulant recovery.
Cocaine withdrawal produces no classic physical symptoms — no tremors, no seizures, no autonomic storm. But the crash is real, the psychiatric risks are real, and medical supervision matters for patients with cardiac complications, severe depression, or polysubstance use. There is no FDA-approved detox medication for cocaine; we focus on what works: supportive care, cardiac monitoring, psychiatric evaluation, and evidence-based therapy.
LegitScriptCertified
Cocaine withdrawal, the crash phase.
Unlike alcohol or opioids, cocaine withdrawal does not produce dramatic physical symptoms. Instead, patients experience a “crash” — profound fatigue, excessive sleep or insomnia, depression, irritability, and intense cravings. The crash typically begins within hours of the last use and peaks over several days.
The psychiatric risks during the crash are significant. Suicidal ideation, severe depression, and paranoia can occur. Patients with cardiac comorbidity from chronic stimulant use need cardiac monitoring during this phase. Those with co-occurring mood or ADHD disorders need evaluation for underlying conditions that may have contributed to cocaine use.
There is no FDA-approved medication for cocaine detox or maintenance. Our focus is supportive care, medical monitoring, psychiatric assessment, and a rapid transition to evidence-based therapy (CBT, contingency management) in residential.
Supportive care, psychiatrically aware.
Every cocaine detox begins with a full clinical and cardiac assessment. Protocol is tailored to medical comorbidity, psychiatric picture, and polysubstance use.
Chronic cocaine use can cause myocardial damage. Baseline EKG, continuous telemetry for patients with cardiac history or chest pain.
Cocaine use disorder frequently co-occurs with mood disorders, anxiety, and undiagnosed ADHD. Comprehensive psychiatric assessment from day one.
Non-stimulant ADHD medications, non-habit-forming sleep aids, antidepressants when indicated. Treating underlying conditions reduces relapse risk.
For patients with cardiac symptoms or lab abnormalities, we coordinate with internal medicine consultants.
Heavy stimulant use leaves patients malnourished and sleep-deprived. Rest and nutritional restoration are the first-line intervention.
Depression during the crash can include suicidal thoughts. Our staff is trained to assess and respond; psychiatric consultation immediate.
Medicine stabilizes. Therapy changes the pattern.
Cognitive-Behavioral Therapy
The gold standard for thought-pattern change in substance use disorder.
Dialectical Behavior Therapy
Skills-based emotion regulation and distress tolerance — strong evidence for co-occurring mood disorders.
EMDR Trauma Therapy
Targeted trauma processing, led by certified EMDR clinicians.
Medication-Assisted Treatment
No FDA-approved MAT for stimulants. We use evidence-based psychotherapy (CBT, CM) and treat co-occurring conditions that fuel use.
Group Therapy
Peer-supported, clinician-led sessions.
Family Programming
Family sessions and education — when the patient consents.
From first call to stable in care.
Admissions & Assessment
Full, unhurried clinical assessment. History of use, medical and psychiatric comorbidity, insurance verification in parallel.
Cocaine Detox
3–7 days. Supportive care, cardiac monitoring, psychiatric evaluation, rest and nutrition.
Residential Inpatient
14–30 days of evidence-based therapy, psychiatric care, family work, and step-down coordination through our partner network.
Physician-led, accredited, and built for unhurried care.
The choice of where to receive cocaine matters. Patients and families weigh credentials, environment, and continuity of care alongside cost and coverage. Here is what consistently brings people to our 18,000 sq ft private clinical campus in Pembroke Pines, Florida.
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.
Independent accreditation by the nation’s most recognized healthcare standards body. Surveyed against rigorous safety and quality standards.
LegitScript certification is the standard required by Google, Microsoft, and Meta to advertise addiction treatment. It signals an audited, transparent operator.
Depression, anxiety, trauma, and ADHD frequently co-occur with substance use. Psychiatric assessment and care run in parallel with detox, not after.
Most commercial and military plans are accepted. Verification is free, confidential, and typically completed in under 60 seconds.
Private bedrooms, dedicated medical detox wing, therapy rooms sized for real clinical work, outdoor grounds. Not a strip-mall storefront.
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 laws, commercial insurance covers medically necessary detox and treatment at parity with medical/surgical benefits.
Verify CoverageQuestions families ask, answered plainly.
Is cocaine withdrawal dangerous?+
How long does cocaine detox take?+
Are there medications for cocaine detox?+
What is the greatest risk during cocaine withdrawal?+
Can cocaine damage my heart?+
Does insurance cover cocaine detox?+
Clinical information on this page 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 primarily psychological: depression, fatigue, increased appetite, vivid unpleasant dreams, and intense cravings. Physical symptoms are mild compared to alcohol or opioid withdrawal, but suicidality risk during early withdrawal warrants monitoring.
How long does cocaine detox take?
Acute withdrawal usually lasts 5 to 7 days. Cravings, low mood, and sleep disturbance can continue for weeks and are addressed through residential therapy.
Are medications used during cocaine detox?
There is no FDA-approved medication specifically for cocaine withdrawal. Pines uses supportive medications for sleep, anxiety, and depression, plus close monitoring for suicidality and cardiovascular complications.
Why is residential treatment so important after cocaine detox?
Cocaine recovery is mostly psychological — relapse rates after detox alone are very high. Residential therapy addresses the underlying behavior patterns, trauma, and triggers that drive use.
What about co-occurring depression or anxiety?
Many people with cocaine use disorder also have depression, anxiety, or ADHD that contribute to ongoing use. Pines integrates dual-diagnosis psychiatric assessment and treatment from day one.
Does insurance cover cocaine treatment?
Yes, in most cases. We are in-network with major carriers, Tricare, and VA Community Care. Call (855) 981-8935.
