Cocaine Addiction Treatment Resources

Cocaine Addiction Treatment: Signs, Symptoms, Risks, and Resources

Written by:

Amanda Stevens, B.S.

Medical Review by:

Dr. Po-Chang Hsu, M.D., M.S.

Medically Reviewed On: May 19, 2024

Cocaine is a powerful stimulant that stimulates the brain’s pleasure centers. Young people often use it at parties, but few know how dangerous and addictive it is.

What is Cocaine?

Cocaine is a stimulant derived from the coca plant native to South America. It is a Schedule II drug and is sometimes used in medical settings as an anesthetic for the respiratory tract. Recently around 5.2 million people used this drug within the last year in 2022.[1] Its street names include speed, blow, and white gold.

Side Effects of Cocaine

Cocaine’s most prominent effects include euphoria, increased alertness, paranoia, irritability, and hypersensitivity.[2] Stimulants can cause erratic or violent behavior and may increase the speed of thought and task performance.

How is Cocaine Taken?

Cocaine is a powder that is commonly snorted through the nose. This causes rapid effects. Some may dissolve and inject the powder, smoke it, or rub it on their gums. Smoking, injecting, and snorting cocaine provide rapid effects.

Cocaine Quick Reference

Cocaine Quick Reference

Drug Category


Commercial & Street Names

Coke, snow, blow

DEA Schedule

Schedule II


Snorting, smoking, injection, oral

Statistics on Cocaine Use, Misuse, and Addiction

Cocaine overdose deaths tripled between 2013 and 2018.[3] Despite its popularity as a recreational drug, cocaine is highly dangerous and can be fatal, especially when mixed with other substances.

Effects of Cocaine Abuse

Cocaine appeals to many young people because of its euphoric and energetic effects. It is often taken with alcohol at parties to enhance the experience. The euphoria is followed by dysphoria or a crash that causes headaches, nausea, and fatigue.

Other short-term effects of cocaine use include dizziness, chest pain, insomnia, high blood pressure, decreased appetite, dilated pupils, muscle spasms, and irregular heartbeat.

Long-term effects of cocaine include cardiovascular toxicity, mood disruption, lung damage, nasal tissue damage, malnutrition, and hallucinations.[2]

Other long-term risks include tolerance, increased risk of overdose, and damage to internal organs and the brain.[4] Using cocaine for a long time requires the person to take higher doses to get the same effect. Taking larger doses increases the risk of overdose. It can also damage one’s internal organs and brain.

Can You Overdose on Cocaine?

Many people overdose on cocaine every year. It is likely among those who use the drug for the first time and those who abuse cocaine in large quantities. Overdose risk increases when mixing cocaine with other substances, including illicit drugs.

Signs and Symptoms of Cocaine Overdose

Common symptoms of cocaine overdose include raised body temperature, rapid heart rate, high blood pressure, paranoia, and panic. Some individuals may become violent or experience psychotic symptoms, while others may lose consciousness and become unresponsive.


What to do if you suspect someone is overdosing on Cocaine:

Call 911 as soon as you see someone who has overdosed on cocaine. Try to keep the person calm and stable until the paramedics arrive. If the person is unresponsive, check for a pulse. If there is no pulse, begin CPR until help arrives.

Cocaine Addiction and Abuse

Some use cocaine a few times for fun and never try it again. Others may use it once and become addicted immediately, and Hollywood would have you believe that it’s an acceptable “white-collar drug.”

Cocaine stimulates the brain’s reward system, making it particularly difficult to stop using the drug. Approximately 20% of drug overdoses involved cocaine in the USA in 2017.[5]

Is Cocaine Addictive?

Cocaine is very addictive because it targets the brain’s pleasure centers. It also makes it difficult for the brain to produce its feel-good hormones, making the brain reliant on the drug.

Signs of Addiction to Cocaine

Secretiveness is a common sign of cocaine addiction. Individuals may steal money from friends and family or resort to criminal activities to obtain more cocaine.

Cocaine Addiction and Mental Health

Cocaine addiction can cause anxiety, depression, and hopelessness. These feelings are worsened by co-occurring disorders, such as Bipolar Disorder, impulse control disorder, and drug-induced psychosis.

Cocaine Addiction Treatment

It takes most people a few months to get through addiction treatment. The cost varies depending on your treatment program and insurance. The process may involve detox, various therapies, and aftercare. Each plan is unique to fit the individual.

Cocaine Medical Detox in Maryland

Medical Detox

Cocaine Medical Detox in Maryland

Detoxing is necessary for clearing your body of drugs and starting your recovery journey. Paranoia is a common withdrawal symptom associated with early cocaine detox, making it particularly dangerous to attempt this process alone.[6]  A medically monitored environment for detox is safe and offers comfort measures to alleviate your experience.

Cocaine Inpatient Treatment Maryland

Inpatient Treatment

Cocaine Inpatient Treatment Maryland

Inpatient care is perfect for those who need something more intense than an outpatient program. You will sleep at the treatment facility and receive therapy during the day. Inpatient treatment programs are structured, providing intensive therapy and support at the facility.

Therapies Used in Cocaine Addiction Treatment

CBT: Cognitive Behavioral Therapy

CBT identifies and challenges underlying thought processes that lead to undesirable behaviors and helps patients develop healthier coping strategies.

DBT: Dialectical Behavior Therapy

DBT helps patients learn to understand, accept, and regulate their emotions in healthy ways.

Motivational Interviewing

Motivational Interviewing helps people resolve ambivalence about change and enhance their motivation for behavioral change.

Contingency Management

This method uses motivational incentives and goals to change behaviors.

Motivational Enhancement Therapy

Motivational Enhancement Therapy uses goal-setting and motivational strategies to enhance motivation for change and commitment to treatment.

Experiential Therapy

Experiential Therapy uses activities like art, animal-assisted therapy, and role-playing to help patients express and process their emotions.

Relapse Prevention

This resource teaches patients the skills needed to avoid relapse.

Twelve-Step Facilitation

Twelve-step facilitation provides a structured approach to recovery based on the principles of the twelve steps, offering a supportive community and framework for overcoming addiction.

Co-Occurring Disorders

The presence of both a substance use disorder and a mental health condition will result in a dual diagnosis. These co-occurring disorders can make recovery more difficult. Common co-occurring disorders include:

  • Alcoholism: Alcoholism or alcohol use disorder often correlates with the abuse of other substances.
  • Depression: People may abuse cocaine to self-medicate depressive symptoms.
  • Anxiety: Chronic anxiety can lead to misuse of prescription drugs or illicit substances like cocaine to manage symptoms.

Cocaine Detox and Withdrawal Management

Detoxing is a difficult process as your brain has to relearn how to function without the presence of cocaine. This may take a few days or a week, but you will have professional support at a medically monitored detox treatment center. During the withdrawal timeline, you may experience uncomfortable symptoms, but a medical detox offers comfort measures and daily care.

Frequently Asked Questions


Who Uses Cocaine?


Cocaine is a popular party drug among young people. Some may also use it to boost energy or work quicker.  In 2021, cocaine was just behind cannabis as one of the top most-used illicit substances in the United States, ranking at number two.[7]


How Do People Become Addicted to Cocaine?


Cocaine targets the brain’s reward system, making it particularly difficult to stop using the drug. As the drug artificially produces intense feelings of pleasure, your brain becomes less capable of producing these sensations naturally. This can spark increased doses or more frequent use of cocaine.


NIDA. 2023, February 13. What is the scope of cocaine use in the United States? . Retrieved from on July 4, 2023


NIDA. 2024, April 4. Cocaine . Retrieved from on 2024, June 18


Centers for Disease Control and Prevention. (2020b, October 7). Products – data briefs – number 384 – October 2020. Centers for Disease Control and Prevention. Retrieved from on July 4, 2023


What is powdered cocaine? who uses the drug? – united states department … (n.d.-g). Retrieved from on July 4, 2023


Schwartz, E. K. C., Wolkowicz, N. R., De Aquino, J. P., MacLean, R. R., & Sofuoglu, M. (2022, September 3). Cocaine use disorder (CUD): Current clinical perspectives. Substance abuse and rehabilitation. Retrieved from on July 4, 2023


Morton, W. A. (1999, August). Cocaine and psychiatric symptoms. Primary care companion to the Journal of clinical psychiatry. Retrieved from on July 4, 2023


Elflein, J. (2023, January 17). Cocaine use within the past year adults by state U.S. 2019-2020. Statista. Retrieved from on July 4, 2023

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