Cocaine Addiction Treatment
Cocaine addiction treatment at PROMIS supports people whose cocaine use has become difficult to control, risky, or emotionally costly. For some people, cocaine is tied to nights out. For others, it is linked with work pressure, confidence, sex, alcohol, stress, depression, or the need to feel switched on.
Many people seek help while they are still functioning outwardly. They may be working, parenting, or maintaining relationships while privately feeling trapped in a cycle of anticipation, use, comedown, shame, and renewed craving.
Cocaine addiction treatment is structured support for people who struggle to stop or reduce cocaine use despite harm. Treatment should assess cravings, binge patterns, alcohol use, mental health, physical risk, relationships, relapse triggers, and whether outpatient, day, or residential care is appropriate.
PROMIS provides confidential addiction assessment and treatment, including therapy, psychiatric input where needed, relapse prevention, family support, aftercare, day treatment, and residential rehab.
Types We Treat
Weekend or social cocaine use that has become harder to limit.
Cocaine used for confidence, work pressure, sex, socialising, or escaping low mood.
Binge patterns followed by anxiety, shame, exhaustion, depression, or renewed craving.
Cocaine use alongside alcohol, cannabis, ketamine, benzodiazepines, opioids, or other substances.
High-functioning use where work, parenting, or relationships continue outwardly while private risk is increasing.
Signs & Symptoms
Psychological
Cravings, preoccupation with the next opportunity to use, or feeling flat without cocaine.
Anxiety, paranoia, irritability, low mood, shame, panic, or emotional crash after use.
Confidence becoming dependent on cocaine, especially socially, sexually, or professionally.
Repeated promises to stop followed by relapse around the same people, places, alcohol, stress, or emotional states.
Underlying depression, anxiety, trauma, ADHD, loneliness, or relationship strain that becomes more visible between episodes of use.
Physical
Sleep disruption, appetite changes, jaw tension, nosebleeds, headaches, chest pain, or palpitations.
Exhaustion, low mood, and poor concentration after a binge.
Panic, tremor, sweating, nausea, or frightening agitation during or after use.
Chest pain, collapse, seizures, severe headache, or severe agitation need urgent medical attention.
Behavioural
Using more than intended, extending nights out, or disappearing to use secretly.
Spending more money than planned, hiding use, or becoming defensive when challenged.
Taking risks with alcohol, driving, sex, work, or conflict while affected.
Using cocaine and alcohol together so that each substance makes the other harder to control.
Cancelling commitments, missing work, or withdrawing after binges because of exhaustion, shame, or low mood.
When to Seek Specialist Help
Professional help is worth considering when cocaine use is difficult to limit, when binges are followed by shame or emotional crash, or when use is affecting work, relationships, money, health, safety, or trust.
Cocaine withdrawal is often experienced as a crash: fatigue, low mood, sleep changes, anxiety, irritability, and strong cravings. The emotional crash can be risky, especially where depression, shame, or suicidal thoughts are present.
Seek urgent medical help if cocaine use is linked with chest pain, collapse, seizures, severe headache, psychosis, suicidal thoughts, frightening agitation, overdose concern, or dangerous mixing of substances.
How We Treat at PROMIS
Cocaine addiction treatment at PROMIS begins with a careful assessment of cocaine use, alcohol and other substances, cravings, comedowns, sleep, physical symptoms, mental health, trauma, work stress, relationships, medication, risk, and previous treatment.
Treatment focuses on cravings, triggers, shame, alcohol links, social pressure, emotional avoidance, relapse prevention, and any underlying anxiety, trauma, ADHD, depression, or relationship patterns.
Care may include CBT, DBT-informed skills, trauma-informed therapy, relapse prevention, group work, family support, psychiatric input where needed, and a practical aftercare plan.
Treatment Formats
Residential
Residential cocaine rehab may be appropriate when use is severe, binges are escalating, the home environment is unsafe, other substances are involved, mental health risk is high, or the person needs a protected environment away from triggers.
Residential treatment allows close monitoring of mood, sleep, cravings, physical risk, alcohol use, and relapse triggers while therapy begins.
Day Patient
Day treatment can provide structured support without full residential admission. It may suit people with repeated relapse, alcohol-linked use, strong cravings, family conflict, or work and relationship strain where overnight safety at home remains possible.
Day care can also work as a step-down from residential treatment, helping the person practise recovery routines with regular clinical support.
Outpatient
Outpatient or online treatment may be suitable where cocaine use is lower risk, motivation is strong, home support is stable, and the person can engage consistently with therapy.
Outpatient work focuses on maintaining change in daily life: cravings, alcohol triggers, social pressure, shame, work stress, relationships, and early warning signs.
Aftercare
Cocaine relapse prevention needs to name the specific situations that lead back to use: alcohol, nights out, work pressure, sex, stress, boredom, shame, money access, people, places, and emotional crash.
PROMIS aftercare may include continuing therapy, recovery community links, family involvement, psychiatric follow-up where needed, and a plan for responding quickly if cravings or high-risk situations return.
Why Choose PROMIS
PROMIS treats cocaine addiction alongside depression, anxiety, trauma, alcohol use, ADHD, relationship strain, and relapse history. Treatment is confidential and clinically led, with outpatient, day, and residential pathways depending on need.
Care is formulation-led: the team works to understand what cocaine has been doing for the person and what safer supports need to replace it.
Frequently Asked Questions
Related Reading
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