Encino · San Fernando Valley · Los Angeles
Cocaine addiction is compulsive use of cocaine or crack despite mounting harm, diagnosed clinically as cocaine use disorder. Treatment here starts with medically supervised stabilization through the crash under 24-hour nursing, then residential therapy.
“New Spirit Recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time. When I thought about leaving early, they helped me slow down and choose recovery instead. By discharge I was grateful I stayed — they even set up appointments for my leg issues, and I’m doing better now.”
“New Spirit Recovery has changed my whole life drastically — they gave me a second chance to rewire my life and live a new one. The staff is caring and genuine, and the director and operations director guided me through the program and gave me every opportunity to be a better person. They set me up for success and I can’t thank them enough for saving my life.”
“New Spirit Recovery was beneficial to my recovery. Here I learned tools to help me manage my emotions safely — journaling and breathing have been amazing tools I picked up while here. All the staff were incredible and patient. I am grateful to have come here and actually use the tools suggested.”
“This program teaches you how to set realistic goals and become a better version of yourself, with all the tools to start building a new foundation. The therapist and case manager give each client an individualized, tailor-made treatment plan. Serene surroundings, a private chef, daily groups, and weekend outings. If you’re looking for a way out of addiction, give New Spirit Recovery a call.”
“The staff is amazing. I was completely unable to detox on my own and find the right path. The food and facilities were amazing — and I found my way again. My mom and I go to church together again now. Thank you all so much.”
CA DHCS licensed treatment · most admissions within 24–48 hours
Not sure where you stand?
Signs of cocaine addiction include needing more for the same high, binges that run longer than planned, crashing into depression and heavy cravings when use stops, failed attempts to quit, money that disappears, and use that continues after it damages sleep, work, or relationships.
Cocaine addiction hides in plain sight because use is episodic. Days or weeks pass between binges and the stretches in between look functional, so the pattern reads as a habit rather than a disorder. Cocaine clears the body in roughly one hour, and that short window is what turns one line into an all-night binge.
This self-check mirrors the DSM-5 criteria clinicians use to diagnose cocaine use disorder: tolerance, withdrawal, loss of control, and use that continues despite harm. Six questions, then talk the result through with a clinician here.
This 6-question self-check is a private screening tool, not a diagnosis. It runs entirely in your browser and nothing is saved or sent. A clinician confirms what it means.
Ten minutes, a few questions, and a real answer about your coverage. Someone answers around the clock, including right now. You do not have to wait for the next crash.
How it takes hold
Cocaine use disorder is the clinical diagnosis for compulsive cocaine use that continues despite harm. Cocaine blocks dopamine reuptake, so repeated use forces the brain to downregulate its own dopamine system. Long-term use brings anhedonia, insomnia, paranoia, memory problems, and cardiovascular damage.
Cocaine floods the brain's reward pathway with dopamine, and the effect fades in 20 to 60 minutes. Redosing to hold that high is what turns a single line into a binge that runs until the supply or the money is gone. Within hours of the last dose the crash arrives: exhaustion, flat mood, heavy sleep. This binge and crash cycle drives cocaine addiction long before tolerance is obvious.
Repeated dopamine flooding makes the brain reduce its own dopamine receptors and baseline output. The same amount delivers less euphoria while the crash gets heavier, so amounts climb and binges lengthen. Normal life starts to feel flat and colorless without cocaine, a state clinicians call anhedonia, and it is the main reason people return to use in the first weeks of abstinence.
Cocaine use disorder is diagnosed when use turns compulsive: using more than intended, protecting the supply, and continuing after damage to health, finances, or relationships. Crack cocaine, smoked rather than snorted, reaches the brain within seconds and compresses this stage into months. Cardiac risk here is immediate rather than cumulative, because cocaine constricts the coronary arteries and raises blood pressure while it is active.
Two patterns raise the stakes further. Cocaine taken with alcohol forms cocaethylene in the liver, a compound that stays in the body longer and is harder on the heart than either drug alone, which is why alcohol addiction treatment often runs alongside stimulant care. Cocaine sold today is also frequently contaminated with illicitly manufactured fentanyl, which adds opioid overdose risk to a drug people do not expect it from.
Cocaine withdrawal does not cause the seizures that make alcohol and benzodiazepine withdrawal physically lethal. Its danger is psychiatric. The crash peaks between 24 and 72 hours after the last dose, acute withdrawal runs 7 to 10 days, and cravings with mood instability return in waves for 3 to 4 weeks or longer. Severe depression and suicidal thinking are the real risks in that window, and using again during the crash carries a high overdose risk.
Per the National Institute on Drug Abuse, no medication is FDA-approved to treat cocaine use disorder. That makes this phase a matter of 24-hour nursing, psychiatric assessment, and behavioral therapy rather than a medication schedule.
Do not ride out a cocaine crash alone. If you are thinking about harming yourself, call or text 988 any time, or call 911 if you are in immediate danger.
Why people choose this one
The first 72 hours off cocaine are a psychiatric and cardiac event. Nursing runs 24 hours a day, a nurse practitioner tracks vitals and sleep, and a licensed clinical psychologist is available for crisis management when depression turns acute.
Cocaine use rarely stands alone. Depression, ADHD, bipolar disorder, and trauma sit under most stimulant histories. A licensed clinical psychologist is available for crisis management here, which is what a stimulant crash actually needs, and dual diagnosis treatment runs from intake.
Residential care here typically sits inside a 35-day course, long enough to cost someone a job or a custody arrangement if nobody manages it. We handle employer paperwork, court dates, and family contact as part of treatment.
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The path through
Cocaine addiction is treated with medically supervised stabilization through the crash, then residential behavioral therapy including CBT, DBT, and ACT, plus dual-diagnosis care for the depression, anxiety, or trauma underneath the use. No medication is FDA-approved for cocaine use disorder, so therapy carries the work.
| Level of care | Medical oversight | Typical length | Best when |
|---|---|---|---|
| Medical DetoxStart here | 24-hour nursing, physician oversight | 7–10 days, up to 21 days by medical necessity | Daily or heavy drinking where withdrawal needs medical management |
| Residential Treatment | On-site clinical staff, physician oversight | Often part of a ~35-day course | Medically stable and ready for daily therapy |
| Step-down (PHP / IOP / OP) | Scheduled clinical contact | Varies by plan | Returning to daily life with continued support |
We deliver medically monitored stabilization and residential stimulant treatment at our own facilities, with the Rewired curriculum and trauma-focused programming built into the daily schedule. step-down support for cravings is arranged through a vetted network we coordinate on your behalf. As a licensed stimulant treatment program in the San Fernando Valley, we keep the same clinical team with you from the first night of stabilization through discharge planning.
Small enough to know your name
Co-Founder
Author and recovery specialist. Created the Rewired curriculum, ten modules that run here and nowhere else.
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Clinical Director
Licensed since 2018, dual mental-health and substance-use background. Oversees clinical programming across all properties. Twenty-four years in recovery himself.
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Director of Nursing
A Licensed Vocational Nurse since 2020 with extensive behavioral health and substance use experience across detox and residential settings
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Clinical Psychologist
Clinical supervisor and a professor at California Lutheran University. Works across sites on crisis management and treatment planning.
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Program Director
Directs day-to-day operations and client care. Seven-plus years in the industry, five in management.
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Operations Director
Handles the logistics that make admission possible, including travel and transport from LAX or Burbank.
Read full bioThe question everyone asks first
Cocaine has no physiological detox protocol, so insurers authorize this admission on psychiatric acuity and on any co-occurring diagnosis rather than on withdrawal scores. Most PPO plans cover residential stimulant treatment when depression, cardiac symptoms, or a second substance make it medically necessary. Your deductible and coinsurance decide the rest.
Stimulant admissions are approved less automatically than opioid or alcohol admissions, which is why the wording of the clinical assessment matters. That verification costs nothing and we hand you the result either way.
We do not accept Medicaid, Medi-Cal, or Medicare. Cash pay is available; ask an admissions counselor what that looks like.
Veterans: we hold a VACCN/TriWest contract. Mention it when you call. Verify insurance.
Real people, real recovery stories
Reviews published by clients and families on Google, where our average is 4.8 out of 5.
These are unpaid reviews posted publicly on Google by individual clients and families. They describe those people’s own experiences, which vary; they are not a promise of any particular outcome, and no one was compensated for them.
Looking for cocaine rehab near you?
Our cocaine rehab runs out of six-bed residences in Encino, Tarzana, and Northridge. Small houses mean nursing staff notice a bad night on the second day rather than the fifth. We take admissions from across Los Angeles County and from out of state.
Common questions
Cocaine addiction, diagnosed as cocaine use disorder, is compulsive use of cocaine or crack that continues despite harm. It is marked by tolerance, binge patterns, cravings, and a crash once use stops. It is a medical condition, not a failure of willpower.
Cocaine addiction often looks like unexplained absences, sleepless nights followed by days of exhaustion, money that disappears, weight loss, nosebleeds or sinus damage from snorting, irritability, and paranoia. Between binges the person can appear completely functional.
Cocaine addiction is treated with medically supervised stabilization through the crash, residential behavioral therapy including CBT and DBT, and dual-diagnosis care for depression, anxiety, or trauma. Care then steps down through PHP, IOP, and outpatient support as cravings settle.
No medication is FDA-approved to treat cocaine use disorder. Physicians treat co-occurring conditions such as depression, anxiety, or insomnia and manage medical complications, while behavioral therapy does the primary work of stopping use and preventing relapse.
The cocaine crash peaks 24 to 72 hours after the last dose. Acute withdrawal, including exhaustion, depression, and heavy cravings, runs 7 to 10 days. Cravings and mood swings then return in waves for 3 to 4 weeks, sometimes longer.
Cocaine withdrawal rarely kills directly, unlike alcohol or benzodiazepine withdrawal. The lethal risks are severe depression with suicidal thinking, cardiac complications in long-term users, and overdose after using again during the crash. Medical supervision manages all three.
Crack and powder cocaine are the same drug in different forms and receive the same clinical treatment. Smoking crack delivers cocaine to the brain within seconds, so dependence forms faster and binges run heavier, which often means a longer residential stay.
Name what you have seen without arguing about labels, stop funding use, and call a treatment center for a clinical assessment and a coverage answer before the next binge. Family therapy and family education run throughout the stay here.
Most major PPO plans cover cocaine detox and residential treatment in Los Angeles when it is medically necessary. Because there is no detox protocol to bill against, the authorization rests on psychiatric acuity and any co-occurring diagnosis. We run the verification and tell you what the plan will actually approve. We run the benefit check free and tell you what the plan will approve. We don’t accept Medicaid, Medi-Cal, or Medicare; cash pay is available.
