Cocaine rehab at Villa Treatment Center serves with medical assessment, detox-phase support, residential treatment, partial hospitalization, intensive outpatient, and outpatient care for cocaine and crack cocaine addiction. Integrated treatment for co-occurring depression, anxiety, trauma, and other mental health conditions. Most major insurance accepted. Admissions answer 24/7.
If you or someone you love is in crisis right now, including overdose risk, severe depression after stopping cocaine, or thoughts of self-harm, call 911 or 988 (Suicide and Crisis Lifeline). Cocaine use carries cardiovascular and overdose risk that can be life-threatening. Villa’s admissions team can help you decide on next steps; call (818) 639-7160 any time.
Cocaine And Crack Addiction What We Treat
Villa treats the full range of cocaine use disorder presentations, including:
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- Powder cocaine use disorder snorted or injected; the most common cocaine presentation
- Crack cocaine use disorder smoked; faster onset and more rapid escalation pattern than powder
- Long-term cocaine dependence multi-year cocaine use with significant life impact
- Recreational cocaine use that has become problematic social or party-pattern use that has progressed to compulsive use
- Cocaine use combined with other substances alcohol-cocaine, opioid-cocaine (“speedball”), and other polysubstance patterns; see drug addiction treatment and alcohol rehab in Los Angeles
- Cocaine use with co-occurring mental health conditions depression, anxiety, ADHD, bipolar disorder, PTSD; see dual diagnosis treatment
Cocaine use disorder frequently co-occurs with mental health conditions. The combination is often more difficult to treat than either alone, which is why integrated dual-diagnosis treatment matters.
How Cocaine Withdrawal Works
Unlike alcohol or opioid withdrawal, cocaine withdrawal is rarely medically dangerous. There is no FDA-approved medication specifically for cocaine withdrawal, and there is no medical risk of seizures or autonomic instability the way there is with alcohol or benzodiazepine withdrawal. What makes cocaine withdrawal difficult is psychological: intense depression, fatigue, anhedonia (inability to feel pleasure), and craving.
- Acute withdrawal phase (days 1-7). Crash phase characterized by exhaustion, depression, increased appetite, vivid dreams, and intense cravings. Sleep disruption is common. Suicidal ideation can occur, particularly for clients with co-occurring depression.
- Subacute phase (weeks 1-4). Continued depression and anhedonia, episodic intense cravings often triggered by people, places, and situations associated with use. Cognitive function can feel impaired during this phase, sometimes called “cocaine fog.”
- Post-acute withdrawal (months 1-6). Cravings can persist for months and are often triggered by environmental cues. Clients sometimes feel emotionally flat for an extended period as the brain’s dopamine system recovers. This phase is when most relapses happen and is the highest-leverage period for clinical and community support.
Medical detox at Villa for cocaine clients focuses on managing this acute and subacute phase safely, addressing co-occurring depression and suicidal ideation, treating dehydration and nutritional deficits, and beginning the cognitive and behavioral work that supports the longer post-acute phase. See medical detox services.
How Cocaine Addiction Is Treated At Villa
- Medical detox for the acute and subacute phase, particularly when depression, suicidality, or polysubstance presentations require medical supervision. Typically 5 to 7 days.
- Residential treatment for clients who need 24/7 structure during the high-relapse-risk first phase. Typically 30 to 90 days; the 90-day length has the strongest research outcomes for substance use disorders.
- Partial hospitalization (PHP) at 5-6 hours/day, 5 days/week for clients stepping down from residential or whose home environment supports day-program structure.
- Intensive outpatient (IOP) at 3 hours/day, 3 days/week for clients who can engage with treatment alongside work or school commitments.
- Outpatient therapy and medication management for sustained maintenance, often continuing 6 months to a year or longer for clients with co-occurring depression or anxiety.
The first appointment is a 90-minute clinical assessment covering full mental health history, substance use screening (ASSIST and cocaine-specific tools), medical history, depression screening (PHQ-9), and treatment plan recommendations.
Cocaine Rehab at The Villa Treatment Center
Research identifies several modalities with specific support for cocaine use disorder:
- Cognitive Behavioral Therapy (CBT) first-line therapy for cocaine use disorder; identifies thought patterns and behaviors that maintain use; teaches coping strategies for craving and high-risk situations
- Contingency Management (CM) evidence-based intervention specifically supported for stimulant use disorders, using structured incentives for sustained abstinence; among the strongest research-supported interventions for cocaine
- Motivational Interviewing (MI) for ambivalence about change in early treatment
- Relapse prevention curriculum structured protocols specific to cocaine; trigger identification, coping skill practice, high-risk situation planning
- Trauma-focused therapy (EMDR, prolonged exposure, CPT) for trauma that often underlies stimulant use
- DBT skills emotion regulation, distress tolerance, and mindfulness; particularly valuable during the post-acute phase when emotional flatness and craving make distress tolerance critical
- Acceptance and Commitment Therapy (ACT) values-based behavior change for clients reorienting their lives around recovery
- 12-step facilitation for clients engaging with Cocaine Anonymous, Narcotics Anonymous, or other recovery community alongside clinical care
- SMART Recovery secular, science-based recovery community alternative
- Group therapy daily during residential and PHP; cocaine-specific groups when enrollment supports them; see group therapy programs
- Individual therapy weekly minimum, more frequent during early phases; see individual therapy
- Family therapy cocaine addiction frequently affects intimate relationships and family systems; see family therapy programs
Clinicians are licensed Marriage and Family Therapists (LMFT) and Licensed Clinical Social Workers (LCSW). Medically reviewed by Dr. Courtney Scott, MD. Founded by Georgia Frabotta, who brings over 23 years of personal recovery experience.
Medication During Cocaine Addiction Treatment
Unlike opioid use disorder (where buprenorphine and naltrexone are first-line) or alcohol use disorder (where naltrexone and acamprosate have research support), there is no FDA-approved medication specifically for cocaine use disorder. Several medications are used off-label or for related conditions:
- Antidepressants for co-occurring depression, which is common during cocaine recovery; SSRIs and other classes as clinically indicated
- Anti-anxiety medications for co-occurring anxiety, with caution given the addictive potential of benzodiazepines
- ADHD medications when carefully indicated some clients with adult ADHD develop cocaine use as self-medication; treating ADHD properly with non-stimulant or carefully-monitored stimulant medication can address the underlying drive
- Topiramate, modafinil, and disulfiram occasionally used off-label for cocaine use disorder; research support is mixed; can be appropriate for some presentations
- Naltrexone sometimes used in cocaine-alcohol combined presentations, where naltrexone has research support for the alcohol component.
The medication strategy is matched to the individual’s diagnoses and history. Board-certified psychiatrists manage all medication decisions.
Co-occurring Conditions
Cocaine use disorder frequently co-occurs with mental health conditions. Common patterns:
- Cocaine with depression either pre-existing depression that drives use or post-cocaine depression that emerges during early recovery; see depression treatment
- Cocaine with anxiety cocaine often used to manage anxiety in social situations or to push through anxiety-driven inhibition; see anxiety treatment
- Cocaine with adult ADHD some clients use cocaine as self-medication for undiagnosed ADHD; proper ADHD diagnosis and treatment addresses the underlying driver; see adult ADHD treatment
- Cocaine with PTSD or trauma cocaine and other stimulants are often used to manage trauma symptoms; see PTSD treatment
- Cocaine with bipolar disorder stimulant use can mimic, mask, or trigger mood episodes; see bipolar disorder treatment
- Cocaine with alcohol use disorder the most common dual-substance pattern; see alcohol rehab in Los Angeles.
Villa is licensed for co-occurring disorders treatment; see dual diagnosis treatment for the integrated care framework.
Insurance, Cost, And Admissions
Villa Treatment Center is in-network with Aetna, Cigna, Anthem Blue Cross, Blue Cross of California, Health Net, and MHN, and works with most other major carriers on an out-of-network basis. Cocaine addiction treatment is covered under the behavioral health benefit; coverage for residential treatment is typically strong when documented as medically necessary.
Verification takes 15 minutes by phone or 24 hours by online form. Self-pay rates and payment plans are available.
To start: call (818) 639-7160 or use the insurance verification form. Same-week appointments are usually available for outpatient and telehealth; residential and detox intake depends on bed availability and clinical urgency.
Serving Los Angeles, the San Fernando Valley, and Surrounding Areas
Villa’s facility sits on Hood Drive in Woodland Hills, CA, accessible from across Los Angeles Hollywood, Beverly Hills, Brentwood, Bel Air, Malibu, Westwood, Santa Monica, Calabasas, Tarzana, Encino, Sherman Oaks, Northridge, West Hills, Canoga Park, Reseda, Van Nuys, Agoura Hills, Glendale, and the broader LA metro area. Telehealth extends outpatient cocaine addiction treatment across California for clients who cannot travel weekly to Woodland Hills.
For clients traveling from outside the LA area, transportation coordination is available. The location offers privacy and quiet while remaining accessible to the LA metro area.
Frequently Asked Questions
Is Medical Detox Required For Cocaine?
Medical detox for cocaine is not medically required the way it is for alcohol or benzodiazepines, where withdrawal can cause seizures. Cocaine withdrawal is rarely medically dangerous. However, supervised detox is often clinically appropriate when there is severe depression, suicidal ideation, polysubstance use, or when medical issues (cardiovascular complications from cocaine use) require monitoring. The clinical assessment determines the right pathway.
How Long Does Cocaine Addiction Treatment Last?
Length varies based on severity, treatment response, and history. Acute detox phase runs 5 to 7 days. Residential treatment runs 30 to 90 days; the 90-day length has the strongest research outcomes for substance use disorders. PHP runs 2 to 4 weeks. IOP runs 8 to 12 weeks. Outpatient therapy and medication management often continue 6 months to a year or longer, particularly with co-occurring depression or anxiety.
Why Is Cocaine Addiction So Hard To Recover From?
Three reasons. First, cocaine triggers strong dopamine reward, which the brain remembers; cravings can persist for months to years. Second, post-acute withdrawal includes depression and anhedonia (inability to feel pleasure) that can last months as the dopamine system recovers a difficult phase to sustain motivation through. Third, there is no FDA-approved medication for cocaine use disorder the way there is for opioid or alcohol use disorders, so treatment relies on behavioral and therapeutic interventions plus management of co-occurring conditions.
Is There A Medication For Cocaine Addiction?
No medication is FDA-approved specifically for cocaine use disorder. Medications used in cocaine treatment address co-occurring conditions (antidepressants for depression, anti-anxiety medications carefully chosen, ADHD medications when self-medication is the driver) or are used off-label with mixed research support (topiramate, modafinil, disulfiram). The medication strategy is matched to the individual’s diagnoses and history.
What Is Contingency Management?
Contingency management (CM) is an evidence-based intervention specifically supported for stimulant use disorders. It uses structured, predictable incentives, vouchers, prizes, or other rewards for sustained abstinence verified by drug screening. CM has among the strongest research support of any cocaine intervention. Villa integrates CM principles into treatment programming.
Does Insurance Cover Cocaine Rehab?
Most major insurance plans cover cocaine addiction treatment under the behavioral health benefit. Detox and residential are typically well-covered when medically necessary. PHP, IOP, and outpatient are routinely covered. Verification takes 15 minutes; call (818) 639-7160.
What About Crack Cocaine Specifically?
Crack cocaine is the same chemical as powder cocaine in a smokable form. The treatment approach is fundamentally the same. The differences are practical: crack creates faster onset of intoxication and faster onset of dependence, often leading to faster escalation. Crack treatment typically benefits from more intensive early-treatment structure (residential rather than outpatient as a starting point) given the rapid escalation pattern.
Can I Get Treatment For Cocaine And Other Addictions Together?
Yes. Polysubstance use is common with cocaine; alcohol-cocaine and opioid-cocaine combinations are particularly frequent. Villa’s clinical team treats all substances simultaneously rather than sequentially. The integrated approach is more effective than treating one substance at a time.
Do I Need A Referral?
No. Most insurance plans do not require a referral for substance use treatment, though some HMO plans do. Call (818) 639-7160 or use the verification form and admissions will confirm during the insurance check.
