Cocaine can slowly take over every part of life once dependence begins. What might start as a way to manage stress, boost energy at work, or socialize can quickly lead to cravings, withdrawal, and relapse. Trying to quit without help can feel overwhelming—and unsafe. That's why a medically supervised detox is an essential first step on the path to recovery.

At Olympia Grove Recovery, we recognize that cocaine addiction affects more than just your body. It also impacts your mental health, emotional well-being, and relationships. Our cocaine detox program provides 24/7 medical oversight, therapeutic support, and a compassionate setting where you can take your first steps toward healing with dignity. With Medicaid acceptance, transportation assistance, and admissions available at all hours, we make starting recovery accessible whenever you're ready.

What is cocaine detox? Understanding the process and goals

Counseling and therapy for addiction  

Olympia Grove Recovery offers a whole-person approach to addiction treatment by combining Vivitrol with evidence-based therapies to address the root causes of addiction and promote lasting recovery. Our programs include:  

  • Individual therapy: One-on-one sessions with experienced therapists to explore personal challenges and develop tailored strategies for healing.  
  • Group therapy: A supportive environment where participants connect with others facing similar struggles, fostering shared understanding and growth.  
  • Family therapy: Helping families rebuild trust, improve communication, and heal together as a unit.  
  • Co-occurring disorders treatment: Integrated care for individuals managing both addiction and mental health conditions, ensuring a holistic path to recovery.  

Our goal is to provide a safe, supportive space for recovery while equipping you with the tools needed to thrive beyond treatment. 

Outpatient addiction treatment programs  

Outpatient services offer ongoing structure and accountability to support your recovery after residential care. These programs help you stay connected to your recovery community while maintaining the flexibility to manage everyday responsibilities. Whether you’re balancing work, school, or family commitments, outpatient programs provide the tools and guidance needed to sustain progress, including therapy sessions, personalized treatment plans, and access to recovery resources. 

Support groups and community resources  

We help clients build a strong foundation for long-term recovery by connecting them with peer support groups, recovery-friendly housing options, vocational training opportunities, and other essential community-based resources. These connections provide more than just practical support—they also create a network of encouragement and accountability. Staying actively engaged with your recovery community helps reinforce healthy habits, offers guidance during challenging times, and provides a vital safety net to help you thrive in sobriety. 

Cocaine withdrawal symptoms and timeline

Cocaine withdrawal impacts both the body and mind, presenting a range of challenging symptoms that can make recovery difficult without professional support.

Early "crash" (24–72 hours)

  • Extreme fatigue and exhaustion
  • Depressed mood or hopelessness
  • Oversleeping or vivid, unsettling dreams
  • Powerful cravings for cocaine

Acute withdrawal (days 3–7+)

  • Heightened cravings
  • Anxiety, irritability, or agitation
  • Restlessness and difficulty concentrating
  • Sleep problems and low mood

Post-acute symptoms (weeks–months)

  • Mood swings and low motivation
  • Difficulty experiencing pleasure (anhedonia)
  • Ongoing depression or anxiety
  • "Cognitive fog" and poor focus

Safety considerations during detox: When symptoms require urgent medical care

Cocaine withdrawal is rarely life-threatening, but it can cause severe depression, suicidal thoughts, or unsafe behaviors. Professional detox provides:

  • 24/7 monitoring of physical and mental health
  • Medications for anxiety, depression, or insomnia
  • Therapy support for cravings and emotional stability
  • Immediate intervention if risks arise

Side effects of cocaine detox

Even in a safe, supervised setting, clients may notice side effects such as:

  • Irritability or mood swings
  • Headaches and muscle tension
  • Sleep disturbances
  • Increased appetite
  • Short-term difficulty concentrating

These symptoms are temporary and usually resolve within days to weeks. At Olympia Grove Recovery, our care team manages them quickly so clients remain safe and as comfortable as possible.

24/7 expert help with detox symptoms

Is cocaine detox dangerous? Risks of quitting alone vs. supervised care

Why at-home cocaine detox can be unsafe

Detoxing from cocaine at home might seem convenient, but it comes with serious risks, including:

  • Cravings often trigger relapse within days
  • Tolerance drops after abstinence, raising overdose risk if relapse occurs
  • Emotional risks like depression or suicidal thoughts can escalate quickly

How medical oversight reduces complications and improves comfort

With supervised detox at Olympia Grove Recovery, clients benefit from:

  • Medical monitoring of vitals and symptoms
  • Medications to reduce anxiety and stabilize mood
  • Therapeutic support from trained clinicians
  • A structured, cocaine-free environment where triggers are removed

Medical detox for cocaine: What to expect

Intake assessment: Medical history, mental health screening, and drug testing during detox

On arrival, every client completes a comprehensive evaluation covering health history, substance use, mental health screening, and lab work. This helps us design a personalized care plan.

24/7 monitoring: Vitals, hydration, sleep, and symptom tracking

Our team monitors blood pressure, heart rate, hydration, sleep, and overall progress to maintain safety and stability.

Detox symptoms management: Evidence-based medications for anxiety, sleep, and stabilization

Although no medication is FDA-approved specifically for cocaine withdrawal, we may prescribe non-addictive medications to address:

  • Anxiety or panic
  • Insomnia
  • Depression or mood swings
  • Headaches or agitation

Care team and protocols: Licensed clinicians, nursing support, and safety planning

Physicians, nurses, therapists, and support staff support clients. Together, they create a safety plan and prepare each person to transition into treatment after detox.

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Inpatient vs. outpatient cocaine detox

Who benefits from inpatient detox

Inpatient detox is recommended for those with:

  • Heavy or long-term cocaine use
  • Co-occurring mental health conditions
  • Multiple relapses
  • Little or no support at home
hands of a person sitting in their vivitrol treatment while therapist takes notes

When outpatient detox is appropriate

Olympia Grove Recovery does not offer outpatient detox. In some cases, outpatient programs elsewhere may be suitable for people with mild dependence and strong support at home. For safety, we recommend inpatient detox for most clients.

Detox center types

Detox services vary across treatment centers, from outpatient to inpatient centers. At Olympia Grove Recovery, we specialize in inpatient medical detox and residential care, offering the highest level of safety and support.

Insurance coverage for detox

We proudly accept Medicaid and most major insurance plans. Our admissions team verifies coverage, assists with preauthorization, and explains any out-of-pocket costs before you begin care.

Signs of cocaine addiction

If you're unsure whether detox is right for you, here are common warning signs of cocaine addiction:

  • Intense cravings and inability to stop using
  • Neglecting responsibilities at work, school, or home
  • Weight loss, nosebleeds, or frequent colds
  • Paranoia, anxiety, or mood swings
  • Withdrawing from friends and family

Recognizing these signs early can make treatment more effective and recovery more attainable.

Cocaine addiction treatment after detox

Detox is the starting point, not the finish line. We guide every client into ongoing treatment that addresses the underlying drivers of cocaine use.

Behavioral therapy

Our evidence-based therapies may include:

  • Cognitive-behavioral therapy (CBT) to identify triggers and build coping skills
  • Dialectical behavior therapy (DBT) to improve emotion regulation
  • Motivational interviewing (MI) to explore ambivalence and increase motivation for change
  • Reality therapy to develop practical solutions for living a substance-free life

Dual diagnosis treatment

Olympia Grove Recovery provides integrated treatment for addiction and mental health conditions, including:

  • ADHD
  • Anxiety
  • Bipolar disorder
  • Personality disorders
  • Depression
  • Eating disorders
  • OCD
  • Psychosis
  • PTSD
  • Schizoaffective disorder
  • Sleep disorders
  • Self-harm and suicidal ideation

Co-occurring disorders treatment is a specialized form of treatment that addresses both addiction and mental health issues simultaneously. It recognizes that these conditions often coexist and can interact, making it essential to treat them together for long-term recovery.

Substance abuse counseling

Our services include:

  • Individual therapy to foster personal growth and healing
  • Group therapy to encourage peer support and accountability
  • Family therapy to rebuild trust and strengthen relationships

Support groups for addiction

We connect clients with SMART Recovery, 12-step programs, alumni groups, and relapse-prevention sessions to maintain accountability and community.

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Relapse prevention and aftercare planning

Trigger management and cravings

Clients learn to:

  • Identify triggers and warning signs
  • Use healthy coping strategies for stress and cravings
  • Establish daily routines that reinforce sobriety

Medication-assisted support

While no medications are FDA-approved specifically for cocaine withdrawal, our medical team may use non-addictive prescriptions to help manage:

  • Sleep disturbances
  • Depression or mood instability
  • Anxiety or restlessness

When appropriate, we also provide MAT options like Vivitrol or Suboxone for clients with co-occurring opioid or alcohol use disorders.

Recovery roadmap

Recovery doesn't stop after detox. Most clients move into our residential program (28–45 days), followed by aftercare planning. Alumni programs, community referrals, and peer check-ins provide long-term accountability.

Addiction recovery resources

  • Aftercare support and planning: Our team develops a personalized aftercare plan before discharge.
  • Community referrals: We connect clients to therapy, support groups, and recovery housing as needed.
  • Helplines: We provide guidance for national resources like SAMHSA's helpline and local recovery networks in Cleveland.
  • Insurance navigation: Our staff verifies benefits and helps clients understand coverage so finances never stand in the way.

We are dedicated to empowering individuals on their path to lasting recovery through compassionate care and comprehensive support.

Take the first step to recovery with Olympia Grove Recovery's cocaine detox

Starting recovery is easier when an experienced team guides you through it. At Olympia Grove Recovery, we create a safe and structured environment where you're supported with compassion every step. Our goal is to help you take control of cocaine addiction and move toward a brighter, healthier future.

We know asking for help can feel intimidating, but you don't have to face this alone. Reach out to Olympia Grove Recovery today to begin your detox journey. Call 216.438.8351 or contact us online and take the first step toward lasting change.

Frequently asked questions about cocaine detox

Detox typically lasts three to 10 days, though cravings and mood-related symptoms may continue longer.

Cocaine withdrawal isn't usually medically life-threatening, but severe depression and relapse risk make medical supervision essential.

It's possible, but the relapse risk is very high without professional support. Medical detox provides safety, accountability, and access to care if symptoms worsen.

Most clients move into our residential treatment program (28–45 days) where therapy, relapse-prevention planning, and aftercare begin.

Yes—we proudly accept Medicaid and most major insurance plans. Our team can verify coverage quickly and arrange transportation to help you begin treatment without delay.

No. You must fully detox from alcohol or opioids before your first injection to prevent severe withdrawal. 

Yes. Most Medicaid plans, as well as many private insurance providers, cover Vivitrol. Our admissions team can verify your coverage and help with the approval process. 

Yes. Vivitrol works best when combined with counseling, group support, and other recovery services that address the emotional and behavioral aspects of addiction.