First 24 hours (the crash)
- Exhaustion and heavy sleep, or the inability to sleep at all
- Sharp drop in mood, irritability, agitation
- Large increase in appetite
- Cravings can be intense from the outset
Substance detox
Cocaine detox, with a team beside you.
Cocaine withdrawal is primarily psychological. The crash brings exhaustion, a sharp drop in mood, and strong cravings, and the intensity of that low is the main clinical concern. Stimulant withdrawal is not usually medically dangerous in the way alcohol or benzodiazepine withdrawal is — the risk is psychiatric. The crash brings a severe drop in mood, and the first week is when depression and suicidal thinking are most likely. That is what 24/7 monitoring is for here.
Knowing the signs
When it's time to get help.
You don't have to hit a crisis point to reach out. A few signs that cocaine has become something worth treating:
Bingeing until the supply is gone
Needing more for the same effect
Nosebleeds, sinus problems, or damage from smoking or injecting
Sharp mood crashes after use
Spending well beyond what you can afford
Anxiety, paranoia, or panic during or after use
Failed attempts to stop
Continuing despite chest pain or other cardiac warnings
What to expect
The cocaine withdrawal timeline.
Everyone's different, but here's the general shape of withdrawal. These are typical patterns, not a diagnosis — your plan is built by a clinician around your history.
Days 2–7
- Depression and anhedonia — nothing feels rewarding
- Vivid or disturbing dreams
- Slowed thinking and movement, or restless agitation
- Low mood is at its deepest here, and this is when suicidal thinking is most likely — it is what monitoring watches for
Weeks 2–4
- Mood and sleep begin to normalize, unevenly
- Cravings become episodic, often triggered by people and places
- Concentration and motivation return slowly
Months
- Anhedonia can linger — the brain's reward system recovers gradually
- Cravings arrive in waves rather than constantly
- Therapy and structure carry this stage; there is no medication approved for stimulant use disorder
This is general information, not medical advice. Your plan is built by a clinician around your history and health.
How we help
Treating cocaine at Jasper Grove.
Supervised stabilization
There's no medication-assisted treatment for stimulant withdrawal, so our focus is a safe, stable setting with 24/7 support through the crash — including watching for the depression that can follow.
Learn moreMental-health care
Cocaine use and depression, anxiety, or trauma often travel together. We treat what's underneath alongside the addiction — not separately.
Residential treatment
Stabilization flows into residential care — individual and group therapy, and relapse-prevention tools for the triggers that bring people back.
Learn moreReady to take the first step?
Admissions answers 24/7. One call starts your plan and checks your coverage.
Call (317) 527-4529 Getting care in Indianapolis
Close to home, insurance accepted.
Cocaine use is easy to hide behind a functioning life, right up until it isn't. If you're quietly worried about your own use here in Indianapolis, that worry is worth a phone call.
Cocaine treatment — supervised stabilization and residential care — is accepted through Indiana Medicaid — Anthem, CareSource, MHS, and Humana Healthy Horizons — plus most major insurance. Call and we'll verify your specific plan and your exact cost up front.
Level of care is determined by a clinical assessment. Jasper Grove provides medical detox and residential treatment, and is accredited by The Joint Commission.
Common questions
Cocaine detox, answered.
Is cocaine withdrawal dangerous?
Cocaine withdrawal usually isn't physically dangerous the way alcohol or opioid withdrawal can be. The real risk is emotional — the crash can bring severe depression and, for some people, thoughts of self-harm. That's why going through it in a supervised setting with mental-health support matters.
How long does the cocaine crash last?
The acute crash often lasts a few days, with low mood and cravings that can linger for a couple of weeks or more. It varies from person to person, and our team supports you through it and into treatment.
Is there a medication for cocaine addiction?
There's no FDA-approved medication-assisted treatment for stimulants like cocaine. Instead, we focus on a safe, stable setting, treating any depression or anxiety underneath, and therapy that addresses the triggers behind use.
Do you accept Indiana Medicaid for cocaine treatment?
We accept Indiana Medicaid and most major insurance for detox and residential care. Call and we'll verify your specific plan and your exact cost up front — before you commit to anything.
How long does cocaine withdrawal last?
The crash is heaviest in the first 24 hours. Depression, fatigue, vivid dreams, and cravings are most intense over days 2 to 7, then improve gradually across weeks 2 to 4. Episodic cravings and flattened mood can continue for months as the reward system recovers.
Is cocaine withdrawal dangerous?
It rarely causes the medical emergencies that alcohol or benzodiazepine withdrawal can. The risk is psychiatric — the depth of the depression during the first week, and the suicidal thinking that can accompany it. Cardiac effects from recent heavy use are also assessed at intake.
Is there a medication for cocaine addiction?
No medication is FDA-approved for cocaine use disorder. Treatment is behavioral — therapy, structure, and relapse prevention — with any co-occurring depression or anxiety treated directly.
What we treat
We help people detox from more than one thing.
Dealing with more than one substance is common — and we treat the whole picture. Explore the others we help with:
Take the next step
Detox that's safer with a team beside you.
Don't try to get through it alone. Admissions answers 24/7 — call and we'll help you start cocaine detox safely, and verify your coverage first.