Still Detox provides medically supervised cocaine addiction treatment and crack cocaine rehab for adults in Boca Raton, Florida. Our board-certified Medical Director, 24/7 nursing team, and licensed clinical staff manage cocaine stabilization and the psychological complexity of cocaine use disorder — including severe depression, suicidal ideation, and dual diagnosis — in a private, 14-bed setting adjacent to Boca Regional Hospital. Call now for a confidential, same-day assessment.
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Verified by Psychology TodayCocaine addiction is classified by the DSM-5 as stimulant use disorder — cocaine type — a chronic neurological condition defined by compulsive cocaine or crack cocaine use despite significant harm to health, relationships, and daily functioning. Cocaine is a powerful central nervous system stimulant derived from the leaves of the South American coca plant. It acts primarily by blocking the reuptake of dopamine, serotonin, and norepinephrine at synaptic terminals, producing a rapid, intense elevation in dopamine signaling that the brain cannot replicate through natural reward pathways once dependence has developed.
Cocaine use disorder shares the same DSM-5 diagnostic framework as prescription amphetamine addiction and methamphetamine addiction but is clinically distinct in its pharmacology, use patterns, and withdrawal profile. Crack cocaine — the free-base form smoked rather than snorted — bypasses first-pass metabolism and reaches the brain within seconds, producing a more intense, shorter-duration high that drives more compulsive use. Per a 2025 study in the Journal of Addiction Medicine, crack cocaine use is associated with significantly higher DSM-5 disorder severity and more prevalent cravings than powder cocaine use.
Cocaine addiction is a neurological condition, not a failure of motivation. Chronic cocaine use structurally alters the brain's dopamine reward circuitry — reducing dopamine receptor density, blunting the brain's ability to experience natural reward, and creating a neurochemical deficit that persists long after the last use. The result is a brain that is clinically incapable of generating normal levels of motivation, pleasure, or emotional stability without cocaine.
Unlike alcohol or benzodiazepine withdrawal, cocaine withdrawal does not carry a risk of seizures or life-threatening cardiovascular collapse during cessation. Clients can be admitted directly into monitored stabilization and residential care without a medical taper. However, the psychological withdrawal — severe depression, anhedonia, suicidal ideation in heavy users, and overwhelming cravings — makes unsupported cessation clinically dangerous and drives very high relapse rates in the first hours and days without inpatient structure.
The greatest risk of stopping cocaine without support is not the withdrawal itself but the relapse that follows it. The neurochemical crash after stopping produces a state of dysphoria that makes every instinct point back toward use. Clinical supervision, residential structure, and dual diagnosis treatment are the evidence-based response to that neurological reality.
Cocaine use disorder requires a clinical environment that understands the neuroscience of stimulant addiction and the psychiatric complexity — depression, anxiety, trauma — that almost always accompanies it.
Our Medical Director, board-certified in addiction medicine, evaluates every client within 24 hours of admission. The cocaine crash and psychological withdrawal are monitored and managed with individualized comfort care throughout the stabilization period.
Located on the University Hospital campus, adjacent to Boca Regional Hospital. Emergency cardiovascular services are immediately accessible for any client presenting with cocaine-related cardiac complications during or shortly after active use.
Cocaine use disorder co-occurs with depression, anxiety, PTSD, and bipolar disorder at high rates. Our clinical team evaluates and treats co-occurring conditions from the first clinical day — not after a separate referral at a separate facility.
Stabilization flows directly into inpatient residential treatment on the same campus. No facility transfer, no rebuilding rapport — the psychological work begins where the stabilization ends.
Every team member, from behavioral health techs through the Medical Director, is fluent in English and Spanish. Complete cocaine addiction treatment services are available in Spanish.
Unlike most treatment facilities, Still Detox fully accommodates legitimate service animals during cocaine addiction treatment. Dogs and cats are welcome. Recovery should not require leaving your companion behind.
People come to Still Detox at their most vulnerable. Here is what they say about the care, the staff, and the recovery they found on the other side of cocaine addiction.
Cocaine has a short half-life — plasma levels drop rapidly after the last use, and the neurochemical crash that follows is correspondingly fast and intense. Unlike alcohol or benzodiazepine withdrawal, cocaine withdrawal does not involve physiological seizures or life-threatening cardiovascular instability during cessation. The clinical danger lies in the psychological crash: severe depression, suicidal ideation in vulnerable individuals, anhedonia, and overwhelming cravings that peak in the first days and drive very high relapse rates in unsupported environments.
The timeline and severity of cocaine withdrawal depend on the duration and intensity of use, whether crack cocaine or powder cocaine was used (crack produces faster, more intense withdrawal), co-occurring psychiatric conditions, and the individual's baseline dopamine system function.
The cocaine crash begins within hours of the last use as dopamine levels fall sharply. Extreme fatigue, dysphoric mood, irritability, depression, increased appetite, and hypersomnia emerge. Many describe this as hitting a wall that makes it physically impossible to function. Crack cocaine produces a more intense crash within minutes of the last hit due to its faster brain penetration and shorter half-life.
Depression, anhedonia, strong cravings, cognitive fog, and mood instability reach peak intensity. In individuals with heavy long-term use or co-occurring mood disorders, suicidal ideation can emerge during this window and requires clinical monitoring. Sleep disturbances including vivid and unpleasant dreams are common. Cravings are most intense during this period and the primary driver of immediate relapse in unsupported individuals.
Acute physical symptoms resolve but psychological symptoms persist. Low motivation, emotional blunting, difficulty concentrating, anxiety, and intermittent cravings continue. The brain is in the early stages of dopamine system recalibration but remains far below normal baseline. Sleep gradually normalizes. Cravings can be triggered by environmental cues — people, places, objects — associated with cocaine use, a phenomenon driven by conditioned dopamine responses that can persist for months.
Post-acute withdrawal syndrome from cocaine can extend depression, anhedonia, low motivation, cognitive difficulty, and cue-triggered cravings for weeks to months. PAWS is most pronounced after heavy long-term crack cocaine use and is a significant driver of relapse without the ongoing clinical and therapeutic support that residential treatment provides during and after stabilization.
Knowing what to expect removes one of the biggest barriers to picking up the phone. Here is how cocaine addiction treatment at Still Detox works from first call through residential care.
Your admissions representative gathers your cocaine use history, co-occurring conditions, and current medications. Out-of-network PPO benefits are verified before you commit. Travel, childcare, and pet care are coordinated before your arrival.
A pre-admission call within three days of your arrival covers your full substance use history, psychiatric history, and any co-occurring depression, anxiety, trauma, or mood disorders — so the clinical team has a complete picture before day one.
A nurse and behavioral health tech meet you together for a structured intake: documents, informed consent, baseline vitals, and a urine toxicology screen. No medical taper is required — you are admitted directly into monitored stabilization care.
Within 24 hours, the Medical Director completes a full history and physical. Your comfort care plan, psychiatric evaluation, and dual diagnosis assessment are established based on your individual clinical presentation and cocaine use history.
Vital signs monitored regularly. Psychiatric monitoring for depression and suicidal ideation throughout the acute window. Comfort medications address insomnia, anxiety, and mood instability. Typical stabilization stay is 7 to 10 days before stepping down into residential care.
Around day 8, you step directly into residential treatment on the same campus with the same clinical team. The psychological and behavioral drivers of cocaine use disorder are addressed using evidence-based modalities without disruption or facility transfer.
The DSM-5 classifies cocaine addiction as stimulant use disorder — cocaine type — using 11 diagnostic criteria. A diagnosis requires 2 or more criteria in a 12-month period. Mild is 2 to 3; moderate is 4 to 5; severe is 6 or more. Crack cocaine use is associated with higher disorder severity and more prevalent cravings than powder cocaine, per 2025 NSDUH research.
Using cocaine in larger amounts or over longer periods than planned. Particularly characteristic of binge patterns, where cocaine is used repeatedly over hours or days until supply is exhausted — a use pattern driven by the drug's short duration of action and rapid return to dysphoria.
A persistent desire to reduce or stop cocaine use combined with repeated unsuccessful efforts. The neurochemical deficit that emerges between uses — the gap between dopamine depletion and natural recovery — makes self-sustained cessation neurologically very difficult without external structure.
Spending significant time obtaining, using, or recovering from cocaine. Binge use patterns with extended recovery periods can consume entire days, displacing work, relationships, and daily responsibilities in ways that escalate with disorder severity.
A strong and often sudden urge to use cocaine. Per the 2025 Journal of Addiction Medicine study, craving is the most prevalent DSM-5 symptom across cocaine users, with crack cocaine producing the highest craving prevalence. Cravings can be triggered by environmental cues — locations, people, objects, emotional states — associated with past use.
Cocaine use that interferes with work performance, family responsibilities, or academic obligations. Binge use followed by extended crash periods makes reliable functioning impossible for many individuals with moderate-to-severe cocaine use disorder.
Persisting with cocaine use despite ongoing conflict with family members or partners caused or worsened by the drug. Behavioral changes including erratic behavior, financial instability, dishonesty, and emotional unavailability are common relationship consequences of cocaine use disorder.
Giving up hobbies, social engagements, or valued pursuits in order to use cocaine. The progressive narrowing of life around cocaine use — with its cycles of intoxication, crash, and craving — is a clinical marker of advancing disorder severity.
Using cocaine while driving, combining it with alcohol (which forms cocaethylene, a cardiotoxic metabolite), mixing with opioids (speedballing), or using in contexts that carry physical risk. Cocaine-related cardiovascular events — heart attacks and strokes — occur even in young, otherwise healthy adults.
Persisting with cocaine use despite awareness of physical or psychological harm including cardiovascular damage, cocaine-induced psychosis, weight loss, nasal septum damage from snorting, or lung damage from crack cocaine smoking.
Requiring significantly larger amounts of cocaine to achieve the same high, or finding that the same amount produces a markedly diminished effect. Tolerance in cocaine use disorder is complicated by sensitization — repeated use can actually increase some responses such as paranoia — but diminished euphoric effect drives dose escalation in most users.
Experiencing the cocaine crash when stopping: severe fatigue, dysphoric mood, hypersomnia, depression, increased appetite, irritability, and intense cravings. Per the DSM-5, stimulant withdrawal includes dysphoric mood accompanied by fatigue, vivid dreams, psychomotor changes, and sleep disturbance. The presence of withdrawal symptoms confirms physical dependence.
Source: DSM-5 stimulant use disorder criteria — cocaine type. Any 2 or more in a 12-month period constitutes a diagnosis. Crack cocaine use is associated with higher severity and more prevalent cravings than powder cocaine.
Talk to Admissions ConfidentiallyThese are real before-and-after moments from people who completed treatment at Still Detox and built lasting sobriety. Each one reflects more than a physical change — it is a brain that learned to find reward, motivation, and peace without cocaine.
When cocaine is stopped, dopamine levels fall far below normal baseline. The resulting dysphoria — exhaustion, emptiness, and the absence of any natural pleasure — makes every neurological instinct point back toward use. Without residential structure that removes access and provides clinical support through this window, relapse in the first 24 to 72 hours is very common.
Cocaine use creates conditioned dopamine responses to people, places, objects, and emotional states associated with past use. These cue-triggered cravings can emerge weeks or months after the last use and are a primary driver of relapse long after acute withdrawal has resolved. Cognitive behavioral therapy and contingency management — core components of Still Detox's residential program — directly address cue reactivity.
Cocaine use disorder co-occurs with depression, anxiety, PTSD, and bipolar disorder at high rates. Stopping cocaine without treating the underlying condition means those symptoms return in full force — and cocaine, which temporarily relieves depression and anxiety, becomes the most immediate neurological solution available. Dual diagnosis treatment is not optional for this population.
Still Detox is an out-of-network provider for most insurance plans. Many clients with PPO plans that carry out-of-network benefits apply that coverage toward cocaine addiction treatment and residential care. Our admissions team verifies your specific benefits at no cost and with no obligation before admission.
We confirm what your plan covers, walk through any out-of-pocket responsibility, and explain flexible payment options including monthly payment plans and promissory arrangements. Cost should never be the reason someone does not receive treatment for cocaine addiction.
Don't see your plan? Call us. Our specialists work with many coverage scenarios and will give you an honest answer about what is covered.
The cocaine crash leaves the dopamine system depleted and the brain incapable of generating natural reward. Our facility is designed to provide the clinical structure, physical comfort, and natural dopamine-supporting activities the brain needs to begin its recovery.
Crack cocaine produces higher disorder severity, more prevalent cravings, and higher rates of psychological distress than powder cocaine, per 2025 NSDUH research. Still Detox has experience managing the faster, more intense withdrawal and higher craving burden associated with crack cocaine use disorder.
Cocaine is directly cardiotoxic — it causes coronary artery spasm, elevated heart rate and blood pressure, and increases the risk of myocardial infarction and stroke even in young and otherwise healthy adults. Clients presenting with cocaine-related cardiac history receive appropriate medical evaluation and monitoring during stabilization.
Cocaine is frequently combined with alcohol (forming the cardiotoxic metabolite cocaethylene), opioids (speedballing), or benzodiazepines. Still Detox has the clinical infrastructure to manage stabilization from cocaine alongside withdrawal from other substances under physician supervision.
Cocaine use disorder is a neurological condition with a clinical solution. Our team is on-site 24 hours a day, same-day assessments are available now, and a full continuum of residential care begins right where stabilization ends. The cocaine crash is the hardest part — let us manage it with you.
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