Do I need detox for cocaine?

Usually not a medical one. Cocaine withdrawal isn't typically dangerous the way alcohol or benzodiazepine withdrawal can be, it's mainly exhaustion, low mood, and intense cravings. Most people start PHP or IOP directly. If you're also using alcohol, opioids, or benzos, we'll assess whether a medical detox with a trusted Maine partner makes sense first.

Is there a medication for cocaine addiction?

No FDA-approved medication exists for cocaine use disorder itself. That's why treatment centers on behavioral therapy, CBT and contingency-management approaches have the strongest evidence. We do treat co-occurring conditions like ADHD, depression, and anxiety with medication when appropriate, because those are often what keep the cycle going.

What's the difference between cocaine and crack treatment?

Clinically, very little, crack is cocaine in a smokable form, so it hits faster and the binge-crash cycle is tighter, but the treatment approach is the same. What matters more is your pattern of use, what you're using it for, and what else is in the mix.

I only use on weekends. Is that bad enough for treatment?

If weekends keep turning into Mondays, if the crash is costing you work or relationships, or if you've tried to stop and couldn't, that's a pattern worth treating. You don't need to be using daily to have a cocaine problem, and earlier treatment is easier treatment.

Does MaineCare cover cocaine addiction treatment?

In most cases, yes. MaineCare and nearly all commercial plans cover outpatient treatment for stimulant use disorder, including PHP, IOP, and therapy. We verify your benefits for free, in minutes, with no obligation.

Can I keep working while in treatment?

In IOP and outpatient, almost always, we run day and evening tracks specifically so people can keep working. PHP takes most of the day, so many clients use FMLA or short-term leave for that phase and return to work when they step down.

Where is your cocaine rehab located?

Our outpatient center is in Biddeford, Maine, about twenty minutes from downtown Portland and easily reached from Saco, Old Orchard Beach, Scarborough, South Portland, Kennebunk, and Sanford.

The Portland, Maine skyline at dusk from across Casco Bay

Cocaine Rehab · Biddeford & Portland, Maine

The crash doesn't have to be the bottom

Outpatient cocaine and crack cocaine treatment in Biddeford, twenty minutes from Portland. There's no pill for stimulant addiction, but the therapies with the strongest evidence behind them are exactly what we do: CBT, contingency-informed counseling, group work, and treatment for the anxiety, depression, and exhaustion underneath. MaineCare and most commercial plans accepted.

855-449-7674

No waitlist · MaineCare accepted · Answered 24/7

What the research says

Cocaine addiction is psychological, and that's treatable

Every figure below links to the peer-reviewed study or federal source it comes from. Research describes averages across large groups, not a promise about any one person's outcome.

1.3 million

About 1.3 million people in the United States had a cocaine use disorder in the past year, and cocaine-involved overdose deaths have risen sharply, largely due to cocaine mixed with fentanyl.

Source: SAMHSA, National Survey on Drug Use and Health (2023)

No FDA-approved medication

There is currently no FDA-approved medication for cocaine use disorder, which makes behavioral treatment, not a prescription, the core of recovery. The strongest evidence supports CBT and contingency management.

Source: National Institute on Drug Abuse (NIDA)

CBT works

Meta-analyses of randomized trials show cognitive behavioral therapy produces meaningful, durable reductions in cocaine and other drug use compared with minimal treatment, especially when combined with other supports.

Source: Magill et al., Journal of Consulting and Clinical Psychology (2019)

A growing threat in Maine

Cocaine is increasingly involved in Maine overdose deaths, almost always in combination with fentanyl. Stimulant users who also use opioids face the highest risk.

Source: Maine Drug Data Hub, Maine DHHS

Medically reviewed

Benjamin Crocker, MD

Psychiatrist · Clinical Assistant Professor of Psychiatry, Tufts University School of Medicine · MD, The Ohio State University · Residency & fellowship training at the University of Michigan and LAC+USC Medical Center

Last reviewed August 2026. Read our editorial standards & clinical review process

Accredited & Licensed

LegitScript Certified
Joint Commission Accredited
Maine DHHS Licensed
Psychology Today Verified

When partying becomes a pattern

Cocaine rewires motivation, willpower alone rarely undoes it

Unlike alcohol or opioids, cocaine withdrawal isn't usually medically dangerous, the danger is the crash: crushing depression, exhaustion, and cravings that pull people back within days. That cycle is exactly what treatment interrupts.

Weekend use that quietly spread into weeknights, workdays, or using alone.
A crash you can't function through, missing work, sleeping for days, dark moods.
Money problems: spending you hide, debt, or savings that disappeared.
Needing cocaine to feel normal, social, or confident, not just to party.
Mixing with alcohol every time, or using to come down from or get up from other drugs.
Promises to yourself, 'just weekends,' 'just this once more', that don't hold.

Fentanyl warning: cocaine in Maine is increasingly contaminated with fentanyl. If you use cocaine, carry naloxone (Narcan) and never use alone, and if you also use opioids, tell us so we can talk about medication that protects you.

One-on-one counseling session during cocaine addiction treatment in Maine

Starting treatment in Portland?

We'll check your benefits free in minutes, MaineCare and most major plans accepted.

Call 855-449-7674

Our cocaine program

Three levels of care, one clinical team

PHP

Partial hospitalization

Five days a week of structured therapy when the cycle needs a hard break, medical oversight, daily groups, and individual work, home every night.

Learn about PHP

IOP

Intensive outpatient

About three hours a day with day and evening tracks, so treatment fits around the job and family you're trying to hold onto.

Learn about IOP

Outpatient

Weekly therapy that carries you through the long middle of recovery, when motivation fades and real life tests the new skills.

How we treat cocaine addiction

CBT for stimulant use

Identify the triggers, thought loops, and rituals around using, payday, certain friends, certain bars, and build concrete plans that survive contact with them.

Contingency-informed counseling

The most effective approach studied for cocaine: treatment structured around immediate, meaningful reinforcement for progress. We build its principles into your plan.

Treating what's underneath

Cocaine is often self-medication for ADHD, depression, social anxiety, or trauma. Dual diagnosis care treats both at once, or the relapse cycle restarts.

Group therapy

Stimulant addiction is isolating and shame-heavy. Groups with people from the same Maine communities break that isolation faster than anything else we offer.

Sleep, mood & energy repair

The post-cocaine brain is depleted. We help you rebuild sleep, nutrition, and natural reward, the unglamorous work that makes sobriety feel worth it.

Medication for co-occurring conditions

No pill treats cocaine itself, but treating ADHD, depression, anxiety, or alcohol use alongside it removes the reasons the cycle restarts.

Our Spaces

Beautiful spaces built for comfort, community, and healing

Where you recover matters. Every room at Portland Treatment was designed to feel calm, open, and human, so you can focus on the work of getting well.

A Welcoming Front Door
The first room you walk into sets the tone. Warm light, real people, and a team that knows your name before you sit down.

Real People at the Front Desk
A friendly face, a calm lobby, and a team ready to help you take the first step without judgment.

Space to Reconnect
Our yoga therapy space is prepared with mats, bolsters, blocks, and room to practice mindful movement at your own pace.

Room to Breathe
Open, bright waiting areas designed to feel like a place you'd actually want to spend time, not a clinic hallway.

One-on-One Support
Private offices where honest conversations happen between clients and clinicians, safe, confidential, and focused on you.

Spaces Made for Connection
Comfortable group lounges where honest conversation happens and community starts to take hold.

Recovery Beyond the Session
Our community room hosts everything from movie nights to ping-pong tournaments, because healing needs joy, too.

Group therapy session for cocaine addiction recovery in Biddeford, Maine

Cocaine rehab near you

Quitting is a night. Staying quit is a community.

Most people can white-knuckle a few days off cocaine. What's hard is the third Friday night, the wedding, the text from an old friend. Recovery that lasts is built where you actually live, with people who understand the same bars, the same jobs, the same winters.

Our center is in Biddeford, roughly twenty minutes down I-95 from downtown Portland, five minutes from Saco, and an easy drive from Old Orchard Beach, Scarborough, South Portland, Westbrook, Kennebunk, Arundel, and Sanford. Day and evening IOP tracks mean you don't have to disappear from your life to save it.

Call 855-449-7674 Areas we serve

Insurance

In-network with almost every plan.

Portland Treatment is in-network with Anthem, UMR/UnitedHealthcare, Aetna, Harvard Pilgrim, Martin's Point, TRICARE and MaineCare, Cigna is our only out-of-network plan. In-network means contracted rates, lower coinsurance and no balance bill. We verify your benefits free, in minutes, with no obligation.

Free, confidential, no obligation

Or read the coverage guide for your plan, Anthem rehab coverage, Cigna rehab coverage, MaineCare rehab coverage and other accepted insurance plans.

Cocaine treatment questions

Do I need detox for cocaine?: Usually not a medical one. Cocaine withdrawal isn't typically dangerous the way alcohol or benzodiazepine withdrawal can be, it's mainly exhaustion, low mood, and intense cravings. Most people start PHP or IOP directly. If you're also using alcohol, opioids, or benzos, we'll assess whether a medical detox with a trusted Maine partner makes sense first.
Is there a medication for cocaine addiction?: No FDA-approved medication exists for cocaine use disorder itself. That's why treatment centers on behavioral therapy, CBT and contingency-management approaches have the strongest evidence. We do treat co-occurring conditions like ADHD, depression, and anxiety with medication when appropriate, because those are often what keep the cycle going.
What's the difference between cocaine and crack treatment?: Clinically, very little, crack is cocaine in a smokable form, so it hits faster and the binge-crash cycle is tighter, but the treatment approach is the same. What matters more is your pattern of use, what you're using it for, and what else is in the mix.
I only use on weekends. Is that bad enough for treatment?: If weekends keep turning into Mondays, if the crash is costing you work or relationships, or if you've tried to stop and couldn't, that's a pattern worth treating. You don't need to be using daily to have a cocaine problem, and earlier treatment is easier treatment.
Does MaineCare cover cocaine addiction treatment?: In most cases, yes. MaineCare and nearly all commercial plans cover outpatient treatment for stimulant use disorder, including PHP, IOP, and therapy. We verify your benefits for free, in minutes, with no obligation.
Can I keep working while in treatment?: In IOP and outpatient, almost always, we run day and evening tracks specifically so people can keep working. PHP takes most of the day, so many clients use FMLA or short-term leave for that phase and return to work when they step down.
Where is your cocaine rehab located?: Our outpatient center is in Biddeford, Maine, about twenty minutes from downtown Portland and easily reached from Saco, Old Orchard Beach, Scarborough, South Portland, Kennebunk, and Sanford.

Sources & references

This page is educational and is not medical advice. Research findings describe group averages; individual results vary. If you use cocaine, be aware it may contain fentanyl, carry naloxone and never use alone. If you are in crisis, call or text 988, or dial 911 for an emergency.

Keep exploring

Related care at Portland Treatment

Other conditions we treat

Alcohol rehab in Biddeford and Portland
Outpatient alcohol treatment with detox coordination.
Opioid addiction treatment
Therapy, groups and MAT coordination for opioid use.
Fentanyl rehab in Maine
What fentanyl and xylazine change about treatment here.
Benzodiazepine addiction treatment
Safe tapers, medical oversight and outpatient support.

Programs that treat it

Partial hospitalization program (PHP) in Biddeford
Our most structured day treatment, five days a week, home each night.
Intensive outpatient program (IOP) in Southern Maine
Nine-plus clinical hours a week with day and evening tracks.
Outpatient program (OP) for ongoing recovery
One to two sessions a week that fit around work and family.
MAT coordination with local prescribers
We partner with local Suboxone, methadone and Vivitrol prescribers.

Serving Southern Maine

Addiction treatment for Portland, Maine
A 20-minute drive down I-95 from the Portland peninsula.
Addiction treatment in Biddeford, Maine
Our home clinic, in the mill district off Route 111.
Addiction treatment for Saco, Maine
Minutes across the river from our Biddeford clinic.
All Southern Maine areas we serve
Every city and town within driving distance of Biddeford.

The crash always ends the same way.
The next call can end differently.