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
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 the window when depression and suicidal thoughts are most likely. Nurses screen for acute safety concerns around the clock.
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 the window when suicidal thoughts are most likely — staff screen for acute safety concerns throughout. If you're thinking about suicide or self-harm, call or text 988. If you're in immediate danger, call 911.
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 stable, substance-free setting with round-the-clock support through the crash. Stimulant withdrawal can include severe depression or suicidal thoughts. Nurses monitor mood and safety around the clock through the crash, and qualified medical providers are involved whenever a patient's safety calls for it.
Learn moreMental-health care
Cocaine use and depression, anxiety, or trauma symptoms often travel together and can each worsen the other. Both are addressed together — 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 commercial 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 psychiatric — the crash can bring severe depression and, for some people, suicidal thoughts. If you're thinking about suicide or self-harm, call or text 988. If you're in immediate danger, call 911. That's why going through it somewhere with round-the-clock nursing support matters. Nurses screen for acute safety concerns around the clock, and qualified medical providers are involved whenever a patient's safety calls for it.
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 stable, substance-free setting, addressing any co-occurring depression or anxiety that interacts with the substance use, and therapy that addresses the triggers around use.
Do you accept Indiana Medicaid for cocaine treatment?
We accept Indiana Medicaid and commercial 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 thoughts that can accompany it. Cardiac effects from recent heavy use are also assessed at intake. Nurses screen for acute safety concerns around the clock, and qualified medical providers are involved whenever a patient's safety calls for it.
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.