Stimulants · ICD-10 F14.10

Cocaine Addiction in Louisville, KY

Name: Golden Grove Recovery
Address: 4418 Malcolm Ave, Louisville, KY, 40211, US
Telephone: (502) 610-4829
Price range: $$

Cocaine is a powerful stimulant that produces an intense, short dopamine surge — followed by a steep crash that drives compulsive re-dosing.

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Overview

What cocaine addiction looks like.

Cocaine is a powerful stimulant that produces an intense, short dopamine surge — followed by a steep crash that drives compulsive re-dosing. Cocaine and crack cocaine carry significant cardiac, neurological, and psychiatric risk, and Kentucky has seen a recent rise in cocaine deaths linked to fentanyl contamination. There are no FDA-approved medications for cocaine addiction, so evidence-based behavioral treatment — particularly contingency management and CBT — is the clinical standard of care.

Also known as: cocaine, crack, crack cocaine, coke, blow.

Signs of use

What patients and families actually notice.

Binge-and-crash use patterns lasting hours to days
Dilated pupils, restlessness, rapid speech, hyperactivity
Nasal damage, frequent nosebleeds, or persistent runny nose (insufflated use)
Burns on lips or hands, respiratory issues (crack use)
Unexplained weight loss and disrupted eating patterns
Severe mood crashes — depression, irritability, paranoia between uses
Financial strain from rapid consumption
Continued use despite escalating medical, legal, or relationship consequences

Withdrawal timeline

What withdrawal tends to look like.

Every person's experience varies. The windows below describe typical clinical patterns — your care team adjusts the plan based on how you respond.

First 24 hours

— Crash: exhaustion
— hypersomnia
— increased appetite
— severe dysphoria

Days 2–7

— Intense cravings
— depressed mood
— anhedonia
— anxiety
— sleep disturbance

Weeks 2–4

— Cravings remain strong
— mood and energy gradually improve
— cognitive function clearing

Weeks 4–12+

— Post-acute window: episodic cravings, mood lability, and anhedonia — high relapse-risk period

Treatment approach

How we treat cocaine addiction.

Medically monitored stabilization

Cocaine withdrawal is rarely life-threatening, but medical and psychiatric monitoring is important — particularly for patients with cardiac issues, severe depression, or co-occurring polysubstance use.

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Residential treatment

Structured residential care provides protected time during the acute post-use psychiatric window, when cravings and mood crashes are most severe.

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Contingency management

Contingency management (CM) has the strongest evidence base for stimulant use disorder. CM uses tangible rewards for verified abstinence and is integrated into our behavioral programming.

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Cognitive Behavioral Therapy

CBT helps patients identify and rework the triggers and thought patterns that drive use, and builds practical relapse-prevention skills for the long post-acute window.

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Integrated mental health care

Cocaine use commonly co-occurs with depression, anxiety, and ADHD. Integrated psychiatric care addresses the conditions that drive use, not just the use itself.

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In Kentucky

The local picture.

Kentucky has seen a significant rise in cocaine-related deaths over the past several years — much of it driven by fentanyl contamination of the cocaine supply, which sharply raises overdose risk for users who are not opioid-tolerant. Louisville's cocaine demand crosses demographic lines and Kentucky Medicaid covers the clinical continuum of treatment.

Kentucky Medicaid coverage

Cocaine Addiction is typically covered.

Kentucky Medicaid plans typically cover residential, PHP, IOP, and outpatient SUD services for cocaine and crack use disorder. There are no FDA-approved medications specifically for cocaine addiction, but behavioral treatment and integrated psychiatric care for co-occurring conditions are typically covered.

Coverage is determined by medical necessity using ASAM criteria. Our admissions team verifies your specific plan during your first call.

Frequently asked

Questions we hear most often.

Is cocaine withdrawal dangerous?

Cocaine withdrawal is usually not directly life-threatening, but it produces severe depression, anhedonia, and suicidal ideation in some patients. Medical and psychiatric monitoring during the crash window is strongly recommended, particularly for patients with cardiac risk or co-occurring depression.

Is there a medication for cocaine addiction?

No medication is FDA-approved for stimulant use disorder. Evidence-based behavioral treatments — particularly contingency management and CBT — are the standard of care, along with treatment of any co-occurring psychiatric conditions.

How long does cocaine treatment take?

Duration is individualized — based on severity, medical necessity, and clinical progress. Call admissions to talk through what's likely for your specific situation.

Does Kentucky Medicaid cover cocaine rehab?

Kentucky Medicaid plans typically cover residential, PHP, IOP, and outpatient SUD services for cocaine use disorder based on medical-necessity determinations.

Other substances we treat

The full treatment scope.

Adderall Misuse and Stimulant Use Disorder

Alcohol Use Disorder

Benzodiazepine Addiction

Fentanyl Addiction

Heroin Addiction

Methamphetamine Addiction

Opioid Use Disorder

Take the next step

Discuss cocaine addiction with our admissions team.

24/7 admissions. Insurance verification in minutes. Most KY Medicaid plans accepted. No judgment, no pressure, no obligation.

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