Stephen J. Schueler, M.D.

Overview Incidence Symptoms Treatment behavior therapy Warning Signs Outlook Complications long term with alcohol with pregnancy Underlying Cause

Cocaine Abuse Treatment

Initial therapy for cocaine abuse involves cocaine withdrawal treatment, which may require a drug detoxification center or admission to a hospital. After treatment for cocaine withdrawal, a person usually requires medications that help reduce anxiety and agitation. Successful long-term treatment for cocaine abuse requires the strict avoidance of cocaine. In order to maintain abstinence from cocaine, most benefit greatly from life-long participation in addiction support groups and psychological counseling.

Treatment for cocaine abuse may include:

Cocaine Abuse Behavior Therapy

There are two main types of behavioral therapy that may be used to treat cocaine abuse:

Contingency Management:
Contingency management uses a voucher-based system to give positive rewards for staying in treatment and remaining cocaine free. Based on drug-free urine tests, the patients earn points, which can be exchanged for items that encourage healthy living, such as joining a gym, or going to a movie and dinner.

Cognitive Behavioral Therapy:
Cognitive behavioral therapy is a short-term, focused approach to helping cocaine-addicted individuals to stop using the drug. The underlying assumption is that learning processes play an important role in the development and continuation of cocaine abuse and dependence. These same learning processes can be employed to help an addicted individual reduce drug use. This approach attempts to help patients to recognize, avoid, and cope with the situations that are most likely to trigger cocaine use. Cognitive behavioral therapy helps patients to avoid these situations when appropriate, and cope more effectively with a range of problems and problematic behaviors often associated with drug abuse.

Continue to Cocaine Abuse Warning Signs

Last Updated: Jun 3, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Cocaine Abuse References
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  2. Rounsaville BJ. Treatment of cocaine dependence and depression. Biol Psychiatry. 2004 Nov 15;56(10):803-9. [15556126]
  3. Sofuoglu M, Kosten TR. Novel approaches to the treatment of cocaine addiction. CNS Drugs. 2005;19(1):13-25. [15651902]
  4. Velasquez EM, Anand RC, Newman WP 3rd, Richard SS, Glancy DL. Cardiovascular complications associated with cocaine use. J La State Med Soc. 2004 Nov-Dec;156(6):302-10. [15688670]
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