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★★★★★ 5.0 Stars — [X Reviews]

Cocaine Addiction Treatment in Salem, NH

Evidence-based cocaine addiction treatment through our PHP and IOP programs. Individualized care from licensed clinicians in a supportive, family-style environment.

Recognize the Signs

Signs & Symptoms of Cocaine Use Disorder

Cocaine use disorder ranges from mild to severe. Select a severity level to learn more about the warning signs.

Early Warning Signs

  • Using more cocaine than intended or for longer periods
  • Failed attempts to cut down or stop using cocaine
  • Spending excessive time and money obtaining, using, or recovering from cocaine
  • Strong cravings or urges to use cocaine between episodes

Escalating Patterns

  • Intense cravings that dominate thoughts and decision-making
  • Neglecting responsibilities at work, school, or home due to cocaine use
  • Continued use despite relationship and social problems caused by cocaine
  • Financial difficulties from spending on cocaine
  • Nasal damage, frequent nosebleeds, or loss of smell (if snorting)

Critical Indicators

  • Paranoia, severe anxiety, and agitation during or after use
  • Cardiac issues — chest pain, irregular heartbeat, elevated blood pressure
  • Significant weight loss and chronic insomnia
  • Intense euphoria followed by severe emotional crashes and depression
  • Psychosis in extreme cases — hallucinations, delusions, erratic behavior

If you or a loved one is experiencing any of these signs, we can help.

Call (857) 312-1697

Start Cocaine Addiction Treatment Today

Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.

Treatment Programs for Cocaine Addiction

Programs That Treat Cocaine Use Disorder

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Highest Level of Care

Partial Hospitalization (PHP)

Mon–Fri, 9:00 AM – 3:30 PM · 20–30 Days

Structured daily programming with group therapy, individual sessions, and NP evaluation within 24 hours. Our most intensive outpatient level.

Learn About PHP →
📚
Flexible Scheduling

Intensive Outpatient (IOP)

Morning, Afternoon, or Evening · 60–90 Days

Step-down from PHP with flexible scheduling. Choose 9 AM, 12:30 PM, or 6 PM sessions. Weekly individual therapy included.

Learn About IOP →
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For Working Professionals

Evening Professional Track

Mon–Thu, 6:00 PM – 9:00 PM

IOP-level intensity during evening hours. Designed for adults who need treatment without disrupting their career.

Evening Track Details →
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Ongoing Maintenance

Outpatient Program (OP)

Once Per Week

Ongoing support after completing PHP or IOP. Individual therapy and one group session weekly with your assigned clinician.

Learn About OP →
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Virtual & Hybrid Options

Telehealth

All Program Levels Available

All program levels available virtually. Participate from home or mix in-person and virtual sessions to fit your life.

Telehealth Options →
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Medication Support

Supportive Medications

Managed by On-Site Nurse Practitioner

While no FDA-approved medications exist specifically for cocaine addiction, our on-site NP prescribes supportive medications for withdrawal symptoms including antidepressants and anti-anxiety medications to ease the recovery process.

Learn More →
JCAHO ACCREDITED
CARF ACCREDITED
NH & MA LICENSED
IN-NETWORK PROVIDER
What Clients Say

Client Experiences with Cocaine Treatment

★★★★★ 5.0 Rating on Google — [X Reviews]
★★★★★
“The staff genuinely cares about your recovery. My counselor understood addiction firsthand and helped me build real coping skills for cocaine cravings and triggers.”
[Client Name]
[Review Date]
★★★★★
“The evening program let me keep working while getting the help I needed. Flexible scheduling made all the difference in my recovery journey.”
[Client Name]
[Review Date]
★★★★★
“From my first call to starting PHP, everything happened within 48 hours. They made the admissions process seamless and actually cared about getting me help fast.”
[Client Name]
[Review Date]
Why Trailhead for Cocaine Treatment

11 Advantages of Our Cocaine Addiction Program

01

Specialized Cocaine Programming

Evidence-based therapies specifically designed for cocaine use disorder, including CBT, DBT, and targeted relapse prevention strategies for stimulant addiction.

02

On-Site NP Within 24 Hours

Nurse Practitioner evaluation and supportive medication management within 24 hours of PHP admission. Antidepressants and anti-anxiety medications available as needed.

03

DBT & CBT Skills Groups

Structured group therapy targeting cocaine-specific triggers, cravings, and unhealthy thought patterns driving stimulant-seeking behavior.

04

Flexible Scheduling

Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.

05

12:1 Counselor-to-Client Ratio

Small caseloads mean your clinician has time for personalized treatment planning and individualized attention.

06

Weekly Individual Therapy

One-on-one therapy with your assigned clinician every week, regardless of program level. Collaborative goal setting from day one.

07

Supportive Medication Management

While no FDA-approved medications exist for cocaine specifically, our NP prescribes supportive medications for depression, anxiety, and sleep issues common in cocaine recovery.

08

Family Therapy & Education

Individual family sessions plus monthly Zoom education groups covering codependency and family systems.

09

Holistic Approaches

Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy and hiking.

10

Case Management Support

Dedicated case manager for life skills, employment support, housing referrals, and aftercare coordination.

11

Same-Day or Next-Day Admissions

Start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities available.

Your Recovery Journey

Cocaine Recovery Timeline

Every recovery is unique, but here is a general framework for what to expect during cocaine addiction treatment at Trailhead.

Weeks 1–2

Crash Period & Assessment

  • Comprehensive clinical assessment
  • NP evaluation within 24 hours
  • Supportive medication for depression and anxiety
  • Psychological crash management (no physical detox needed)
  • Begin individual and group therapy
1
2
Weeks 3–4

Active CBT & Therapy

  • Active CBT targeting cocaine-specific triggers
  • Weekly individual therapy sessions
  • Psychoeducation on stimulant addiction and the brain
  • Identifying and managing high-risk situations
  • Developing healthy coping mechanisms
Weeks 5–8

Step-Down & Relapse Prevention

  • Transition from PHP to IOP
  • Cocaine-specific relapse prevention strategies
  • Family therapy sessions
  • Building a sober social network
  • Real-life skill application and practice
3
4
Weeks 9–12+

Outpatient & Ongoing Support

  • OP or continued IOP sessions
  • Alumni program enrollment
  • Ongoing support for cocaine-specific challenges
  • Continued family support groups
  • Long-term recovery and accountability planning

Start Cocaine Addiction Treatment Today

Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.

Your Treatment Team

Meet the People Behind Your Recovery

Our staff combines professional credentials with lived recovery experience — they understand addiction from both sides.

[STAFF PHOTO]

[Clinical Director]

Clinical Director, LCMHC, CCTP

Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for cocaine and substance use disorders.

[STAFF PHOTO]

[Lead Therapist]

Lead Therapist, LADC

Master’s-level clinician with 10+ years treating substance use disorders including cocaine addiction. Leads group therapy and individual counseling sessions.

[STAFF PHOTO]

[Nurse Practitioner]

Nurse Practitioner

Manages supportive medications including antidepressants and anti-anxiety medications for cocaine withdrawal symptoms. Evaluates all PHP clients within 24 hours of admission.

[STAFF PHOTO]

[Case Manager]

Case Manager

5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning.

Our Salem, NH Facility

Where Healing Happens

A comfortable, home-like environment designed to support your recovery journey.

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Group Therapy Rooms

Multiple dedicated spaces for group sessions, each designed for a different therapeutic modality.

[Photo: Meditation Room]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness practice.

[Photo: Serenity Room]

Serenity Room

Calm decompression space when you need a quiet moment.

[Photo: Game Room]

Game Room

Ping pong, foosball, and Xbox for fellowship and sober fun.

[Photo: Outdoor Area]

Outdoor Area

Fresh air, walks, and social space between sessions.

[Photo: Dining Area]

Dining Area

Lunch provided for PHP clients, snacks and coffee for all.

4:1
Staff-to-Client Ratio
12:1
Counselor Caseload
24-48h
Admission Timeline
~70
Client Capacity
The Reality in New Hampshire

Cocaine Use in New Hampshire

Cocaine-related overdose deaths in New Hampshire have increased significantly in recent years. A major driver of this trend is that cocaine is frequently mixed with fentanyl — often without the user’s knowledge — increasing overdose risk dramatically.

Approximately 15% of substance use treatment admissions in New Hampshire involve cocaine as a primary or secondary substance. The drug’s highly addictive nature and the psychological grip it creates make professional treatment essential for lasting recovery.

These aren’t just statistics — they represent families in Salem, Derry, Nashua, Manchester, and across the region who need access to compassionate, evidence-based cocaine addiction treatment.

Sources: NH DHHS, DEA New England Division, SAMHSA NSDUH 2022–2023
Insurance We Accept

Insurance Coverage for Cocaine Treatment

We accept most major insurance plans. Verify your coverage in minutes.

Verify Your Insurance Coverage

Fill out the form below and our admissions team will verify your benefits within minutes. Most clients start treatment within 24–48 hours.

Your information is secure and confidential. We’ll never share your data.

Don’t Wait — Recovery Starts Now

Our admissions team is available to help you take the first step today.

For Family Members

How to Help a Loved One with Cocaine Addiction

Educate Yourself First

Understand that cocaine addiction is a medical condition, not a moral failing. Cocaine hijacks the brain’s reward system, creating powerful psychological dependence. The addiction is primarily psychological rather than physical, but that doesn’t make it any less real or difficult to overcome.

Watch for Financial and Behavioral Red Flags

Cocaine addiction often manifests through unexplained financial problems, secretive behavior, sudden mood swings between euphoria and severe depression, paranoia, and erratic sleep patterns. You may notice weight loss, frequent nosebleeds, or agitation.

Set Boundaries with Compassion

Communicate clear limits: “I love you, and I won’t participate in behaviors that support your addiction.” Follow through consistently. Cocaine users may become manipulative when seeking the drug. Boundaries protect your wellbeing and can motivate change.

Have the Conversation

Choose a time when they’re not high or in a crash period. Use “I” statements: “I’m worried about you” rather than “You have a problem.” Be aware that paranoia is common with cocaine use — approach with calm, non-threatening concern.

Take Care of Yourself

Your mental health matters too. Consider therapy for yourself, join a support group like Nar-Anon, and maintain your own routines. You can’t pour from an empty cup.

Family Support at Trailhead

Our family support program is open to all family members 18+, past and present clients. We offer individual family therapy sessions and monthly Zoom education groups covering codependency, family systems, and substance use education.

Call for Family Support
When a Loved One Won’t Seek Help

What If They Refuse Treatment?

It’s common for people struggling with cocaine addiction to resist treatment. The psychological nature of cocaine dependence can make denial especially strong — but recovery is still possible with the right approach.

A structured, guided intervention led by a professional can break through denial and help your loved one see the impact of their cocaine use on themselves and the people they care about. Interventionists are trained in compassionate, non-confrontational approaches that work even with paranoid or defensive individuals.
Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change — helping them arrive at the decision to seek help on their own terms.
Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific about what you will and won’t accept, and maintain those limits consistently.
People move through precontemplation, contemplation, preparation, action, and maintenance. Meeting them where they are is more effective than pushing. Recognizing which stage they’re in helps you respond appropriately.
If there’s immediate danger — suicidal thoughts, severe withdrawal symptoms, or risk of harm — call 911 or the 988 Suicide & Crisis Lifeline. Our admissions team can also guide you through next steps and discuss intervention options.

Monthly Family Education Groups

Our family support program provides education and community for anyone affected by a loved one’s cocaine addiction.

💻 Monthly via Zoom
👥 Open to Family 18+
📚 Set Curriculum
🤝 Past & Present Clients

Topics include codependency, family systems, substance use education, and building a recovery-supportive home.

Call for Family Support
Service Area

Cocaine Addiction Treatment in Salem, NH & Beyond

We provide cocaine addiction treatment for clients throughout Salem, NH and the surrounding region. Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire, serving adults throughout greater New Hampshire and northern Massachusetts.

⚲ 103 Stiles Rd, Suites 1 & 2, Salem, NH 03079

Conveniently accessible via I-93 and Route 28, with clients commuting from:

Salem Derry (~15 min) Nashua (~25 min) Manchester (~35 min) Concord (~55 min) Lowell, MA (~20 min) Boston, MA (~45 min) Northern MA

Dually licensed in New Hampshire and Massachusetts — serving clients from both states.

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Frequently Asked Questions

Cocaine Addiction Treatment FAQ

Cocaine addiction is primarily psychological, but that doesn’t make it less serious. Cocaine floods the brain with dopamine, creating intense cravings and a powerful compulsion to use. While there’s no dangerous physical withdrawal like with alcohol or opioids, the psychological crash — severe depression, fatigue, and anxiety — requires professional support to manage safely.
There are currently no FDA-approved medications specifically for cocaine addiction (unlike alcohol or opioids). However, our on-site Nurse Practitioner prescribes supportive medications to manage withdrawal symptoms such as depression, anxiety, and insomnia. Behavioral therapy — especially CBT — is the gold standard for cocaine treatment.
Crack and powder cocaine are the same drug in different forms. Crack is smoked and produces a faster, more intense high, which can accelerate addiction. Treatment approaches are the same for both — CBT, relapse prevention, and behavioral therapies. At Trailhead, we treat both forms with individualized care plans.
PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Because cocaine addiction is heavily psychological, longer treatment engagement tends to produce better outcomes. Most clients benefit from a full step-down approach.
Absolutely. Our Evening Professional Track (6–9 PM, Mon-Thu) is designed for working adults. We also offer afternoon IOP and telehealth options with flexible daily scheduling so you can maintain your career while getting the help you need.
Most major plans cover cocaine addiction treatment. We’re in-network with Anthem BCBS, Point 32 Health, Tricare, Uprise Health, and WellSense. Our team verifies your benefits in minutes — use the form above or call us directly.
Yes. Cocaine addiction impacts the entire family. We offer individual family therapy sessions plus monthly Zoom education groups covering codependency, family systems, and substance use education. Open to any family member 18+, past and present clients.
Absolutely. Cocaine addiction frequently co-occurs with depression, anxiety, ADHD, and PTSD. Our clinical team provides integrated dual-diagnosis treatment, addressing both the addiction and any underlying mental health conditions simultaneously for the best outcomes.
Unlike alcohol or opioids, cocaine typically does not require medical detox. You can begin treatment at Trailhead directly. The initial “crash period” (fatigue, depression, increased appetite) is managed through supportive medications and therapy during your first weeks in PHP.
Family-style environment, CBT-focused programming tailored to stimulant addiction, flexible scheduling, staff with both professional credentials and lived recovery experience, 12:1 counselor caseloads, and same-day admission when clinically appropriate. We understand the unique challenges of cocaine recovery.

Begin Your Recovery Journey Today

Your recovery begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697