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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.

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Recognize the Signs

Signs & Symptoms of Cocaine Addiction

Cocaine addiction can develop rapidly due to the drug’s intense but short-lived effects. Recognizing the signs early is the first step toward getting help.

Early Signs In its initial stages, cocaine use disorder may appear as intense euphoria followed by a sharp crash, increased energy and talkativeness, decreased appetite, and using more cocaine than intended or for longer periods. You might notice dilated pupils, restlessness, or an inability to sleep despite exhaustion.

Progressing As cocaine use escalates, the warning signs intensify. Frequent nosebleeds, chronic runny nose, and nasal damage become common with snorted cocaine. Significant weight loss, financial problems, and borrowing or stealing money to fund use are red flags. Mood swings between extreme confidence and deep depression appear. Work performance declines and relationships suffer.

Severe At this stage, cocaine has rewired the brain’s reward system. Paranoia, anxiety, and even hallucinations can occur during binges. The crash cycle becomes debilitating — profound fatigue, depression, and intense cravings follow each use. Continued use despite serious health consequences including cardiovascular problems, seizures, and deteriorating mental health. The compulsion to use feels impossible to control.

If you or a loved one is experiencing any of these signs at any level, help is available. Cocaine addiction is treatable, and recovery begins with a single step.

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

Scroll to explore each level of care. Click to learn more about any program.

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Mon–Fri, 9am–3:30pm

Partial Hospitalization (PHP)

Our most intensive level of care. Full-day structured programming with group therapy, individual sessions, psychiatric support, and daily lunch.

PHP Details →
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Morning, Afternoon, or Evening

Intensive Outpatient (IOP)

Step-down from PHP. 3.5-hour sessions with flexible scheduling — morning, afternoon, or evening tracks to fit your life and responsibilities.

IOP Details →
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Mon–Thu, 6pm–9pm

Evening Professional Track

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

Evening Track →
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Once Per Week

Outpatient (OP)

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

OP Details →
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All Levels Available

Telehealth

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

Telehealth →
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Supportive Medications

Medication Support

On-site Nurse Practitioner manages supportive medications for cocaine recovery — including mood stabilizers, sleep aids, and anti-anxiety medications to ease withdrawal and cravings.

Learn More →
JCAHO Accreditation
Pending
Dual NH & MA
Licensed
4:1 Staff Ratio
In-Network Provider
What Our Clients Say
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“[Client testimonial placeholder — The team helped me understand why I kept going back to cocaine. The CBT skills I learned gave me real tools to manage cravings and rebuild my life.]”

[Client Name] • Cocaine Treatment Graduate
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“[Client testimonial placeholder — The evening program let me keep working while getting the help I needed. I never thought I could beat cocaine, but the support here changed everything.]”

[Client Name] • Evening Track Graduate
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“[Client testimonial placeholder — From my first call to starting PHP, everything happened within 48 hours. The admissions process was seamless and compassionate.]”

[Client Name] • PHP Graduate
Why Trailhead for Cocaine Treatment

11 Advantages of Our Cocaine Addiction Program

Evidence-based therapies specifically designed for stimulant use disorders, including CBT, DBT, contingency management, and targeted relapse prevention strategies that address the unique crash-and-craving cycle of cocaine addiction.
Nurse Practitioner evaluation and medication management within 24 hours of PHP admission. Supportive medications including mood stabilizers, sleep aids, and anti-anxiety medications to ease withdrawal symptoms.
Structured group therapy targeting cocaine-specific triggers, the euphoria-crash cycle, and unhealthy thought patterns driving stimulant use. Daily skills practice, not just lectures.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments. No rigid one-size-fits-all schedule.
Small caseloads mean your clinician has time for personalized treatment planning and individualized attention. You’re not just a number here.
One-on-one therapy with your assigned clinician every week, regardless of program level. Collaborative goal setting and coordinated care from day one.
While no FDA-approved MAT exists for cocaine, our NP prescribes supportive medications to manage depression, anxiety, sleep disruption, and cravings commonly associated with cocaine withdrawal and early recovery.
Individual family therapy sessions plus monthly Zoom education groups covering codependency, family systems, and substance use education.
Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy at Blue Sky Farm and hiking local trails — rebuilding the brain’s natural reward pathways.
Dedicated case manager for life skills, employment support, housing referrals, and aftercare coordination to prepare for independent living.
Start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities — no weeks-long waitlists.
Your Recovery Journey

Cocaine Recovery Timeline

Every recovery is unique. Here’s a general framework for what to expect as each phase builds on the last — like stones stacking toward strength.

Weeks 1–2 — Foundation

Stabilization & Assessment

Clinical assessment NP eval within 24hrs Supportive meds Crash management DBT/CBT foundation
Weeks 3–4 — Building

Active Treatment

Daily group therapy Weekly individual sessions Trigger identification Coping skills Sober activities
Weeks 5–8 — Integration

Integration & Step-Down

PHP to IOP transition Real-life application Family therapy Relapse prevention Community engagement
Weeks 9–12+ — Sustaining

Maintenance & Aftercare

OP or continued IOP Alumni program External referrals Family support groups Long-term planning

Don’t Wait — Recovery Starts Now

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

Your Treatment Team

Meet the People Behind Your Recovery

Our staff combines professional credentials with lived recovery experience. Click to learn more.

[PHOTO]
[Clinical Director]
LCMHC, CCTP

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

[PHOTO]
[Lead Therapist]
LADC, Master’s

10+ years treating stimulant addiction. Leads group therapy and individual counseling sessions with compassion and expertise.

[PHOTO]
[Nurse Practitioner]
NP

Manages supportive medications for cocaine recovery including mood stabilizers, sleep aids, and anti-anxiety medications. Evaluates all PHP clients within 24 hours.

[PHOTO]
[Case Manager]
5+ Years

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.

[Photo: Group Therapy Room]

Group Therapy Rooms

Multiple dedicated spaces for different therapeutic modalities.

[Photo: Meditation Room]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness.

[Photo: Serenity Room]

Serenity Room

Calm decompression space when you need a moment.

[Photo: Game Room]

Game Room

Ping pong, foosball, and Xbox for fellowship.

[Photo: Outdoor Area]

Outdoor Area

Fresh air, walks, and social space between sessions.

[Photo: Dining Area]

Dining Area

Lunch for PHP clients, snacks and coffee for all.

By the Numbers

Trailhead Treatment at a Glance

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

2.4%
Adults Reported Past-Year Cocaine Use
An estimated 2.4% of NH adults used cocaine in the past year — roughly 26,000 people, with many more cases unreported.
SAMHSA NSDUH, 2022–2023
+34%
Increase in Cocaine-Involved Deaths
Cocaine-involved overdose deaths in New Hampshire have risen significantly, often linked to cocaine laced with fentanyl in the illicit supply.
NH Drug Monitoring Initiative, 2021–2023
~40%
Cocaine Samples Contain Fentanyl
An alarming percentage of cocaine seized in New Hampshire tests positive for fentanyl contamination, making every use potentially fatal.
NH Forensic Lab & DEA, 2023
Insurance We Accept

Insurance Coverage for Cocaine Treatment

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

Anthem BCBS
Point 32 Health
Tricare
Uprise Health
WellSense

Verify Your Insurance Coverage

Fill out the form below and our admissions team will verify your benefits within minutes.

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

Your Recovery Is Worth Fighting For

Take the next step. Our team is here to guide you through the process.

For Family Members

How to Help a Loved One with Cocaine Addiction

Supporting someone through cocaine addiction is one of the hardest things a family can do. These evidence-based steps can help you take care of both yourself and your loved one.

Educate Yourself About Stimulant Addiction

Cocaine addiction changes brain chemistry — particularly the dopamine reward system — and is not a moral failing. Understanding that cocaine creates powerful psychological dependence helps you respond with compassion rather than frustration.

Set Clear, Loving Boundaries

Communicate limits with compassion: “I love you, and I won’t participate in behaviors that support your addiction.” Follow through consistently. Cocaine users often push boundaries when seeking their next high.

Stop Enabling Behaviors

Lending money, covering for their absences, or shielding them from consequences delays the moment they recognize they need help. Let natural consequences unfold.

Consider Family Therapy

Trailhead offers individual family therapy sessions and monthly Zoom education groups covering codependency, family systems, and substance use education. Open to family members 18+.

Take Care of Your Own Mental Health

Your wellbeing matters. Consider therapy for yourself, join a support group like Nar-Anon, and maintain your own routines and social connections.

Have the Conversation When They’re Sober

Use “I” statements: “I’m worried about you” rather than “You have a problem.” Choose a calm moment — not during a crash or binge — and offer specific help rather than ultimatums.

Our family support program is open to all family members 18+, past and present clients.

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. Here’s how to respond effectively.

Do This

  • Express concern with empathy and “I” statements
  • Set clear boundaries and follow through consistently
  • Research treatment options so you’re prepared when they’re ready
  • Consider a professional intervention with a certified specialist
  • Take care of your own mental health and wellbeing
  • Attend family support groups like Nar-Anon
  • Call our admissions team for guidance — even if they’re not ready

Don’t Do This

  • Issue ultimatums you won’t follow through on
  • Cover for their behavior or make excuses to others
  • Confront them during a crash or when they’re high
  • Use guilt, shame, or blame as motivation
  • Ignore warning signs hoping the problem will resolve itself
  • Sacrifice your own health and stability for their addiction
  • Give up — people enter recovery at all stages of readiness

If there’s immediate danger — suicidal thoughts, overdose, or risk of harm — call 911 or the 988 Suicide & Crisis Lifeline.

Call (857) 312-1697

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 Members 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

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide cocaine addiction treatment for 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. Dually licensed in New Hampshire and Massachusetts.

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

Cocaine Addiction Treatment FAQ

Common signs include intense euphoria followed by a sharp crash, frequent nosebleeds or nasal damage (from snorting), dilated pupils, significant weight loss, paranoia, financial problems, erratic sleep patterns, mood swings between extreme energy and depression, and continuing use despite negative consequences.
Treatment length varies by individual need. Our PHP program typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Cocaine’s psychological grip can be strong, so most clients benefit from stepping down gradually through multiple levels of care.
Unlike alcohol or opioids, cocaine withdrawal is generally not medically dangerous. However, the crash period can involve severe fatigue, depression, and intense cravings. Our NP can prescribe supportive medications for these symptoms. Most cocaine clients can enter our PHP program directly without a separate detox stay.
There is currently no FDA-approved medication specifically for cocaine addiction (like Suboxone for opioids or Naltrexone for alcohol). However, our Nurse Practitioner prescribes supportive medications to manage withdrawal symptoms — including mood stabilizers, sleep aids, and anti-anxiety medications — combined with behavioral therapy for a comprehensive approach.
Absolutely. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults. We also offer afternoon IOP sessions and telehealth options. You can switch between time slots daily based on your schedule.
Most major insurance plans cover cocaine addiction treatment. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Our admissions team can verify your benefits in minutes.
We use evidence-based therapies shown to be effective for stimulant disorders including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), contingency management, Acceptance and Commitment Therapy (ACT), relapse prevention, and holistic approaches like breathwork, yoga, and meditation to rebuild the brain’s natural reward pathways.
Yes — family involvement is encouraged. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom covering codependency, family systems, and substance use education. Open to any family member 18+.
We plan for aftercare from day one. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external therapists and psychiatrists, continued access to family support groups, and sober living coordination.
Yes — fentanyl contamination in the cocaine supply is a serious and growing risk in New Hampshire. An alarming percentage of cocaine seized in the state tests positive for fentanyl. This means every use carries a risk of fatal overdose, even for experienced users. Getting into treatment now could save your life.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697