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Cocaine Addiction Treatment in Salem, NH

Evidence-based cocaine addiction treatment with intensive therapy, supportive medications, flexible scheduling, and a family-style approach to lasting recovery.

24-48hr
Admission
4:1
Staff Ratio
Dual
NH & MA Licensed
DBT
Daily Groups
Recognize the Signs

Signs & Symptoms of Cocaine Addiction

Cocaine use disorder can escalate rapidly from recreational use to compulsive addiction. Recognizing the signs early is critical for effective treatment.

Mild

Using cocaine more frequently or in larger amounts than intended
Intense euphoria followed by a crash — irritability, fatigue, and depression
Frequent nosebleeds, runny nose, or nasal damage from snorting
Increased talkativeness, energy, and confidence while using

Moderate

Noticeable weight loss, decreased appetite, and changes in eating patterns
Paranoia, anxiety, or suspiciousness — especially during or after use
Neglecting work, school, or family responsibilities due to cocaine use
Financial problems — spending large amounts of money with nothing to show for it

Severe

Binge patterns — using continuously for hours or days until the supply runs out
Severe depression, suicidal thoughts, or psychosis during the crash
Continued use despite heart palpitations, chest pain, or seizures
Inability to feel pleasure without cocaine — complete anhedonia

Experiencing any of these symptoms? Our clinical team can help determine the right level of care.

Get a Free Assessment

Start Cocaine Addiction Treatment Today

Same-day admissions available. Most insurance accepted. Confidential.

Treatment Programs

Programs for Cocaine Addiction

Multiple levels of care designed to meet you where you are in recovery. Step up or down as your needs evolve.

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, and holistic activities. Ideal for those stepping down from detox or needing intensive structure.

Learn More About PHP
ScheduleMon–Fri, 9am–3:30pm
Duration20–30 days
IncludesLunch provided
NP AccessWithin 24 hours
TherapyWeekly individual

Intensive Outpatient Program

A structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family commitments.

Learn More About IOP
ScheduleMon–Fri, 9am–12:30pm
Duration60–90 days
FlexibilitySwitch sessions daily
TherapyWeekly individual

Evening Professional Track

Designed specifically for working professionals. The same evidence-based programming as our daytime IOP, delivered in the evening so you can maintain your career.

Learn More
ScheduleMon–Thu, 6pm–9pm
Ideal ForWorking adults
FlexibilityMix AM/PM daily
TherapyWeekly individual

Outpatient Program

Step-down support for continued recovery. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusRelapse prevention
TherapyWeekly individual

Telehealth Services

Full access to our programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.

Learn More About Telehealth
PlatformHIPAA-compliant video
OptionsFull or hybrid attendance
StatesNH & MA residents
GroupsLive participation

Supportive Medications

While no FDA-approved medication exists specifically for cocaine addiction, our on-site Nurse Practitioner can prescribe supportive medications for co-occurring symptoms like depression, anxiety, insomnia, and cravings to support your recovery.

Learn More About Supportive Meds
MedicationsSupportive & Symptom-Based
ProviderOn-site NP
EvalWithin 24 hours
ApproachSymptom management
JCAHO Accredited
NH Licensed
MA Licensed
LegitScript Certified
Client Reviews

What Our Clients Say

★★★★★

“[Client testimonial about cocaine recovery at Trailhead — the intensive therapy and DBT skills gave me real tools to manage cravings. The staff made me feel like family from day one.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about the personalized approach — my therapist understood me and the NP got my medication right within the first week. I finally feel hopeful.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about cocaine-specific treatment — the CBT and relapse prevention skills changed my life. I’m celebrating 9 months clean and rebuilding everything.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — the family support program helped us understand addiction and rebuild our relationship. We couldn’t have done this without Trailhead.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Cocaine Treatment

01

Live at Home, Heal During the Day

Intensive daily programming while maintaining your home life, family connections, and sober living arrangement.

02

Flexible Scheduling

Mix morning, afternoon, or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.

03

On-Site NP Within 24 Hours

Every client sees our Nurse Practitioner within a day of admission for medication evaluation and health assessment.

04

Supportive Medications for Cocaine Recovery

While no FDA-approved MAT exists for cocaine, our NP prescribes supportive medications for depression, anxiety, and sleep issues that often accompany cocaine withdrawal.

05

Daily DBT Skills Groups

Dialectical behavior therapy builds the emotional regulation, distress tolerance, and mindfulness skills essential for lasting recovery.

06

Weekly Individual Therapy

One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.

07

Client-Driven Approach

Your therapeutic modality is individualized — CBT, ACT, 12-Step, SMART Recovery. We adapt to you, not the other way around.

08

Rapid Admission

Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.

09

Family-Style Environment

Staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.

10

Holistic & Experiential

Yoga, meditation, breathwork, equine therapy, and sober recreational activities complement evidence-based treatment.

11

Dual State Licensing

Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.

Recovery Timeline

Your Path Through Cocaine Treatment

01

Weeks 1–2: Stabilization

Your first weeks focus on clinical assessment, stabilization from the cocaine crash period, and building your treatment team.

  • Comprehensive biopsychosocial evaluation
  • NP evaluation within 24 hours
  • Supportive medication for crash symptoms (sleep, mood, anxiety)
  • Therapist and case manager assignment
02

Weeks 3–4: Active Treatment

Immerse in intensive therapeutic programming. Daily group sessions, individual therapy, and skill-building exercises.

  • Daily DBT, CBT, and ACT skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on cocaine’s impact on the brain’s dopamine system
  • Relapse prevention planning begins
03

Weeks 5–8: Integration

Apply your new skills to real-life situations. Step down from PHP to IOP as you build independence and confidence.

  • Real-world skill application exercises
  • Equine therapy, hiking, sober activities
  • Family therapy and support groups
  • Transition planning begins
04

Weeks 9–12+: Maintenance

Continued outpatient support, alumni program, and aftercare coordination to sustain your recovery long-term.

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Sober living coordination if needed
  • External provider referrals
Our Facility

Tour Trailhead

Group Room Photo

Group Therapy Rooms

Comfortable spaces designed for open dialogue during group sessions.

Meditation Room Photo

Meditation Room

Quiet sanctuary for mindfulness practice and breathwork.

Serenity Room Photo

Serenity Room

Private space for decompression and sensory regulation.

Dining Area Photo

Dining Area

Where fellowship happens — shared lunches and community bonds.

Game Room Photo

Recreation Room

Ping pong, foosball, Xbox — recovery can be fun.

Outdoor Area Photo

Outdoor Space

Fresh air and green space for breaks between sessions.

Your Clinical Team

Meet the People Behind Your Recovery

Photo

[Clinical Director]

LCMHC, CCTP
[Clinical Director] oversees all clinical operations at Trailhead, bringing specialized training in trauma processing and evidence-based addiction treatment.
Photo

[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in addiction counseling, [Lead Therapist] specializes in DBT skills groups and individual therapy for substance use disorders.
Photo

[Nurse Practitioner]

APRN, Psychiatric NP
Our on-site NP manages medication-assisted treatment, psychiatric evaluations, and ongoing medication management for all clients.
Photo

[Case Manager]

5+ Years Behavioral Health
Your advocate for life beyond treatment — employment support, life skills, resume building, court paperwork, and sober living coordination.
The Reality

Cocaine in New Hampshire

0
Cocaine-Involved Deaths in NH (Annual)
Cocaine-related overdose deaths have risen sharply in NH, often involving fentanyl-laced supply.
%0
Rise in Cocaine Deaths
NH has seen a significant increase in cocaine-related fatalities over the past five years.
%0
Receive Treatment
Only a small fraction of people with cocaine use disorder in NH access any form of treatment.
Insurance & Payment

We Accept Most Major Plans

Anthem Blue Cross Blue Shield
Point 32 Health (Harvard Pilgrim)
Point 32 Health (Tufts)
Tricare
Uprise Health (Laborers Union)
WellSense (NH Medicaid)

Don’t see your provider? Call us — we work with many plans and offer affordable self-pay options.

Verify Coverage

Check Your Insurance

Confidential, no obligation — takes 30 seconds.

Your information is secure and confidential. HIPAA protected.

By the Numbers

Trailhead at a Glance

Staff-to-Client Ratio
4:1
Counselor Caseload
12:1
Admission Timeline
24-48hr
Client Capacity
~70

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 addiction is challenging. These evidence-based approaches can help.

📚

Educate Yourself

Cocaine addiction is a medical condition that changes brain chemistry, not a moral failing. Understanding the dopamine depletion cycle helps you respond with compassion.

🛑

Stop Enabling

Stop covering for their behavior or shielding them from consequences. Enabling delays the moment they seek help.

🤝

Set Boundaries

Communicate limits with love. “I care about you, and I won’t support behaviors that fuel your addiction.”

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on codependency, family systems, and recovery.

💚

Self-Care First

Your mental health matters. Consider therapy, join Al-Anon, and maintain your own routines and social connections.

💬

Start the Talk

Choose a sober moment. Use “I” statements: “I’m worried about you” not “You have a problem.”

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. These approaches can help.

Consider a Professional Intervention

A structured, guided intervention led by a certified specialist can break through denial and help your loved one see the real impact of their cocaine use on themselves and those around them. Professional interventionists know how to frame the conversation with compassion rather than confrontation.

Use Motivational Approaches

Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change. Ask open-ended questions: “What would your life look like without cocaine?” Let them arrive at their own motivation.

Set Clear Boundaries

Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific: “If I find cocaine in the house, I will stay at my sister’s.” Then follow through consistently — empty threats enable continued use.

Understand the Stages of Change

People move through precontemplation, contemplation, preparation, action, and maintenance. Your loved one may not be ready for action yet — but that doesn’t mean they won’t be. Meeting them where they are is more effective than pushing them where you want them to be.

Know When to Call for Help

If there’s immediate danger — suicidal thoughts, chest pain, seizures, severe paranoia, or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. Cocaine can cause cardiac emergencies and psychotic episodes that require immediate medical attention.

Our admissions team can guide you even if your loved one isn’t ready.

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.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079

(857) 312-1697

Conveniently accessible via I-93 and Route 28. Dually licensed in NH & MA.

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

Cocaine Addiction Treatment FAQ

Common signs include intense euphoria followed by severe crashes, paranoia or suspiciousness, frequent nosebleeds, significant weight loss, financial problems, increased energy and talkativeness while using, and depression or inability to feel pleasure without cocaine.
The line between recreational use and addiction often blurs quickly with cocaine due to its powerful effect on dopamine. Key warning signs include using alone, needing cocaine to feel “normal,” binge patterns, spending beyond your means, hiding use from loved ones, and feeling unable to socialize or function without it.
Cocaine withdrawal is typically not medically dangerous like alcohol or opioid withdrawal, but the psychological symptoms — severe depression, fatigue, intense cravings, and suicidal ideation — can be very challenging. Our PHP program provides the intensive support needed during this critical early phase.
Treatment length varies by individual need. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Cocaine cravings can persist for months, so longer-term support is often recommended.
There are currently no FDA-approved medications specifically for cocaine addiction. However, our on-site Nurse Practitioner can prescribe supportive medications for co-occurring symptoms like depression, anxiety, insomnia, and mood instability. The primary treatment for cocaine addiction is intensive behavioral therapy, including CBT and DBT.
We use CBT, DBT, ACT, 12-Step facilitation, SMART Recovery, relapse prevention, and holistic approaches including yoga, meditation, breathwork, and equine therapy. Your treatment plan is individualized to your needs.
Yes — family involvement is encouraged. We offer individual family therapy sessions and monthly Zoom family education groups covering codependency, family systems, and substance use education. Open to any family member 18+.
Most major insurance plans cover treatment. We’re in-network with Anthem BCBS, Point 32 Health, Tricare, Uprise Health, and WellSense NH Medicaid. Our admissions team can verify your benefits in minutes.
Absolutely. Our Evening Professional Track (6–9 PM, Mon–Thu) is designed for working adults. We also offer afternoon IOP sessions and telehealth. You can switch between time slots daily based on your schedule.
We plan for aftercare from day one. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external therapists, continued family support groups, and sober living coordination.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697