Cocaine Rehab—Inpatient vs. Outpatient

Identifying the right level of care for your condition is a crucial first step in your treatment program. You can take that first step by calling Alta Mira to find out about our inpatient and outpatient treatment plans for cocaine addiction.

Choosing between inpatient and outpatient cocaine rehab is a personal decision that you should make with your addiction treatment team. As you weigh the benefits of both approaches to recovery, remember that not everyone who struggles with cocaine addiction needs an inpatient rehab program. Some cocaine users can benefit from an outpatient treatment plan that allows them to continue working, caring for dependent family members and participating actively in their community. Others do better with an inpatient program that provides a focused, distraction-free setting for cocaine detox and recovery.

Cocaine is a powerful drug that exercises a strong effect on your mind and body. Finding the best treatment strategy is an essential part of ensuring your recovery. Ask yourself these questions as you compare inpatient and outpatient programs:

  • Will I receive enough support to handle the cues and triggers of the outside world?
  • Do I have professional or family obligations that require me to spend time at work or home while I’m in rehab?
  • Do I have the financial resources to pay for 24-hour inpatient rehab?
  • Does the program offer aftercare counseling and group meetings after I finish rehab?
  • What are the success rates of the facility’s inpatient cocaine rehab program versus its outpatient plan?

Why Choose Outpatient Rehab?


Outpatient treatment programs can provide highly effective, affordable therapy for cocaine rehab. The U.S. Department of Health and Human Services notes that most intensive outpatient drug rehab programs offer one or more of the following components:

  • Cognitive behavioral therapy (CBT). An approach that emphasizes addiction as a learned behavior and offers practical solutions for changing your response to cocaine cravings
  • Motivational therapy. A collaborative strategy that allows the therapist and client to work together to draw on internal sources of motivation
  • 12-step facilitation. Classes and support groups that introduce the client to 12-step recovery and prepare him or her to enter a program like Cocaine Anonymous (CA)
  • Matrix model. An intensive neurobehavioral treatment strategy that has proven to be especially effective at treating cocaine addiction
  • Family therapy or relationship counseling. A model that allows your children, spouse, or partner to attend counseling sessions at an outpatient treatment facility, either with you or individually, as you work together to build stronger family relationships

At an outpatient rehab facility, you’ll attend meetings, classes, and individual counseling sessions during the day, then return home at night. Although the recovery environment is loosely structured, you may still have supervision and clinical monitoring. Medication therapy is available for those who are suffering from withdrawal symptoms and overwhelming cocaine cravings. Although outpatient treatment is less costly than inpatient care, it may be just as effective at the treatment of cocaine addiction.

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Who Needs Inpatient Rehabilitation?


If you have a serious problem with cocaine and you’ve been using the drug heavily for a long period of time, you may need to enroll in a program that offers 24-hour medical supervision at a hospital, a rehabilitation facility or another inpatient treatment center. Although cocaine withdrawals typically won’t endanger your life, the withdrawal process can be dangerous for individuals who are medically or psychologically unstable. You may need inpatient rehab if you meet the following criteria:

  • You have severe withdrawal symptoms, such as unstable vital signs, hallucinations, delusions, seizures, severe nausea and vomiting, headaches or agitation.
  • You have had complications with drug or alcohol withdrawal in the past.
  • You have a co-occurring psychiatric disorder, such as bipolar disorder, depression or schizophrenia.
  • You have a medical condition, such as pregnancy, diabetes or heart disease, that increases your risk of withdrawal complications.
  • You have been abusing other drugs in addition to cocaine, such as alcohol. According to Psychiatric Services, individuals who abuse both alcohol and cocaine have one of the highest rates of hospitalization among substance abusers.