Treatment by Substance

Cocaine addiction treatment in Dallas: how care works

How counseling-based care works, and what to ask a program.

The short answer

Cocaine addiction treatment in Dallas relies on counseling, because no medicine has FDA approval for cocaine use disorder. Common approaches include contingency management and cognitive behavioral therapy.

When to reach out for help

  • You use more than you planned
  • You keep using even when it costs you
  • You feel low and restless when you stop

Chest pain or a seizure is an emergency. Call 911.

What usually happens

  1. A health check and assessment
  2. Regular counseling, one-on-one or in a group
  3. Ongoing support after the program ends

Why counseling is the main treatment

NIDA says there are currently no medications approved by the FDA to treat cocaine use disorder. That is the medical term for cocaine addiction. NIDA says behavioral therapies are often the only available and effective treatments for many drug problems. Behavioral therapy means counseling aimed at changing patterns of use.

A doctor can still help. They can check your heart and general health, look at sleep or mood problems, and screen for other conditions. Ask a program which therapies it uses and how often sessions happen. If a program cannot explain its approach in plain words, that is worth noting.

Approaches you may see

Contingency management gives vouchers or prizes to people who stay off cocaine and other drugs. NIDA says it may be especially helpful early on. Cognitive behavioral therapy teaches skills to recognize high-risk situations, avoid them and cope with problems. These sessions often happen in outpatient treatment or intensive outpatient.

NIDA also describes therapeutic communities. These are drug-free homes where people stay and work on recovery together, and they can require a stay of 6 to 12 months. Not every person needs that much care. Residential treatment explains live-in options.

NIDA also points to aftercare, meaning support that continues after a program ends. Ask each program what this looks like. Some people find it useful to pair this with peer support groups. Family can be part of care too, so ask whether a program offers family sessions.

How stopping can feel

NIDA says people who stop may have stronger negative moods and feelings of displeasure, which are signs of withdrawal. Lean on support at this stage, and tell a doctor or counselor how you feel. If you feel unsafe, call or text 988 at any hour.

Hidden fentanyl and overdose

NIDA says cocaine is sometimes mixed with fentanyl and related drugs, and that this has added to overdose deaths. It also warns that using cocaine with opioids is very dangerous. Cocaine wears off sooner, which can lead to an opioid overdose. If a person’s breathing slows or stops, call 911 and give naloxone if you have it. See opioids and fentanyl for how naloxone works.

The list below shows Dallas programs by outpatient service. It does not show which substances a program treats, so ask on the phone.

Dallas programs that list outpatient care

Ratings from Google Maps, November 2026. Not a ranking.

Arise Recovery Centers Dallas

5440 Harvest Hill Rd #230, Dallas

(214) 613-0616

Google rating: 4.8 (23)

Compass Clinic Dallas

3330 Douglas Ave (inside Today Clinic), Dallas

(972) 893-3368

Google rating: 4.9 (86)

Discovery Point Retreat Dallas

4306 Capitol Ave, Dallas

(469) 429-1920

Google rating: 4.7 (467)

Greenhouse Treatment Center

1171 107th St., Grand Prairie

(972) 597-0843

Google rating: 4.5 (2,352)

Homeward Bound, Inc.

5300 University Hills Blvd, Dallas

(214) 941-3500

Google rating: 3.6 (151)

Life's Second Chance Treatment Center South

2615 S Lancaster Rd, Dallas

(214) 376-7388

Google rating: 4.8 (57)

Lighthouse Recovery

3333 Welborn St Unit 300, Dallas

(214) 396-0259

Google rating: 4.9 (146)

Nexus Family Recovery Center

8733 La Prada Dr, Dallas

(214) 321-0156

Google rating: 4.1 (165)

Trinity River Recovery Center

8027 W Virginia Dr, Dallas

(469) 557-5864

Google rating: 4.7 (40)

Turning Point Recovery Network

5710 Lyndon B Johnson Fwy #165, Dallas

(972) 970-0100

Google rating: 5.0 (197)

See all 21 Dallas-area programs

Questions to ask on the phone

  • Do you treat cocaine use disorder?
  • Do you offer contingency management?
  • How often would I come in?
  • Do you take my insurance?

Common questions

Is there a medicine for cocaine addiction?

No medicine has FDA approval for it. Be careful with any program that says otherwise, and ask what the claim is based on. A doctor can treat related health problems.

Do I need to go to rehab for cocaine?

Not always. Many people start with outpatient care. If that is not enough, or home makes it hard to stop, more support may help. See how to choose a program.

Can I work during cocaine treatment?

Often, yes, in outpatient care. If you need time away, see time off work for treatment.

How can I talk to someone I love about cocaine use?

Pick a calm time, say what you have seen, and offer to help make a call. See talking about treatment for ways to start.

If you need help tonight