Cocaine and Mental Health Treatment in Scottsdale
At Redefine, we treat the anxiety, depression, and mood instability that cocaine's disruption of the dopamine system creates, not just the substance use itself.
- Joint Commission Accredited
- Daily Neurofeedback
- Root-Cause Treatment
- Body + Brain + Mind Approach
- Outpatient Programs, No Detox On-Site
Commission
...and many more private plans
- Dopamine Recovery and Mental Health Stabilization
Structured Cocaine and Mental Health Treatment in Scottsdale, Arizona
At Redefine, our Scottsdale alcohol treatment programs address alcohol use disorder the way it actually works: not just in your habits, but in your brain and nervous system. We go beyond talk therapy to identify what the drinking was managing, and treat that too.
- Outpatient, Not Residential Structured daily treatment for those stepping down from residential, transitioning out of detox, or needing intensive support without leaving their life.
- Neurofeedback for Craving Regulation Brain-based stabilization that reduces the neurological pull of alcohol faster than talk therapy alone. Most clients feel more grounded within weeks.
- Co-Occurring Treatment Anxiety, depression, and trauma addressed alongside the alcohol — not after. Because for most people, one is driving the other.
- Root-Cause Focus We identify what the drinking was managing, then build treatment around that. No two plans look the same.
- 20+ Modalities, No Standard Protocol More tools than most outpatient programs offer. We determine which combination makes sense for you.
We build your treatment around what we find, not a standard protocol. More tools, more options, better outcomes.
Partial Hospitalization Program for Cocaine Use Disorder
PHP is the right starting point when cocaine-related anxiety, depressive crashes, or mood instability have begun disrupting your ability to function. Five days a week, we work directly with the dopamine dysregulation cocaine creates: neurofeedback to target prefrontal cortex recovery, evidence-based therapy to address the conditions driving use, and somatic approaches to restore nervous system regulation. You return home each evening.
- Neurofeedback for dopamine circuit recovery
- Individual and group therapy
- Co-occurring anxiety and depression treatment
- Somatic and body-based modalities
- Craving and impulse management
- Return home each evening
Intensive Outpatient Program for Cocaine Use Disorder
IOP provides structured clinical treatment three days a week while you maintain your career and responsibilities. You receive the same modalities as PHP, including neurofeedback, individual therapy, and somatic approaches, at a schedule built around your life. IOP is appropriate as a step-down from PHP or as the right entry point when cocaine-related mood instability has not responded to weekly therapy alone.
- Neurofeedback for dopamine circuit recovery
- Individual and group therapy
- Relapse prevention for cue-triggered cravings
- Somatic and body-based modalities
- Continue working during treatment
- Step-down from PHP when ready
Aftercare and Continuing Support for Cocaine Recovery
Cocaine cravings are heavily cue-driven: specific people, settings, and emotional states can trigger urges months after stopping. Aftercare at Redefine keeps the clinical relationship intact through this period, with ongoing neurofeedback, individual therapy, and group support structured around your specific relapse triggers. The dopamine system continues recovering for months, and your treatment should too.
- Continued neurofeedback access
- Ongoing individual therapy
- Cue exposure and relapse response planning
- Alumni group support
- Frequency adjusts as you stabilize
- Same clinical team throughout
- Dopamine Recovery and Mood Stabilization
Our Cocaine and Mental Health Treatment Programs
Do I Need Detox Before Cocaine Treatment?
Cocaine withdrawal is not medically dangerous the way alcohol or benzodiazepine withdrawal can be. Most people can begin outpatient treatment directly. Here is what to expect.
The Cocaine Crash and Withdrawal
The crash begins within hours of last use: extreme fatigue, depressed mood, increased appetite, and hypersomnia lasting 1 to 3 days. Withdrawal continues for 1 to 2 weeks with strong cravings, anhedonia, irritability, and difficulty concentrating. There is no seizure risk, but the psychological intensity is significant.
Most People Start Directly
Because cocaine withdrawal does not require medical stabilization, most clients begin PHP or IOP without a separate detox stay. If you are also using alcohol or benzodiazepines, we may coordinate medical detox for those substances first before starting your program at Redefine.
Already Past the Crash?
If you have already stopped using and are past the acute crash phase, you can likely begin treatment immediately. Call us to discuss where you are in the process and we will determine whether PHP or IOP is the right starting point.
If you are unsure whether you need any medical support before starting, our admissions team can help you figure that out before you commit to anything.
Calling on behalf of someone you love? Calls are completely confidential and require no commitment.
Cocaine and Anxiety Treatment in Scottsdale, Arizona
Our Approach
Cocaine amplifies anxiety through two mechanisms: acute sympathetic nervous system activation during use and dopamine depletion that destabilizes mood between episodes. At Redefine, your clinical team addresses both. CBT targets the thought patterns and avoidance behaviors anxiety produces. Somatic experiencing works with the body-level activation that cocaine has intensified. Neurofeedback targets the prefrontal dysregulation that keeps the anxiety-use cycle locked in place.
What Is Cocaine and Anxiety Co-Occurrence?
Many people begin using cocaine specifically because it overrides anxiety in the moment, producing temporary confidence and social ease. Over time, cocaine sensitizes the nervous system's threat response, making baseline anxiety significantly worse. The crash phase produces rebound anxiety that is often more intense than what existed before use began. This creates a cycle where cocaine feels like the only reliable solution to the anxiety it is worsening.
- Panic attacks during or after use
- Using cocaine to feel confident socially
- Anxiety worsening between episodes
- Racing heart and chest tightness after use
- Hypervigilance or paranoia when coming down
- Avoiding social events without cocaine
Cocaine and Depression Treatment in Scottsdale, Arizona
Our Approach
Cocaine depletes dopamine over time, creating a brain that struggles to experience pleasure, motivation, or interest without the drug. At Redefine, we treat the depressive symptoms and the cocaine use as one interconnected condition. Neurofeedback targets the reward circuit dysregulation that cocaine has created. CBT addresses the behavioral withdrawal and thought patterns that depression produces. Psychiatric support manages medication for mood stabilization when clinically appropriate. Research shows that anhedonia, not depression severity, is the strongest predictor of cocaine treatment outcomes (Garfield et al., 2018).
What Is Cocaine and Depression Co-Occurrence?
Cocaine produces intense dopamine surges followed by significant depletion. Repeated use downregulates the brain's D2 dopamine receptors, which means baseline mood drops lower with each cycle. The result is a depressive state that feels impossible to escape without using again. Many adults describe losing interest in activities they used to enjoy, feeling flat or empty for days after using, and needing cocaine just to feel "normal." Research confirms that 77% of people withdrawing from cocaine report depressive symptoms (Piot et al., 2021).
- Flat mood or emptiness between uses
- Loss of interest in previously enjoyed activities
- Using cocaine just to feel functional
- Fatigue and low motivation during crashes
- Inability to feel pleasure without stimulation
- Depressive episodes lasting days after use
Cocaine and Alcohol Co-Use Treatment in Scottsdale, Arizona
Our Approach
Cocaine and alcohol co-use requires treatment that addresses both substances and the compounding neurological effects they create together. At Redefine, we coordinate medical detox for alcohol when needed before beginning structured outpatient care. Neurofeedback targets the disrupted reward and impulse control circuits that dual-substance use intensifies. CBT and DBT build skills for managing the social and emotional triggers that drive co-use patterns. Because this combination carries significant cardiovascular risk, our psychiatric team monitors physical health indicators throughout treatment.
What Is Cocaine and Alcohol Co-Use?
Cocaine and alcohol are the most commonly combined substances. When used together, the liver produces cocaethylene, a compound that intensifies euphoria but carries significantly greater cardiovascular toxicity than either substance alone. A 2024 systematic review in the Journal of Clinical Medicine found that cocaethylene is associated with an 18 to 25 times greater risk of sudden death compared to cocaine use alone. Many people use cocaine to "sober up" from alcohol or use alcohol to ease the cocaine comedown, creating a reinforcing cycle that escalates both substances.
- Using cocaine to offset alcohol intoxication
- Drinking to ease the cocaine comedown
- Binge episodes involving both substances
- Escalating quantities of both over time
- Heart palpitations or chest pain after co-use
- Inability to use one without the other
High-Functioning Cocaine Use Treatment in Scottsdale, Arizona
Our Approach
High-functioning cocaine use is common among professionals in Scottsdale, and external success makes it harder to recognize when use has become a problem. At Redefine, we treat the mental health conditions driving the pattern without requiring you to step away from your career. Neurofeedback targets the prefrontal cortex patterns that cocaine disrupts while supporting executive function recovery. CBT identifies the specific triggers and cognitive patterns that maintain use. Our outpatient structure allows you to continue working while receiving intensive daily treatment.
What Is High-Functioning Cocaine Use?
High-functioning cocaine use describes adults who maintain careers, relationships, and responsibilities while using cocaine regularly. Use often begins socially and escalates gradually. National data shows cocaine use disorder prevalence has increased specifically among high-income, college-educated populations (Conway et al., 2019). The "high-functioning" label often delays treatment because external consequences have not yet caught up. Internally, anxiety is worsening, sleep is disrupted, relationships are strained, and the gap between how things look and how things feel is growing.
- Maintaining career success while using regularly
- No one at work suspects a problem
- Using to enhance performance or energy
- Spending increasing amounts of money on cocaine
- Midweek recovery affecting focus and mood
- Rationalizing use as controlled or recreational
Cocaine and Trauma Treatment in Scottsdale, Arizona
Our Approach
Cocaine and trauma are treated simultaneously at Redefine. EMDR and somatic experiencing process stored trauma without requiring repeated verbal retelling of events. Neurofeedback targets the hypervigilant nervous system patterns that trauma produces and cocaine was overriding. Brainspotting accesses subcortical trauma responses that talk therapy alone cannot reach. Treating the cocaine use without addressing the trauma underneath produces temporary results. Your clinical team works with both from your first week.
What Is Cocaine and Trauma Co-Occurrence?
Cocaine is a powerful override for trauma-related shutdown, numbness, and emotional flatness. For people living with unresolved PTSD or complex trauma, cocaine can feel like the only way to feel alive, present, or functional. The stimulant effect temporarily counters the freeze response that trauma creates. Over time, cocaine worsens the nervous system dysregulation that trauma already established, creating deeper cycles of activation and crash. Many people do not connect their cocaine use to past experiences until treatment begins.
- Using cocaine to override emotional numbness
- Cocaine use escalating after a traumatic event
- Feeling unable to engage socially without using
- Hypervigilance that cocaine temporarily resolves
- Nightmares or flashbacks worsening during crashes
- History of trauma with increasing cocaine use
Weekend and Social Cocaine Use Treatment in Scottsdale, Arizona
Our Approach
"I only use on weekends" is one of the most common things we hear from adults entering cocaine treatment. At Redefine, we treat the full pattern, not just the days of use. CBT and DBT address the specific social and emotional triggers that drive weekend episodes. Neurofeedback targets the impulsivity and reward-seeking patterns that make it difficult to decline in social settings. Because weekend use often comes with midweek anxiety, depression, and cognitive fog, your clinical team treats those consequences as part of the same condition.
What Is Weekend/Social Cocaine Use?
Weekend and social cocaine use describes a pattern where use is confined to specific contexts: parties, dinners, nights out, or social gatherings. Because there are days or weeks between episodes, the pattern feels controlled. Clinically, the distinction between "social use" and cocaine use disorder is not about frequency. It is about whether use is escalating, whether stopping has become difficult, and whether mental health is deteriorating between episodes. Midweek crashes that affect mood, focus, and energy at work are often the first sign that the pattern has shifted from recreational to problematic.
- Use limited to weekends or social events
- Midweek crashes affecting work performance
- Difficulty attending events without using
- Escalating from occasional to every weekend
- Failed attempts to skip a weekend
- Rationalizing as "everyone does it"
- What We Treat
Types of Cocaine and Mental Health Presentations We Treat
Brain & Nervous System
Cocaine disrupts the dopamine transporter, depletes baseline dopamine levels, and dysregulates prefrontal cortex function. These neurological changes drive craving, impulsivity, and mood instability independent of willpower. Our brain-based modalities target these patterns directly. Modalities include:
- Neurofeedback
- PEMF Therapy
- Breathwork
Cocaine-Specific Therapy
Cocaine recovery requires approaches built for stimulant-specific patterns: the cue-triggered cravings, the social and environmental triggers, the gap between knowing you should stop and being able to. These are not general therapy tools adapted for cocaine. They address how stimulant use specifically works. Modalities include:
- CBT for Substance Use
- Motivational Interviewing
- Relapse Prevention Planning
- DBT Skills Training
Underlying Roots
Cocaine use rarely exists in isolation. Underneath it is often unprocessed trauma, chronic anxiety, undiagnosed ADHD, or emotional patterns the nervous system never resolved. Our clinical team addresses what started and maintains the use, not just the substance itself. Modalities include:
- EMDR
- Internal Family Systems
- Brainspotting
- Somatic Experiencing
Body & Recovery
Cocaine taxes the cardiovascular system, disrupts sleep architecture, depletes physical energy, and leaves the body in a chronic state of stress activation. Recovery requires restoring the physical foundation that cocaine has eroded. Modalities include:
- Yoga & Meditation
- Movement Therapy
- Mindfulness Practices
- Lifestyle Coaching
Your treatment plan is built around what is actually driving your cocaine use and the mental health conditions it has intensified. We use clinical assessment and neurofeedback to determine which combination of modalities will work best for you.
(888) 546-5580- More Tools. More Options. Better Outcomes.
Our Approach to Cocaine Use Disorder
- When to Seek Help
Signs You May Need Cocaine and Mental Health Treatment
- Midweek crashes affecting your focus, mood, or energy at work.
- Anxiety or panic that worsens after use and does not fully resolve between episodes.
- Needing more to get the same effect you used to get.
- Flat mood or inability to feel pleasure during the days after using.
- Continuing to use despite knowing it is making your mental health worse.
- Social situations increasingly organized around access to cocaine.
- Levels of Care
Which Program Is Right for You?
- Our Team
The Redefine Clinical Team
Dr. Michael
Yasinski, MD
Trauma-Informed Psychiatrist
Lindsey Dunning,
PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Brenna Gonzales, LPC, SEP, CMAT
Trauma-Informed Therapist
How Cocaine and Mental Health Treatment Works
Consultation
Free, confidential call to understand your situation
Assessment
Evaluation covering cocaine use patterns, co-occurring conditions, and what is driving both
Care Plan
One plan for both conditions, not two separate tracks
Treatment
Daily work combining brain, body, and behavioral approaches
Integration
Skills for staying stable and preventing old patterns
Real Connection, Support, & Healing
Our Scottsdale outpatient programs combine innovative neuroscience with proven therapeutic approaches.
- Testimonials
Healing in Their Own Words
“They made me feel at ease and understood.”
Chris S.
“Love this place!!”
Christine D.
“Best treatment in my LIFE!”
Dan S.
“Laura is an excellent practitioner”
Dr. Jasmine
“What a blessing to have found and participated in treatment at Redefine Wellness.”
Jen C.
“I have never experienced such a professional and caring staff.”
Hunter B.
“The staff is so friendly and the facility is clean. ”
Gwen J.
“I love this facility. I have been coming here for several months.”
Robert B.
“I was lost, unable to stand up for myself and stuck in anxiety.”
Presley P.
“The wellness center is stunning and the whole team has been very kind and helpful.”
Mackenzie K.
“I’m so happy to say I would 100% recommend this place over and over”
briana medley
“The staff here are wonderful and compassionate. I definitely recommend this clinic!”
Beaunerism
“Receiving treatments here was 100% a game changer, I strongly recommend!”
Jae S.
“Highly recommend if you’re looking for something focused and personal.”
Scott Forbes
“Highly recommend!”
Jenna Wolf
“The entire staff at Redefine is amazing. ”
Brittany Whitley
“The staff is incredible—super friendly”
Jon Driscoll
“A beautiful location with wonderful staff”
Matt Sheehan
“They made me feel at ease and understood.”
Chris S.
“Love this place!!”
Christine D.
“Best treatment in my LIFE!”
Dan S.
“Laura is an excellent practitioner”
Dr. Jasmine
“What a blessing to have found and participated in treatment at Redefine Wellness.”
Jen C.
“I have never experienced such a professional and caring staff.”
Hunter B.
- FAQs
Your Questions, Answered
Do I need detox before starting cocaine treatment?
Is there medication for cocaine use disorder?
What is the difference between IOP and PHP for cocaine treatment?
PHP meets five days a week for five to six hours daily. IOP meets three days a week for three to four hours. Both include neurofeedback, individual therapy, group therapy, and somatic modalities. PHP is appropriate when daily structure is needed during early recovery or when mood instability is severe. IOP works for people who are functioning but need more clinical support than weekly therapy provides.
Do you treat the underlying causes, not just the cocaine use?
What happens after I finish the program?
Our Mission
At Redefine Wellness and Treatment, we empower healing by uniting mind, body, and spirit. Using trauma-informed therapies, neuroscience, and holistic practices, we deliver personalized care that fosters resilience, growth, and lasting transformation.
Our Vision
We aspire to create a world where access to transformative healing is available to all, empowering people to lead fulfilling, balanced lives.
Recognized by
The Research Behind Cocaine and Mental Health Treatment
Cocaine use disorder responds to structured, integrated treatment that addresses both the substance use and the mental health conditions driving it. These findings come from peer-reviewed research and clinical outcome studies.
Cocaethylene, formed when cocaine and alcohol are used together, is associated with an 18 to 25 times greater risk of sudden death compared to cocaine alone. Treating co-use is critical.
A 2025 systematic review of 32 studies found neurofeedback shows consistent promise as an adjunctive treatment for substance use disorders, including stimulant use. EEG biofeedback has been rated "probably efficacious" for stimulant use disorder.
In a study of 216 patients with co-occurring substance use and psychiatric disorders, integrated treatment reduced psychiatric hospitalizations and arrests more effectively than treating each condition separately.
Why Cocaine Requires a Different Approach
There is no FDA-approved medication for cocaine use disorder, which means behavioral and neurological interventions carry the full weight of treatment. At Redefine, we combine neurofeedback for dopamine circuit recovery, CBT and DBT for craving management and behavioral change, somatic therapies for nervous system regulation, and psychiatric support for the anxiety and depression cocaine intensifies. Research consistently shows that integrated, multi-modality treatment produces better outcomes than addressing either the substance use or the mental health condition alone.
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