Cocaine addiction is on the rise in the UK, with usage spreading across all income levels and age groups. At PCP, we believe in supporting people at every stage—from crisis to recovery. Addictions, particularly cocaine dependence, can be effectively treated through various methods and therapies, including cognitive behavioral therapy, group therapy, and medications to manage withdrawal symptoms and prevent relapse. In this guide, we’ll break down current cocaine use trends, effective treatment options, and promising future therapies that offer real hope.
Introduction to Cocaine Addiction
Cocaine addiction is a serious and complex issue that affects millions of people worldwide. It is a type of substance use disorder that can have severe physical, emotional, and social consequences. Individuals struggling with cocaine addiction often find it challenging to break free from the cycle of use due to the drug’s powerful effects on the brain’s reward system. However, recovery is possible with the right support and treatment.
Cocaine rehab and addiction treatment programs are designed to provide individuals with the tools and support they need to achieve a happier and healthier life. These programs often include a combination of medication, therapy, and support groups. Understanding the signs and symptoms of cocaine addiction is crucial for seeking help and overcoming the addiction. By addressing the root causes and providing comprehensive care, these programs can help individuals reclaim their lives and build a healthier future.
Understanding Cocaine Dependence
Cocaine dependence is a chronic and relapsing disease that can be challenging to overcome. It is characterised by the compulsive use of cocaine despite negative consequences, such as relationship problems, financial difficulties, and health issues. The nature of cocaine dependence means that individuals often find themselves trapped in a cycle of use and relapse, making it difficult to achieve long-term sobriety.
Effective cocaine addiction treatment requires a comprehensive approach that addresses the individual’s physical, emotional, and social needs. Cognitive-behavioral therapy (CBT) is one of the most effective treatments for cocaine dependence, helping individuals identify and change negative thought patterns and behaviors associated with drug use. Support groups, such as Cocaine Anonymous, provide a community of individuals who understand the challenges of addiction and offer mutual support.
A tailored treatment plan that includes therapy, medication, and support groups is essential for achieving successful recovery. By understanding the underlying causes of their addiction and developing strategies for preventing relapse, individuals can work towards a healthier and more fulfilling life.
Cocaine Addiction in the UK: What the Numbers Say
Cocaine is certainly a drug that needs no introduction. Despite its association with the glitz and glamour of Hollywood or high-pressure, high-performance occupations like finance, cocaine has a surprisingly large user base among the middle class.
Seeking help for cocaine abuse can be challenging, and it is crucial to communicate openly with loved ones. Discussing rehab options and having the support of friends and family can play a significant role in encouraging individuals to seek treatment for cocaine addiction.
While it’s hard to define what qualifies exactly as “middle class” in the UK, current estimates include households earning between £40,000 to £70,000 annually. These groups included some of the highest rates of powder cocaine use in the country with cocaine use estimated to be:
1.92% of households earning between £41,600 and £52,000
2.70% of households earning more than £52,000
What may surprise some readers is its popularity among lower-income households too with official government figures suggesting the percentage of people using powder cocaine is:
2.29% for those earning £20,800 to £31,200
2.31% for those earning £10,400 to £20,800
1.95% for those earning less than £10,400
Cocaine is also a popular party drug among younger users. The prevalence of powder cocaine use in 2024 for people aged 16 to 59 years was 2.1% and 3.8% for individuals aged 16 to 24 years.
Along with the rising number of users in the last two decades, there was an increase in the number of people seeking help for cocaine addiction. Unfortunately, this has also coincided with a worrying rise in cocaine-related deaths.
Drug-related deaths due to cocaine in England and Wales stood at 1,118 in 2023, which is 30.5% more than in 2022 and represents the 12th consecutive annual rise. Men accounted for the vast majority of these deaths, making up 79.2% of cocaine-related fatalities.
The number of individuals starting treatment for powder cocaine issues increased by 10% in 2022–23. While in Wales, referrals to crack cocaine treatment services rose by more than 50% over the past five years. The most recent government figures show a rise in the use of crack cocaine in 2024, although the rate of powder cocaine use remained the same year on year.
Effective Cocaine Addiction Treatment Options in the UK

In the treatment of addiction, there are several key goals: To help individuals attain abstinence, prevent relapse, and successfully reintroduce former drug users into a normal, sober life.
The decision to find treatment for cocaine addiction is a critical step towards recovery.
Detoxification
This is often the first stage of cocaine addiction treatment. It involves a period during which the drug user abstains from further drug use and allows the remaining psychoactive to be washed out from the body.
Cocaine detoxes are typically performed under medical supervision due to the risk of relapse and the potential for developing severe withdrawal symptoms.
During this stage, treatment is mainly aimed at reducing the symptoms and cravings associated with withdrawal and achieving a stable initial period of abstinence to prevent relapse.
Addressing Cocaine Withdrawal
Cocaine withdrawal can be a challenging and uncomfortable experience, characterized by symptoms such as anxiety, depression, and fatigue. These symptoms can make it difficult for individuals to stop using cocaine and stay sober. However, a comprehensive treatment plan that addresses both the physical and emotional aspects of withdrawal can significantly improve the chances of successful recovery.
Medications such as propranolol and baclofen can be used to alleviate withdrawal symptoms and reduce cravings. These medications help manage the physical discomfort associated with withdrawal, making it easier for individuals to focus on their recovery. In addition to medication, support groups and therapy sessions play a crucial role in providing emotional support and guidance during this difficult time.
Cocaine rehab and addiction treatment programs offer a structured environment where individuals can receive the care and support they need to manage withdrawal symptoms and prevent relapse. By developing strategies for coping with cravings and high-risk situations, individuals can build a strong foundation for long-term sobriety and a healthier life.
Rehabilitation
Behavioural interventions are the cornerstone of treatment for cocaine addiction. However, some medications may be prescribed to help with cravings or withdrawal symptoms.
Individual therapy plays a crucial role as a personalized treatment approach for cocaine addiction, offering one-on-one support tailored to help clients understand and cope with their emotions, thoughts, and behaviours.
Top Behavioural Therapies for Cocaine Use Disorder
Behavioural therapies are aimed towards treating addiction by dealing with negative thought patterns and behaviours which promote drug use. Let’s take a look at some effective behavioural interventions that can be used to treat cocaine addiction:
One-to-one therapy is a personalized treatment method that provides specific attention and support to navigate individual concerns such as cocaine addiction. This tailored approach contrasts with group therapy, offering a more focused and individualized path to recovery.
Cognitive Behavioural Therapy (CBT): CBT is a form of behavioural modification centred around changing patient behaviours by identifying harmful or negative thinking patterns and habits associated with drug abuse. The therapy aims to identify these thought distortions, teach patients healthy ways of coping with these negative feelings, and ultimately improve their thinking patterns and lives.
Contingency Management: Contingency management is a behavioural intervention that encourages desirable behaviours through positive reinforcement like rewards. The most successful form of contingency management used during cocaine rehabilitation is called voucher-based reinforcement therapy (VBRT). VBRT involves giving patients vouchers that they can redeem for goods and services, but this depends on whether patients achieve a predetermined therapeutic goal.
Motivational Interviewing: Motivational interviewing is a person-centred therapy designed to encourage change in patients who are not fully committed to the process of rehabilitation and sobriety. This ambivalence may be due to several reasons such as the fear of withdrawal symptoms, the perceived temporary relief drugs bring, the fear of failure, their social environment, and so on.
Group Therapy Options for Cocaine Addiction Recovery
Group therapy plays an important part in rehabilitation as well. This could involve family therapy, group sessions, 12-step programmes, couples therapy, and so on.
Cocaine users often face unique experiences and challenges in their recovery journey, including dealing with withdrawal symptoms and the need for strong support systems.
Medications That Support Cocaine Addiction Recovery
Even once patients have stopped using cocaine, the next challenge is preventing relapse. Medications for relapse prevention aim to block the euphoria caused by cocaine or reduce cravings. Recent research into how cocaine affects the brain has led to promising treatments, although it is important to note that none of these medications are specifically approved for the treatment of cocaine use disorder. Some key examples include:
Baclofen
Tiagabine
Topiramate
Modafinil
Disulfiram
Disulfiram, a medication originally prescribed for alcohol dependence, has shown potential efficacy in reducing cocaine use and preventing relapse among cocaine-dependent patient.
Aftercare

Aftercare involves ongoing counselling, social support services, and medical treatment after the initial rehabilitation process.
The ultimate goal of aftercare is to empower individuals with the tools and support they need to maintain sobriety during everyday life, prevent relapse, and fully integrate them back into society. To support long-term recovery from cocaine addiction, our program includes 12 months of free aftercare, which is essential for continuous care beyond initial treatment.
Addiction recovery services offer several aftercare services like:
Ongoing therapy and counselling, including mental health services.
Access to support groups like Narcotics Anonymous.
Continued medical therapy for withdrawal, cravings, or coexisting mental health conditions.
Providing a sober living environment such as transitional housing and supported housing.
Helping them obtain financial independence and employment.
Providing legal assistance.
Teaching relapse prevention techniques and strategies for cravings, triggers, stress, and high-risk situations.
Improving family and community relationships.
Monitoring individual progress via regular check-ins and promoting accountability through mentors or sponsors.
Emerging Treatments and Breakthroughs for Cocaine Addiction
Behavioural interventions supported by key medications and comprehensive aftercare services remain the cornerstone for the treatment of cocaine use disorder. However, research and clinical trials are being carried out in some very interesting fields, a few of which border on the realm of science fiction. Treatment plans that adhere to established guidelines set by the National Institute for Health and Care Excellence (NICE) are crucial to ensure effective care and support for patients. Here are a few potential breakthroughs in the treatment of cocaine addiction:
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Newer stress-relief medications could potentially block stress-related relapse.
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Personalised therapies are based on the genetic makeup of the individual since research suggests that genetics plays certain roles in the development of addiction.
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Transcranial magnetic stimulation (TMS), is a non-invasive technique that stimulates specific regions of the brain using magnets and could potentially reduce the symptoms of addiction such as cravings.
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Some research is being done on the potential to develop a “cocaine vaccine” which binds to cocaine molecules and prevents them from entering the brain, reducing the drug’s psychoactive effects.
Seek Help Today
Cocaine-related deaths continue to rise in the UK, affecting people across income levels and age groups. Treatment options like detox, behavioural therapies, and aftercare are essential for addressing the root causes of addiction such as mental health struggles and social inequality. With ongoing research and innovative approaches on the horizon, the future holds promise.
Overcoming cocaine addiction is crucial for improving a person’s physical and mental wellbeing. Seeking help is the first step towards recovery, and it can make a significant difference in one’s life.
But for those struggling today, the most important step is reaching out for help. Reach out to PCP today if you or someone you know is struggling with a cocaine addiction. Recovery is possible, and it can start now.
Author
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Andy's journey in psychology and substance recovery is marked by significant educational and professional achievements. He studied Person Centered Counseling, gained insights from psychological literature, and completed an online course on the mind. His hands-on experience includes volunteering at a Drug and Alcohol Clinic and earning a diploma in child adverse experiences. Andy holds a first-class honors degree in Psychology with Substance Use and Misuse. Professionally, he has contributed as a Lived Experience Coordinator and counselor, offering hope and empowerment to those in recovery. Qualifications and Experience: Introductory Course in Person Centered Counseling Extensive study of psychological literature (including Carl Rogers and Freud) Online course completion on the Mind from UCT OCN peer mentoring course Level 3 diploma in child adverse experiences First-class honors degree in Psychology with Substance Use and Misuse Experienced Lived Experience Coordinator for Probation Dependency and Recovery service
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