Cocaine Detox in Lemon Grove, San Diego
Cocaine detox at Broadview Recovery is physician-supervised withdrawal management in a 12-bed residential program in Lemon Grove, East County San Diego. A board-certified addiction-medicine physician oversees the medical plan, our team monitors the mood and safety symptoms that make stimulant withdrawal hard to get through alone, and the next step in care is scheduled before your person leaves.
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David Deyhimy, MD, Medical Director
Verify your insurance at no cost,
or call our admissions team any time.
What Is Cocaine Detox?
Cocaine detox is a short period of medically supervised care that carries someone through the crash and the first stretch of withdrawal, with a physician directing the plan and nursing staff on-site around the clock. Cocaine works differently from alcohol or opioids: the body does not go into a physical crisis that requires a medical taper, so there is no equivalent protocol here. What happens instead is a heavy psychological crash, with exhaustion, flattened mood, and cravings strong enough that most attempts to stop at home do not survive the first week. The clinical work is monitoring rather than tapering, and the risk being watched is psychiatric rather than physical.
Key Takeaways
- Cocaine withdrawal is driven by mood and craving, not by the physical instability seen in alcohol or benzodiazepine withdrawal. Supervision matters most for the depression, agitation, and suicidal thinking that can occur in the first one to two weeks.
- The acute crash typically lasts several days, with withdrawal symptoms persisting one to two weeks. Cravings and low mood can continue longer.
- No medication is FDA-approved for cocaine use disorder. Care focuses on medical monitoring, symptom relief, and therapy. Medication-assisted treatment applies when there is opioid or alcohol co-use.
- Broadview is detox and residential only. Outpatient and step-down appointments are arranged with a vetted partner program before discharge.
Why A Physician Leads This Detox
Cocaine withdrawal rarely causes the physical instability that makes alcohol or benzodiazepine detox medically urgent. What it does cause is a hard crash: exhaustion, heavy depression, agitation, and cravings strong enough that most people who try to stop at home do not get through the first week.
Medical oversight goes exactly there. Dr. David Deyhimy, board-certified in addiction medicine and internal medicine, directs the plan for each person here. Intake includes a medical screening that looks for the cardiovascular and psychiatric conditions that often come with sustained cocaine use. Our team then watches closely for the severe low mood and suicidal thinking that can appear during the first one to two weeks of stimulant withdrawal, which national clinical guidance identifies as the primary risk in this phase.
In a 12-bed program, that monitoring is not a chart review. The doctor knows every person by name.
Who Should Consider Supervised Cocaine Detox
Most calls here come from a spouse or a parent, not from the person using. We treat adults using cocaine or crack, and our program is intentionally small, with 12 beds, so the doctor knows every person by name. These are the situations where supervision changes the outcome.
Severe crash symptoms
Prolonged low mood, exhaustion, panic, or cravings intense enough that stopping alone has not worked before. The crash is the window in which most attempts to stop at home fail, because the symptoms that drive a return to use all arrive at once.
Suicidal thinking or severe depression
The most common clinical reason cocaine withdrawal needs supervision. National clinical guidance identifies self-harm as the primary risk during stimulant withdrawal, particularly in the first one to two weeks. New panic attacks and severe low mood belong in this category too.
Cardiac symptoms or a recent overdose
Chest pain, palpitations, fainting, or known heart disease. Sustained cocaine use damages the cardiovascular system, and intake screening is how that gets caught. Anyone in acute distress needs an emergency department first, not an admissions call.
Polysubstance use
Cocaine alongside alcohol or benzodiazepines. Those withdrawals carry genuine physical danger that cocaine alone does not, and they change the medical plan entirely. Co-use is common and must be disclosed at intake so the plan is built correctly.
Co-occurring psychiatric diagnoses
Anxiety, depression, PTSD, and bipolar spectrum conditions alongside stimulant use. Stimulant withdrawal and depression look alike from the outside, so screening happens at intake and both conditions are treated together in one physician-led plan.
Psychosis or an inability to stay safe
Active psychosis, or a person who cannot reliably care for themselves without supervision. If your person is pregnant or in immediate danger, call 911 or go to the nearest emergency department. Our admissions team can help coordinate care once they are stable.
Not sure if detox is the right first step?
Talk with our admissions team and verify your benefits at no cost. We will help you understand the options and what comes next.
What Cocaine Withdrawal Looks Like, Day By Day
Timelines vary by dose, frequency, how long someone has been using, and any co-occurring conditions. Your person’s clinical team reassesses daily and adjusts the plan.
| Phase | Common symptoms | What our team monitors |
|---|---|---|
| The crash, first 1 to 3 days | Exhaustion, heavy sleep, increased appetite, agitation, intense craving | Vitals, safety observation, sleep |
| Acute withdrawal, roughly days 3 to 14 | Depressed mood, anxiety, vivid or unpleasant dreams, difficulty feeling pleasure, continued craving | Mood and suicide-risk monitoring, symptom-targeted medication, therapy begins |
| Protracted symptoms, weeks to months | Low mood, low energy, episodic cravings | Addressed in residential care and by the outpatient provider arranged before discharge |
Sources: SAMHSA, Treatment for Stimulant Use Disorders (TIP 33); MedlinePlus, Cocaine withdrawal.
What We Provide On-Site, And What We Refer Out
Broadview runs two levels of care, both delivered on-site.
Medical detox. Physician-supervised stabilization through acute cocaine withdrawal, with 24/7 nursing, regular vital-sign checks, and medical screening and labs as clinically indicated. See our medical detox program for how detox works across all substances we treat.
Residential treatment. A 12-bed program with four individual therapy sessions each week, daily group sessions, and weekly family sessions. Private and semi-private rooms are offered as available. Residential treatment is where the work that detox makes possible actually happens.
We do not run PHP or IOP in-house. Those are arranged for you. Our case management team refers to vetted partner programs across San Diego, sends your person’s records ahead, and books the first appointment. Everything is arranged before discharge, so the handoff sits on a calendar instead of landing on the family to organize.
Many people admitted for cocaine detox are also managing depression, anxiety, or trauma. Both conditions are treated together here, in one physician-led plan. See co-occurring disorder treatment.
How Admission Works
Admission starts with a conversation, not paperwork. We check benefits at no cost, complete a clinical intake and medical screening, and build the plan under physician direction before anyone travels.
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Call or submit an inquiry. Tell us what is happening, including any immediate safety concerns. Admissions answers 24/7, or you can send us a message.
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Benefits verification. We check your plan at no cost before admission, so coverage is settled before anyone travels.
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Clinical intake and medical screening. A clinician completes intake and our medical team assesses medical risk, including screening for cardiac and psychiatric conditions.
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Individualized plan and stabilization. Under Dr. Deyhimy's direction, the team builds a plan and begins medical stabilization, with symptom-targeted medication where clinically appropriate.
Insurance and Benefits Verification
Broadview accepts commercial insurance on an out-of-network basis. We are currently out-of-network with all carriers, and we do not accept Medi-Cal.
Out-of-network does not mean uncovered. Many commercial plans pay a meaningful share of detox and residential care, and the only way to know what your specific plan does is to check it. The check is free and confidential, and we complete it before admission so there are no surprises afterward.
Verifying benefits does not commit you to anything.
Dual Diagnosis and Mental Health Support
Cocaine withdrawal and clinical depression look almost identical from the outside. Flat mood, no energy, no interest in anything. Telling them apart is the single most important clinical judgment of the first two weeks, and it is not something a family can be expected to do at home.
Psychiatric screening happens at intake rather than after detox, because waiting means the mood symptoms that drive early relapse go unaddressed during the window they matter most.
Our team reviews existing psychiatric medications on admission, monitors mood and safety daily, and treats both conditions in one physician-led plan rather than handing the mental-health half to somebody else later.
National clinical guidance identifies self-harm as the primary risk during stimulant withdrawal, concentrated in the first one to two weeks. SAMHSA TIP 33 sets out that guidance in full.
Conditions we commonly see alongside cocaine use
Depression
Distinguished from withdrawal-driven low mood over time, with close monitoring and psychiatric review.
Anxiety and panic
Common during the crash. Assessed on admission, with short-term symptom support where clinically appropriate.
PTSD and trauma
Trauma history taken at intake and carried into the treatment plan and the referral that follows detox.
Bipolar spectrum
Existing medications reviewed on admission and psychiatric input prioritized, since stimulant use can mask or mimic mood episodes.
Care is directed by Dr. David Deyhimy, board-certified in addiction medicine and internal medicine, working with our licensed clinical team. Case managers arrange behavioral-health follow-up before discharge. For how we treat both conditions together beyond detox, see co-occurring disorder treatment.
Therapies and Clinical Approaches Used During Detox
Cocaine detox is managed through monitoring rather than a medication taper. We watch the heart and the mood closely, treat specific symptoms as they come up, start therapy as soon as your person is well enough, and schedule the next step before discharge.
Medical monitoring and stabilization
Therapy, family, and what comes next
As a small 12-bed program led by Dr. Deyhimy, we know every person by name and make sure the next step is scheduled before they leave.
Ready to take the next step?
What to Expect: Admissions, Daily Care, and Payment
Admission begins with a confidential intake and a free benefits check. The first days focus on medical stabilization, rest, and safety, because most people arriving for cocaine detox are in the middle of a heavy crash and need sleep before anything else.
How admission usually works
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Call or submit an inquiry, then verification of benefits (VOB). We run a free benefits check to confirm coverage. Have the insurance card and basic personal details ready.
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Confidential clinical intake. A clinician reviews medical history, substance use, current medications, and mental-health needs, including any alcohol or benzodiazepine co-use, which changes the medical plan.
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Physician assessment. A physician evaluates cardiovascular and psychiatric risk, the two areas where sustained cocaine use causes the most damage, and sets monitoring priorities from there.
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Nursing monitoring and symptom management. Continuous nursing checks cover vitals, sleep, and mood, with close attention to depression and suicidal thinking. Short-term medication is prescribed for specific symptoms such as severe insomnia or agitation.
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First-week review and case-managed discharge planning. We review clinical response and, with your input, schedule outpatient referrals before discharge.
What Families Can Expect
Families are part of the plan here from admission rather than at the end. What we can share is governed by your person's written consent, and admissions walks you through those forms early so updates can flow legally once treatment starts.
Physician-led care
Dr. Deyhimy directs clinical decisions throughout your person's stay, so you know who is accountable for the medical plan.
A 12-bed program
Small enough that the doctor knows every person by name, and small enough that a change in someone's mood gets noticed.
What the first days look like
Expect a lot of sleeping and a flat, withdrawn mood. That is the crash, it is normal, and it is not a sign the program is not working.
Confidential communication
HIPAA and 42 CFR Part 2 govern what we can share. With written consent in place, you get regular clinical updates.
Involved from day one
Weekly family sessions are built into the program rather than added at the end. See our Family Program.
A case-managed step-down plan
Outpatient appointments are arranged before discharge, so your person leaves with a calendar rather than a list of phone numbers.
Our Lemon Grove Location
Broadview Recovery's Lemon Grove location delivers physician-led care in a small, private setting. Our medical detox and residential program has 12 beds and is led by Dr. David Deyhimy.
We are in Lemon Grove in East County San Diego, minutes from La Mesa and close to SR-94 and I-8. We serve families across San Diego County and accept admissions from out of state.
Broadview Recovery
2009 69th Street, Lemon Grove, CA 91945
Phone: (619) 805-5105
Serving Lemon Grove, La Mesa, El Cajon, Chula Vista, downtown San Diego, and East County.
Why Choose Broadview Recovery
Physician-led care
Dr. David Deyhimy, board-certified in addiction medicine and internal medicine, directs daily medical decisions, so clinical judgment sets the plan rather than a standard protocol.
Licensed and accredited
Licensed by the California Department of Health Care Services, License #370314AP, and accredited by The Joint Commission for its Behavioral Health Care and Human Services program.
Small 12-bed setting
Our size lets the team provide personalized attention and continuity, so your person is not just a number.
Structured family involvement
With your person's written consent, families join treatment planning from admission onward rather than at discharge.
Pre-discharge step-down planning
We schedule follow-up appointments and referrals before your person leaves our care.
24/7 monitoring and privacy
Round-the-clock nursing oversight, with close attention to mood and safety through the weeks when stimulant withdrawal carries the most risk. Discretion for adults concerned about work or reputation.
Begin the conversation
Talk to our admissions team — 24 hours a day.
Frequently Asked Questions
Does insurance cover cocaine detox?
Coverage depends on your plan and medical necessity. Broadview accepts commercial insurance on an out-of-network basis and provides a free benefits check so you know estimated costs before intake. We do not accept Medi-Cal. Call our admissions team to verify benefits.
How long does cocaine detox take?
The initial crash usually lasts several days, with withdrawal symptoms easing over one to two weeks. Cravings and low mood can persist longer, which is why detox on its own is stabilization rather than treatment. Your clinician will give a personalized estimate after intake.
Is cocaine withdrawal dangerous?
Cocaine withdrawal is generally less physically dangerous than alcohol or benzodiazepine withdrawal, which can be life-threatening. The main risks are severe depression and suicidal thinking in the first one to two weeks, along with relapse during the crash. Both are reasons to detox with physician supervision and 24/7 monitoring rather than alone.
How quickly can someone be admitted?
It depends on clinical need and bed availability, and admissions can tell you what is realistic on the day you call. A confidential intake and a free benefits check come first. If your person is in immediate danger, call 911 or go to the nearest emergency department rather than waiting on an admission.
Who is eligible for cocaine detox?
Adults who need medically supervised withdrawal from cocaine or crack and who do not require hospital-level care are usually eligible. Intake includes screening for co-occurring medical and mental health issues, and for alcohol or benzodiazepine co-use, which changes the medical plan.
Is there a medication for cocaine cravings?
No medication is FDA-approved for cocaine use disorder. Our physicians may prescribe short-term medication for specific symptoms such as severe insomnia, agitation, or anxiety. Medication-assisted treatment applies where there is opioid or alcohol co-use, and it treats that component rather than the cocaine.
Are crack withdrawals different from powder cocaine withdrawals?
The withdrawal symptoms are the same, because it is the same drug. Smoking crack produces a faster and shorter effect, which often drives heavier and more frequent use and a harder crash, but the clinical management does not change.
This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are in crisis, call or text 988 (Suicide and Crisis Lifeline). For national-level support and referrals, the SAMHSA National Helpline is available at 1-800-662-4357.