Cocaine Treatment

Cocaine and crack cocaine often create rapid cycles of use—short bursts of focus or confidence followed by depletion. Over time, these cycles begin directing the person’s day more than natural routines do. At The Ranch Tennessee, clients step into a slower-paced environment where they can interrupt these patterns, stabilize their energy, and begin rebuilding healthier habits in a grounded, intentional setting.

How cocaine use disorder develops

Cocaine produces a swift rise in dopamine, creating temporary bursts of energy or motivation. When used repeatedly, the brain begins to associate productivity or emotional stability with cocaine rather than natural processes. People often start using in specific situations, like social events, high-pressure moments, or late-night work, before it gradually becomes part of everyday functioning.

And, if you struggle with cocaine, you're not alone. Millions of Americans report using cocaine each year, and cocaine-related overdoses have increased steadily, particularly when combined with other substances.

How cocaine reshapes daily patterns

Clients often describe changes such as:

  • Working or socializing in bursts that feel unsustainable
  • Struggling to maintain healthy sleep routines
  • Eating irregularly or losing track of time
  • Becoming increasingly isolated after long stretches of intensity
  • Feeling scattered, rushed, or unable to slow down

With continued use, cocaine can put serious strain on the heart and blood vessels, increasing the risk of heart attack, stroke, and irregular heartbeat. Many people also experience ongoing sleep problems, anxiety, and mood crashes that make daily life feel unstable. As these effects build, relationships, work, and overall health often begin to suffer.

Signs of cocaine or crack dependence

People may notice:

  • Rapid mood shifts or restlessness
  • Increasing tolerance
  • Difficulty staying engaged without using
  • Withdrawal from family or routines
  • Physical symptoms such as nose irritation, fatigue, or weight fluctuation

Cocaine recovery programs at The Ranch Tennessee

Treatment focuses on helping clients restore balance, stabilize the nervous system, and rebuild decision-making patterns. Our approach blends clinical therapies with ranch-based experiences that help clients learn steadiness after long periods of stimulant-driven pacing.

Clients may engage in:

  • Medically supervised detox for initial stabilization
  • Residential, PHP, or IOP care
  • CBT to challenge thought patterns tied to performance or pressure
  • DBT for emotion regulation and distress tolerance
  • Trauma-focused therapy when past experiences affect current use
  • Equine therapy for awareness and boundary setting
  • Adventure therapy to reconnect with physical cues and grounded movement
  • Mindfulness, creative practices, and skills groups

As days take on predictable rhythms, clients begin to trust their internal cues again.

Rebuilding life after cocaine use

Recovery is not simply about abstaining. It's about learning how to move through the day with steadiness and clarity. Clients leave with aftercare plans that may include:

  • Regular therapy
  • Alumni group participation
  • Structured routines around sleep and nutrition
  • Community support systems
  • Safety strategies for high-risk situations

These plans help reinforce the groundwork laid at The Ranch.

Begin Tennessee cocaine recovery

If you're seeking cocaine addiction help or exploring crack treatment options, call 470.571.3586. The Ranch Tennessee team can guide you through treatment planning.

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If you’re ready to talk, we’re here. The Ranch offers a place to settle, breathe, and begin again. Reach out today and start your recovery in a setting built for healing.

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© 2026

Brian Fuller, MD

Medical Director

Dr. Fuller is board certified by the American Board of Psychiatry and Neurology. He completed medical school at the University of Tennessee Health Science Center and residency at Vanderbilt University. Additionally, he has completed the Nashville Advance Psychodynamic Psychotherapy Program, a two-year intensive program to better integrate traditional psychotherapy into his psychiatric practice. Dr. Fuller began his post-residency career in psychiatry running a psychotherapy-oriented private practice. Looking to help more people than he could working alone yet still provide treatment that emphasizes the importance and value of talk therapy, he joined The Ranch in 2017.

Dr. Fuller is passionate about helping people who have survived trauma and/or are struggling with addiction and strongly believes that the life we all deserve is within reach, no matter the adversity that one must overcome. He views medications as tools rather than solutions and his prescribing philosophy is to use the lowest dose necessary of non-addictive medications to help aid the process of recovery.