Cocaine Addiction Treatment in Thailand
Holina Rehab provides licensed residential cocaine addiction treatment on the island of Koh Phangan, Thailand. This page explains the signs of cocaine addiction, how our medically supervised programme works step by step, our Dual Treatment approach for co-occurring anxiety and depression, aftercare, costs and insurance, and how to reach our clinical team.
- Licensed Facility
- Medical Detox Available
- Koh Phangan, Thailand
- 30–90 Day Programmes
What is Cocaine Addiction?
Cocaine addiction is a chronic brain disorder characterised by compulsive use despite harmful consequences. It alters the brain’s reward circuitry and executive function, making it extremely difficult to stop without professional support.
Cocaine addiction affects people across all demographics and professions. At Holina Rehab, we work with professionals, executives, and individuals from across the world who have found cocaine use escalating beyond their control. Our programme addresses both the compulsive behaviour and the underlying emotional and psychological drivers that sustain it.
With medically supervised detox, evidence-based therapies including CBT and DBT, dual treatment for co-occurring anxiety and depression, and a structured aftercare programme, we provide the complete continuum of care that lasting recovery from cocaine requires.
Cocaine is used by an estimated 23 million people globally (UNODC World Drug Report 2024). In the United States, about 1.3 million people aged 12 and over (0.4%) had a cocaine use disorder in the past year, yet fewer than two-thirds received any treatment (SAMHSA, 2024 NSDUH). Holina’s Dual Treatment programme addresses cocaine dependence and any co-occurring conditions together.
What Are the Signs of Cocaine Addiction?
Many individuals and families are uncertain whether use has crossed into addiction. These clinical indicators can help you recognise when professional support is needed.
Binge & Crash Cycles
Intense euphoria followed by severe depression, fatigue, and cravings driving repeated use.
Intense Cravings
Overwhelming urges to use that override rational decision-making and commitments.
Financial Deterioration
Escalating spending on cocaine leading to debt, financial secrecy, or theft.
Nasal & Physical Damage
Frequent nosebleeds, loss of smell, congestion, or cardiovascular symptoms such as chest pain.
Paranoia & Anxiety
Cocaine-induced paranoia, panic attacks, or psychosis — especially during heavy use.
Tolerance
Needing increasing amounts to achieve the same effect, with diminishing pleasure over time.
Neglecting Responsibilities
Work performance, relationships, and family obligations increasingly affected or abandoned.
Continued Use Despite Harm
Persisting despite health consequences, relationship damage, or legal problems.
Secrecy & Denial
Hiding the extent of use from family and colleagues, minimising or rationalising behaviour.
How Is Cocaine Addiction Treated at Holina Rehab?
Cocaine addiction is treated at Holina Rehab through a four-stage residential pathway — assessment, medically supervised detox, primary care, and aftercare — combined with our Dual Treatment programme for any co-occurring anxiety or depression.
Assessment
Comprehensive clinical and psychological evaluation. Individual treatment plan from day one.
Medical Detox
Doctor-supervised withdrawal management with medication to ensure safety and comfort.
Primary Care
CBT, DBT, group therapy, trauma work, holistic treatments and daily structure.
Aftercare
Relapse prevention plan, continuing care referrals, and alumni community support.

Evidence-Based. Individually Tailored.
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Medically Supervised Detoxification
Our on-site physician and nursing team manage withdrawal safely, using approved medication protocols to minimise discomfort and prevent complications.
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Dual Treatment — Addiction & Behavioural Health
Co-occurring anxiety, depression, PTSD, and trauma are treated simultaneously through our integrated dual treatment model.
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Holistic Recovery in Koh Phangan
Yoga, breathwork, HBOT, somatic therapy, and the natural environment of Koh Phangan support full mind-body recovery.
A Different Kind of Recovery

Licensed Medical Facility
Holina Rehab is fully licensed by the Thai Ministry of Public Health and operates under international addiction treatment standards. Our on-site physician, nursing staff, and experienced addiction therapists provide 24-hour clinical oversight throughout your programme.
Medical detoxification, dual treatment for addiction and behavioural health, and evidence-based therapy are delivered within a single integrated residential setting — no referrals, no gaps in care.

The Koh Phangan Recovery Environment
The tropical island setting — sea air, natural surroundings, and distance from daily life — creates conditions for the psychological reset that recovery requires. Koh Phangan is home to one of Asia’s largest healing communities.
Clients benefit from private beach access, swimming pools, on-site gym, a nutritious restaurant, and a range of holistic therapies that complement the clinical programme.
Our Clinical Team
Treatment at Holina Rehab is led by qualified medical professionals and experienced addiction therapists. Every client is under active clinical supervision throughout their programme.




Licensed by the Thai Ministry of Public Health · Residential Rehab Licence #84-03-00294 · International Addiction Treatment Standards
Cocaine Addiction Treatment: Frequently Asked Questions
How long does cocaine addiction treatment take?
Most residents follow a 30, 60, or 90-day residential programme. Shorter 30-day stays stabilise the immediate crisis, while 60 and 90-day stays allow deeper work on the psychological drivers of cocaine use and stronger relapse prevention. The right length is set during your initial assessment, based on how long you’ve used, past treatment, and any co-occurring conditions.
Is medical detox necessary for cocaine?
Cocaine withdrawal is primarily psychological — intense cravings, low mood, fatigue, and disrupted sleep — rather than the physically dangerous withdrawal seen with alcohol or benzodiazepines. There is no life-threatening physical withdrawal from cocaine alone, but medical supervision keeps you safe and comfortable, manages depression or difficult emotions that can surface, and treats any other substances involved. Learn more about our medically supervised detox.
What makes Holina’s approach to cocaine addiction different?
We don’t treat cocaine addiction as a one-size-fits-all problem. Because stimulant use so often sits alongside anxiety, depression, or trauma, our Dual Treatment programme addresses the addiction and the underlying condition at the same time, using evidence-based therapies (CBT and DBT) alongside holistic recovery in the calm setting of Koh Phangan.
Can my family be involved in treatment?
Yes. Family involvement supports lasting recovery, and we help loved ones understand cocaine addiction and rebuild trust. See our family addiction support for how families can take part.
What happens after I leave Holina Rehab?
Aftercare is built into your programme from the start. Before discharge we create a personalised relapse-prevention and continuing-care plan so the progress made in residential treatment carries into daily life, with ongoing support to help maintain recovery.
Does insurance cover cocaine addiction treatment?
Holina Rehab is a private-pay facility and does not bill insurance directly. Residents can use our financing options to fund treatment. Coverage depends on your provider and policy. See rehab insurance and financing for options, or how much rehab costs in Thailand, and contact our team to check your specific cover.
Ready to Begin Your Recovery?
Our admissions team responds the same day — seven days a week, in full confidence.
+66 (0) 82 113 0657 or contact us online ↓