Common patterns
Two typical profiles: (1) weekend social use that escalates into midweek use, and (2) work-use tied to long client dinners, travel, or shift work. Both are treatable and neither is unusual.
Treatment structure
A short inpatient reset (2–4 weeks) is often ideal, followed by a structured 6-month outpatient plan. For clients who genuinely cannot pause work, evening intensive-outpatient models exist. We are honest about which model gives higher odds of sticking.
What matters most
For cocaine especially, the environment and social circle that surrounded the use are the biggest predictor of relapse. Effective programs address these directly — new patterns, new evenings, sometimes new friendships. Willpower alone is not the intervention.