{"formatVersion":"1.1","id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder","path":"/library/cocaine-use-disorder","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder","title":"Cocaine Use Disorder","family":"Library detail","description":"Cocaine use disorder refers to a person's inability to control their use of the drug. Severe use disorders often go on to be classed as addictions.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/cocaine-use-disorder","wordpressId":"154","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen#person","name":"Ethan Cullen","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen"}],"reviewer":{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid#person","name":"Leila Khurshid, Pharm.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid"},"dates":{"datePublished":"2022-11-20T19:00:00Z","dateModified":"2025-07-31T21:35:47Z","lastReviewed":"2022-11-21"},"content":{"html":"<nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><ol><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/\">Home</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library\">Library</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders\">Substance Use Disorders</a></li><li><span aria-current=\"page\">Cocaine Use Disorder</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Cocaine Use Disorder</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3064.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Ethan Cullen</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3060.webp\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Leila Khurshid, Pharm.D.</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2022-11-20T19:00:00Z\">November 20, 2022</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2025-07-31T21:35:47Z\">July 31, 2025</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>Cocaine use disorder is a stimulant use disorder where people continue to take cocaine despite its negative side effects. When stopping cocaine, they can experience withdrawal symptoms because of their addiction <sup><a href=\"#diagnostic-statistical-manual-mental-disorders\" class=\"article-inline-link article-citation\" aria-label=\"Reference 1\">[1]</a></sup>. In addition, repeated cocaine users may experience side effects such as paranoia, nausea and tremors <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup>. Medical professionals can treat it through therapeutic methods.</p></div><figure class=\"article-feature\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-16868.webp\" alt=\"People place their hands together in a supportive group gesture.\" width=\"1200\" height=\"797\" loading=\"eager\" decoding=\"async\"></figure><section class=\"article-takeaways\" aria-labelledby=\"key-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Cocaine use disorder involves continued cocaine use despite harmful consequences and difficulty controlling use.</li><li>Repeated use can damage cardiovascular health and cause paranoia, hallucinations, and relationship problems.</li><li>Behavioral therapies are central to treatment, with supportive care addressing recovery and associated mental health difficulties.</li></ul></section><span id=\"what-is-cocaine-use-disorder-like-other-stimulant-use-disorders-cocaine-use-disorder-is-where-an-individual-is-addicted-to-cocaine-it-occurs-when-someone-continues-to-take-cocaine-a-highly-addictive-drug-despite-the-noticeable-harm-it-is-causing-and-the-adverse-effects-they-experience-they-will-experience-withdrawal-symptoms-if-they-stop-taking-it\" class=\"section-anchor-alias\" data-section-alias=\"what-is-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"what-is-cocaine-use-disorder\">What is cocaine use disorder?</h2><p>\nLike other stimulant use disorders, cocaine use disorder is where an individual is addicted to cocaine. It occurs when someone continues to take cocaine - a highly addictive drug - despite the noticeable harm it is causing and the adverse effects they experience. They will experience withdrawal symptoms if they stop taking it.\n</p><p>Side effects of cocaine use disorder can occur immediately after taking it and after long-term use. As with other drug use disorders, there are risks you expose yourself to depending on how you take the drug, such as contracting an infection through needles.</p><p>\nImmediate side effects can include: <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup>\n</p><ul>\n    <li>Hypersensitivity to light and sound</li>\n    <li>Paranoia</li>\n    <li>High irritability</li>\n</ul><p>\nLong-term use can lead to: <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup>\n</p><ul>\n    <li>Irregular heartbeat</li>\n    <li>Weakened immune system</li>\n    <li>Future development of movement disorders such as Parkinson’s</li>\n</ul><p>\nThere are many options for treatment. These include: <sup><a href=\"#cognitive-behavioural-therapy-reduced-cocaine-abuse-compared-12-step\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\">[3]</a></sup>\n</p><ul>\n    <li>Cognitive Behavioral Therapy (CBT)</li>\n    <li>Motivational Therapy</li>\n</ul><span id=\"types-of-cocaine-use-disorder-people-with-cocaine-use-disorder-can-experience-different-symptoms-depending-on-how-they-take-the-illegal-drug\" class=\"section-anchor-alias\" data-section-alias=\"types-of-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"types-of-cocaine-use-disorder\">Types of cocaine use disorder</h2><p>\nPeople with cocaine use disorder can experience different symptoms depending on how they take the illegal drug. <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup>\n</p><ul>\n    <li>Snorting cocaine can cause loss of smell, nosebleeds, and decaying of your septum.</li>\n    <li>Smoking can lead to lung infections such as pneumonia, as well as difficulty breathing.</li>\n    <li>Consuming cocaine by mouth can restrict blood flow to the bowel and cause it to decay.</li>\n    <li>Injecting cocaine with needles risks exposing yourself to infections such as HIV and hepatitis, as well as scarring and collapsed veins.</li>\n</ul><span id=\"symptoms-of-cocaine-use-disorder-cocaine-works-by-increasing-the-build-up-of-dopamine-in-your-brain-however-this-can-have-some-severe-long-term-effects-that-can-be-behavioral-physical-and-psychological\" class=\"section-anchor-alias\" data-section-alias=\"symptoms-of-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"symptoms-of-cocaine-use-disorder\">Symptoms of cocaine use disorder</h2><p>\nCocaine works by increasing the build-up of dopamine in your brain. However, this can have some severe long-term effects that can be behavioral, physical, and psychological.\n</p><h3 id=\"behavioral\">Behavioral</h3><ul>\n    <li>Behavior similar to schizophrenia include unusual aggression, severe paranoia, and confusion <sup><a href=\"#facts-about-cocaine-facts-about-drugs-illustrated\" class=\"article-inline-link article-citation\" aria-label=\"Reference 4\">[4]</a></sup>.</li>\n    <li>You may have trouble maintaining relationships due to your dependence on cocaine and any other symptoms you face.</li>\n    <li>Severe cocaine addiction has been linked to suicidal thoughts <sup><a href=\"#facts-about-cocaine-facts-about-drugs-illustrated\" class=\"article-inline-link article-citation\" aria-label=\"Reference 4\">[4]</a></sup>.</li>\n</ul><h3 id=\"physical\">Physical</h3><ul>\n    <li>Continued cocaine use can have a severe effect on the health of your heart. Your heart rate and blood pressure may become irregular, which increases your risk of strokes and heart attacks <sup><a href=\"#teen-cocaine-abuse-everything-you-need-know\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\">[5]</a></sup>.</li>\n    <li>As mentioned before, some physical symptoms depend on how cocaine is taken. For example, snorting cocaine can cause loss of smell and nose bleeds, while injecting it carries other risks, such as infections that are transmitted through blood, like HIV.</li>\n    <li>Using cocaine can lead to a decreased appetite which may cause severe weight loss over time.</li>\n</ul><h3 id=\"psychological\">Psychological</h3><ul>\n    <li>Hallucinations after taking cocaine for an extended period are common. These hallucinations can cause the feeling that something is crawling under your skin, nicknamed ‘coke bugs.’ <sup><a href=\"#cocaine-addiction-psychology-neurophysiology\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\">[6]</a></sup></li>\n    <li>Cocaine withdrawal symptoms make it difficult to stop taking cocaine. They occur because your body adapts to the amount of dopamine it produces when you take cocaine. People, therefore, take more cocaine more frequently to get the same effects. Symptoms of cocaine withdrawal include depression, fatigue and insomnia, making quitting the drug challenging mentally. <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup></li>\n</ul><span id=\"diagnosing-cocaine-use-disorder-diagnosis-for-cocaine-use-disorder-is-based-on-the-dsm-5-criteria-for-stimulant-use-disorders-diagnoses-can-be-mild-2-3-moderate-4-6-or-severe-more-than-6-depending-on-how-many-of-the-following-symptoms-you-have-experienced\" class=\"section-anchor-alias\" data-section-alias=\"diagnosing-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"diagnosing-cocaine-use-disorder\">Diagnosing cocaine use disorder</h2><p>\nDiagnosis for cocaine use disorder is based on the DSM-5 criteria for ‘stimulant use disorders.’ Diagnoses can be mild (2-3), moderate (4-6), or severe (more than 6), depending on how many of the following symptoms you have experienced. <sup><a href=\"#diagnostic-statistical-manual-mental-disorders\" class=\"article-inline-link article-citation\" aria-label=\"Reference 1\">[1]</a></sup>\n</p><ul>\n    <li>Needing to take an increased dose each time</li>\n    <li>Not being able to stop taking cocaine even if you try to</li>\n    <li>Spending lots of your time getting, using, and recovering</li>\n    <li>If using cocaine disrupts daily commitments like going to work</li>\n    <li>Intense cravings to use cocaine</li>\n    <li>Using cocaine despite it causing relationship issues</li>\n    <li>Taking cocaine, even if it has caused a severe health problem like a heart attack</li>\n    <li>Taking cocaine despite having a pre-existing mental or physical disorder that will be negatively affected</li>\n    <li>Giving up activities that you would usually enjoy doing</li>\n    <li>Experiencing withdrawal symptoms</li>\n</ul><p>\nAs well as your doctor asking you about what symptoms of the DSM-5 criteria you have experienced, they may also ask if there is any family history of addiction. They can also run blood tests to determine how much cocaine you take accurately.\n</p><span id=\"causes-of-cocaine-use-disorder-cocaine-use-disorder-is-caused-because-of-changes-in-dopamine-levels-in-the-brain-over-time-dopamine-is-a-neurotransmitter-in-the-brain-and-after-repeated-cocaine-use-changes-in-the-number-of-dopamine-receptors-result-in-tolerance-this-process-means-that-you-will-need-more-and-more-cocaine-to-get-the-same-effect-when-you-take-cocaine-dopamine-builds-up-in-the-synapse-this-increased-amount-of-dopamine-is-what-causes-the-feelings-referred-to-as-the-high\" class=\"section-anchor-alias\" data-section-alias=\"causes-of-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"causes-of-cocaine-use-disorder\">Causes of cocaine use disorder</h2><p>\nCocaine use disorder is caused because of changes in dopamine levels in the brain over time. Dopamine is a neurotransmitter in the brain, and after repeated cocaine use, changes in the number of dopamine receptors result in tolerance. This process means that you will need more and more cocaine to get the same effect. When you take cocaine, dopamine builds up in the synapse. This increased amount of dopamine is what causes the feelings referred to as the ‘high.’ <sup><a href=\"#neurobiology-cocaine-addiction\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\">[7]</a></sup>\n</p><p>After repeated cocaine use, the more tolerant you become. It is this cycle that causes addiction.</p><p>\nIt is thought that people aged between 24 and 26 are most at risk of developing cocaine use disorder if they start taking it. <sup><a href=\"#first-drug-use-drug-dependence-developmental-periods-risk-dependence\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\">[8]</a></sup>\n</p><span id=\"treatment-and-prevention-of-cocaine-use-disorder-currently-there-are-no-fda-approved-medications-for-cocaine-use-disorder-the-most-effective-treatments-for-cocaine-addiction-have-been-found-to-be-therapeutic-methods\" class=\"section-anchor-alias\" data-section-alias=\"treatment-and-prevention-of-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"treatment-and-prevention-of-cocaine-use-disorder\">Treatment and prevention of cocaine use disorder</h2><p>\nCurrently, there are no FDA-approved medications for cocaine use disorder. The most effective treatments for cocaine addiction have been found to be therapeutic methods.\n</p><ul>\n    <li>Talking therapies such as cognitive behavioral therapy can help you understand your addiction to cocaine and how to best manage the symptoms you are facing. CBT can take place as a group therapy session too so that you can talk to others facing similar situations as yourself. <sup><a href=\"#cocaine-addiction-get-help-uk\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\">[9]</a></sup></li>\n    <li>Incentive therapies can be helpful <sup><a href=\"#cocaine-addiction-get-help-uk\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\">[9]</a></sup>. This type of therapy works by rewarding you with vouchers, for example for staying off cocaine and continuing with any other treatments such as CBT.</li>\n    <li>Therapeutic communities are places where you live with other people recovering from addictions. You will have no access to cocaine and can support each other through withdrawal symptoms. <sup><a href=\"#cocaine-drugfacts\" class=\"article-inline-link article-citation\" aria-label=\"Reference 2\">[2]</a></sup></li>\n    <li>12-step programs work by examining past errors you have made leading up to your addiction and trying to make amends for them. These programs help people establish new routines and behavior post-addiction and recovered people help others struggling with addiction. <sup><a href=\"#apa-dictionary-psychology\" class=\"article-inline-link article-citation\" aria-label=\"Reference 10\">[10]</a></sup></li>\n</ul><span id=\"helping-someone-with-cocaine-use-disorder-when-helping-a-friend-or-loved-one-with-cocaine-use-disorder-it-is-important-to-be-considerate-of-what-you-say-and-supportive-through-all\" class=\"section-anchor-alias\" data-section-alias=\"helping-someone-with-cocaine-use-disorder\" aria-hidden=\"true\"></span><h2 id=\"helping-someone-with-cocaine-use-disorder\">Helping someone with cocaine use disorder</h2><p>\nWhen helping a friend or loved one with cocaine use disorder, it is important to be considerate of what you say and supportive through all <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/stages-of-mental-health-recovery\" class=\"article-inline-link\">stages of recovery</a>.\n</p><ul>\n    <li><strong>Do</strong> make it clear that you will be there through the whole process, including any potential relapses.</li>\n    <li><strong>Do</strong> give them time to accept treatment themselves as cocaine use disorder is an addiction they will need to be willing to give up.</li>\n    <li><strong>Do</strong> seek help for yourself if confronting them is too difficult at first. Community Reinforcement and Family Training (CRAFT) has proven useful in helping to prepare a plan to confront their addicted loved one, as well as dealing with stress and anxiety. <sup><a href=\"#program-engaging-treatment-refusing-substance-abusers-treatment-craft\" aria-label=\"Reference 11\" class=\"article-inline-link article-citation\">[11]</a></sup></li>\n    <li><strong>Don’t</strong> be confrontational or blame them for what they are going through. Addiction should be treated like any other disease, and stigmatizing them will not help them realize they need help.</li>\n    <li><strong>Don’t</strong> blame yourself for their addiction or if they do not want to seek help.</li>\n</ul></article><div class=\"article-endmatter\"><section class=\"article-sources\" id=\"references\" data-source-references=\"\" data-reference-list=\"\" data-reference-style=\"author-date-numbered\"><h2 id=\"references-2\">References</h2><ol>\n    <li id=\"diagnostic-statistical-manual-mental-disorders\" data-reference-number=\"1\">American Psychiatric Association. (2013b, May 27). <em>Diagnostic and Statistical Manual of Mental Disorders</em>. American Psychiatric Association Publishing.</li>\n    <li id=\"cocaine-drugfacts\" data-reference-number=\"2\"><em>Cocaine DrugFacts</em>. (2022, March 22). National Institute on Drug Abuse. Retrieved October 19, 2022, from https://nida.nih.gov/publications/drugfacts/cocaine</li>\n    <li id=\"cognitive-behavioural-therapy-reduced-cocaine-abuse-compared-12-step\" data-reference-number=\"3\">Palinkas, L. A. (1999, May 1). Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation. <em>Evidence-Based Mental Health, 2</em>(2), 51–51. <a href=\"https://doi.org/10.1136/ebmh.2.2.51\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation</a></li>\n    <li id=\"facts-about-cocaine-facts-about-drugs-illustrated\" data-reference-number=\"4\">LeVert, S. (2007, January 30). <em>The Facts about Cocaine (The Facts about Drugs)</em> (Illustrated). Cavendish Square Publishing.</li>\n    <li id=\"teen-cocaine-abuse-everything-you-need-know\" data-reference-number=\"5\">Walsh, Karen (2022, April 22). <em>Teen Cocaine Abuse: Everything You Need to Know</em>. Destinations for Teens Mental Health Treatment Center. Retrieved October 19, 2022, from <a href=\"https://www.destinationsforteens.com/destinations-blog/destinations-blog-teen-cocaine-abuse-everything-you-need-to-know/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Teen Cocaine Abuse: Everything You Need to Know</a></li>\n    <li id=\"cocaine-addiction-psychology-neurophysiology\" data-reference-number=\"6\">Gawin, F. H. (1991, March 29). Cocaine Addiction: Psychology and Neurophysiology. <em>Science, 251</em>(5001), 1580–1586. <a href=\"https://doi.org/10.1126/science.2011738\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Cocaine Addiction</a></li>\n    <li id=\"neurobiology-cocaine-addiction\" data-reference-number=\"7\">Nestler, E. (2005, December). The Neurobiology of Cocaine Addiction. <em>Science &amp; Practice Perspectives, 3</em>(1), 4–10. <a href=\"https://doi.org/10.1151/spp05314\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">The Neurobiology of Cocaine Addiction</a></li>\n    <li id=\"first-drug-use-drug-dependence-developmental-periods-risk-dependence\" data-reference-number=\"8\">Wagner, F. (2002, April). From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol. <em>Neuropsychopharmacology, 26</em>(4), 479–488. <a href=\"https://doi.org/10.1016/s0893-133x(01)00367-0\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence…</a></li>\n    <li id=\"cocaine-addiction-get-help-uk\" data-reference-number=\"9\">NHS website. (2022, June 13). <em>Cocaine addiction: get help.</em>uk. Retrieved October 19, 2022, from <a href=\"https://www.nhs.uk/live-well/addiction-support/cocaine-get-help/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">NHS</a></li>\n    <li id=\"apa-dictionary-psychology\" data-reference-number=\"10\">VandenBos, G. R. (Ed.). (2007). <em>APA Dictionary of Psychology</em>. American Psychological Association.</li>\n    <li id=\"program-engaging-treatment-refusing-substance-abusers-treatment-craft\" data-reference-number=\"11\">Meyers, R. J., Smith, J. E., &amp; Lash, D. N. (2005). A program for engaging treatment-refusing substance abusers into treatment: CRAFT. <em>International Journal of Behavioral Consultation and Therapy, 1</em>(2), 90–100. <a href=\"https://doi.org/10.1037/h0100737\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">A program for engaging treatment-refusing substance abusers into treatment</a></li>\n</ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3064.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"ethan-cullen\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen\">Ethan Cullen</a></h3><p class=\"article-bio-credentials\">Writer</p><p>Ethan Cullen is a medical writer with a Bachelor of Arts degree in Philosophy, Politics, and Economics from Oxford University.</p><dl><div><dt>Published</dt><dd><time datetime=\"2022-11-20T19:00:00Z\">November 20, 2022</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-07-31T21:35:47Z\">July 31, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3060.webp\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"leila-khurshid-pharm-d\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid\">Leila Khurshid, Pharm.D.</a></h3><p class=\"article-bio-credentials\">Pharm.D., BCPS</p><p>Leila Khursid is a medical reviewer with a Doctor of Pharmacy degree and completed a PGY1 Pharmacy Residency from St. Mark's Hospital.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2022-11-21\">November 21, 2022</time></dd></div></dl></div></section></div></section><section class=\"article-expert article-expert-mobile\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">View experience</a></section><section class=\"article-topic-community article-topic-community-mobile\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-11670.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Substance Use Disorders</h2><p>Connect around experiences with substance use, its effects, and paths through recovery.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/substance-use-disorders\">Explore community</a></section></div></div><aside class=\"article-sidebar\" tabindex=\"0\" data-bounded-rail=\"\" aria-label=\"Article navigation and related information\"><details class=\"article-contents\" open data-section-preview=\"3\" data-expanded=\"false\" data-scrolled-past=\"false\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"#what-is-cocaine-use-disorder\" title=\"What is cocaine use disorder?\" aria-label=\"What is cocaine use disorder?\">What is cocaine use disorder?</a></li><li><a href=\"#types-of-cocaine-use-disorder\" title=\"Types of cocaine use disorder\" aria-label=\"Types of cocaine use disorder\">Types of cocaine use disorder</a></li><li><a href=\"#symptoms-of-cocaine-use-disorder\" title=\"Symptoms of cocaine use disorder\" aria-label=\"Symptoms of cocaine use disorder\">Symptoms of cocaine use disorder</a></li><li><a href=\"#diagnosing-cocaine-use-disorder\" title=\"Diagnosing cocaine use disorder\" aria-label=\"Diagnosing cocaine use disorder\">Diagnosing cocaine use disorder</a></li><li><a href=\"#causes-of-cocaine-use-disorder\" title=\"Causes of cocaine use disorder\" aria-label=\"Causes of cocaine use disorder\">Causes of cocaine use disorder</a></li><li><a href=\"#treatment-and-prevention-of-cocaine-use-disorder\" title=\"Treatment and prevention of cocaine use disorder\" aria-label=\"Treatment and prevention of cocaine use disorder\">Treatment and prevention of cocaine use disorder</a></li><li><a href=\"#helping-someone-with-cocaine-use-disorder\" title=\"Helping someone with cocaine use disorder\" aria-label=\"Helping someone with cocaine use disorder\">Helping someone with cocaine use disorder</a></li></ol><button type=\"button\" class=\"article-sections-toggle\" data-sections-toggle aria-controls=\"article-section-list\" aria-expanded=\"false\">View more</button></nav></details><section class=\"article-expert\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">View experience</a></section><section class=\"article-topic-community\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-11670.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Substance Use Disorders</h2><p>Connect around experiences with substance use, its effects, and paths through recovery.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/substance-use-disorders\">Explore community</a></section></aside></div></div></div>","text":"HomeLibrarySubstance Use DisordersCocaine Use DisorderCocaine Use DisorderWritten by Ethan CullenMedically reviewed by Leila Khurshid, Pharm.D.Published on November 20, 2022 · Updated on July 31, 2025Cocaine use disorder is a stimulant use disorder where people continue to take cocaine despite its negative side effects. When stopping cocaine, they can experience withdrawal symptoms because of their addiction [1]. In addition, repeated cocaine users may experience side effects such as paranoia, nausea and tremors [2]. Medical professionals can treat it through therapeutic methods.Key takeawaysCocaine use disorder involves continued cocaine use despite harmful consequences and difficulty controlling use.Repeated use can damage cardiovascular health and cause paranoia, hallucinations, and relationship problems.Behavioral therapies are central to treatment, with supportive care addressing recovery and associated mental health difficulties.What is cocaine use disorder? Like other stimulant use disorders, cocaine use disorder is where an individual is addicted to cocaine. It occurs when someone continues to take cocaine - a highly addictive drug - despite the noticeable harm it is causing and the adverse effects they experience. They will experience withdrawal symptoms if they stop taking it. Side effects of cocaine use disorder can occur immediately after taking it and after long-term use. As with other drug use disorders, there are risks you expose yourself to depending on how you take the drug, such as contracting an infection through needles. Immediate side effects can include: [2] Hypersensitivity to light and sound Paranoia High irritability Long-term use can lead to: [2] Irregular heartbeat Weakened immune system Future development of movement disorders such as Parkinson’s There are many options for treatment. These include: [3] Cognitive Behavioral Therapy (CBT) Motivational Therapy Types of cocaine use disorder People with cocaine use disorder can experience different symptoms depending on how they take the illegal drug. [2] Snorting cocaine can cause loss of smell, nosebleeds, and decaying of your septum. Smoking can lead to lung infections such as pneumonia, as well as difficulty breathing. Consuming cocaine by mouth can restrict blood flow to the bowel and cause it to decay. Injecting cocaine with needles risks exposing yourself to infections such as HIV and hepatitis, as well as scarring and collapsed veins. Symptoms of cocaine use disorder Cocaine works by increasing the build-up of dopamine in your brain. However, this can have some severe long-term effects that can be behavioral, physical, and psychological. Behavioral Behavior similar to schizophrenia include unusual aggression, severe paranoia, and confusion [4]. You may have trouble maintaining relationships due to your dependence on cocaine and any other symptoms you face. Severe cocaine addiction has been linked to suicidal thoughts [4]. Physical Continued cocaine use can have a severe effect on the health of your heart. Your heart rate and blood pressure may become irregular, which increases your risk of strokes and heart attacks [5]. As mentioned before, some physical symptoms depend on how cocaine is taken. For example, snorting cocaine can cause loss of smell and nose bleeds, while injecting it carries other risks, such as infections that are transmitted through blood, like HIV. Using cocaine can lead to a decreased appetite which may cause severe weight loss over time. Psychological Hallucinations after taking cocaine for an extended period are common. These hallucinations can cause the feeling that something is crawling under your skin, nicknamed ‘coke bugs.’ [6] Cocaine withdrawal symptoms make it difficult to stop taking cocaine. They occur because your body adapts to the amount of dopamine it produces when you take cocaine. People, therefore, take more cocaine more frequently to get the same effects. Symptoms of cocaine withdrawal include depression, fatigue and insomnia, making quitting the drug challenging mentally. [2] Diagnosing cocaine use disorder Diagnosis for cocaine use disorder is based on the DSM-5 criteria for ‘stimulant use disorders.’ Diagnoses can be mild (2-3), moderate (4-6), or severe (more than 6), depending on how many of the following symptoms you have experienced. [1] Needing to take an increased dose each time Not being able to stop taking cocaine even if you try to Spending lots of your time getting, using, and recovering If using cocaine disrupts daily commitments like going to work Intense cravings to use cocaine Using cocaine despite it causing relationship issues Taking cocaine, even if it has caused a severe health problem like a heart attack Taking cocaine despite having a pre-existing mental or physical disorder that will be negatively affected Giving up activities that you would usually enjoy doing Experiencing withdrawal symptoms As well as your doctor asking you about what symptoms of the DSM-5 criteria you have experienced, they may also ask if there is any family history of addiction. They can also run blood tests to determine how much cocaine you take accurately. Causes of cocaine use disorder Cocaine use disorder is caused because of changes in dopamine levels in the brain over time. Dopamine is a neurotransmitter in the brain, and after repeated cocaine use, changes in the number of dopamine receptors result in tolerance. This process means that you will need more and more cocaine to get the same effect. When you take cocaine, dopamine builds up in the synapse. This increased amount of dopamine is what causes the feelings referred to as the ‘high.’ [7] After repeated cocaine use, the more tolerant you become. It is this cycle that causes addiction. It is thought that people aged between 24 and 26 are most at risk of developing cocaine use disorder if they start taking it. [8] Treatment and prevention of cocaine use disorder Currently, there are no FDA-approved medications for cocaine use disorder. The most effective treatments for cocaine addiction have been found to be therapeutic methods. Talking therapies such as cognitive behavioral therapy can help you understand your addiction to cocaine and how to best manage the symptoms you are facing. CBT can take place as a group therapy session too so that you can talk to others facing similar situations as yourself. [9] Incentive therapies can be helpful [9]. This type of therapy works by rewarding you with vouchers, for example for staying off cocaine and continuing with any other treatments such as CBT. Therapeutic communities are places where you live with other people recovering from addictions. You will have no access to cocaine and can support each other through withdrawal symptoms. [2] 12-step programs work by examining past errors you have made leading up to your addiction and trying to make amends for them. These programs help people establish new routines and behavior post-addiction and recovered people help others struggling with addiction. [10] Helping someone with cocaine use disorder When helping a friend or loved one with cocaine use disorder, it is important to be considerate of what you say and supportive through all stages of recovery. Do make it clear that you will be there through the whole process, including any potential relapses. Do give them time to accept treatment themselves as cocaine use disorder is an addiction they will need to be willing to give up. Do seek help for yourself if confronting them is too difficult at first. Community Reinforcement and Family Training (CRAFT) has proven useful in helping to prepare a plan to confront their addicted loved one, as well as dealing with stress and anxiety. [11] Don’t be confrontational or blame them for what they are going through. Addiction should be treated like any other disease, and stigmatizing them will not help them realize they need help. Don’t blame yourself for their addiction or if they do not want to seek help. References American Psychiatric Association. (2013b, May 27). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association Publishing. Cocaine DrugFacts. (2022, March 22). National Institute on Drug Abuse. Retrieved October 19, 2022, from https://nida.nih.gov/publications/drugfacts/cocaine Palinkas, L. A. (1999, May 1). Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation. Evidence-Based Mental Health, 2(2), 51–51. Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation LeVert, S. (2007, January 30). The Facts about Cocaine (The Facts about Drugs) (Illustrated). Cavendish Square Publishing. Walsh, Karen (2022, April 22). Teen Cocaine Abuse: Everything You Need to Know. Destinations for Teens Mental Health Treatment Center. Retrieved October 19, 2022, from Teen Cocaine Abuse: Everything You Need to Know Gawin, F. H. (1991, March 29). Cocaine Addiction: Psychology and Neurophysiology. Science, 251(5001), 1580–1586. Cocaine Addiction Nestler, E. (2005, December). The Neurobiology of Cocaine Addiction. Science & Practice Perspectives, 3(1), 4–10. The Neurobiology of Cocaine Addiction Wagner, F. (2002, April). From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol. Neuropsychopharmacology, 26(4), 479–488. From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence… NHS website. (2022, June 13). Cocaine addiction: get help.uk. Retrieved October 19, 2022, from NHS VandenBos, G. R. (Ed.). (2007). APA Dictionary of Psychology. American Psychological Association. Meyers, R. J., Smith, J. E., & Lash, D. N. (2005). A program for engaging treatment-refusing substance abusers into treatment: CRAFT. International Journal of Behavioral Consultation and Therapy, 1(2), 90–100. A program for engaging treatment-refusing substance abusers into treatment Medical ContentThe Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy.About MentalHealth.comMentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.AuthorEthan CullenWriterEthan Cullen is a medical writer with a Bachelor of Arts degree in Philosophy, Politics, and Economics from Oxford University.PublishedNovember 20, 2022UpdatedJuly 31, 2025Medical ReviewerLeila Khurshid, Pharm.D.Pharm.D., BCPSLeila Khursid is a medical reviewer with a Doctor of Pharmacy degree and completed a PGY1 Pharmacy Residency from St. Mark's Hospital.ReviewedNovember 21, 2022Subject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesSubstance Use DisordersConnect around experiences with substance use, its effects, and paths through recovery.Explore communityTable of contentsChoose a sectionWhat is cocaine use disorder?Types of cocaine use disorderSymptoms of cocaine use disorderDiagnosing cocaine use disorderCauses of cocaine use disorderTreatment and prevention of cocaine use disorderHelping someone with cocaine use disorderView moreSubject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesSubstance Use DisordersConnect around experiences with substance use, its effects, and paths through recovery.Explore community","wordCount":1732},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization","name":"MentalHealth.com","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"WebSite","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#website","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization"}},{"@type":"BreadcrumbList","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library"},{"@type":"ListItem","position":3,"name":"Substance Use Disorders","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders"},{"@type":"ListItem","position":4,"name":"Cocaine Use Disorder","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder"}]},{"@type":"ImageObject","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#primaryimage","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-16868.webp","contentUrl":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-16868.webp","width":1200,"height":797,"encodingFormat":"image/webp","caption":"People place their hands together in a supportive group gesture."},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen#person","name":"Ethan Cullen","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen","jobTitle":"Writer","image":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3064.jpg","sameAs":["https://www.linkedin.com/in/ethan-cullen-b1346123a/"]},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid#person","name":"Leila Khurshid, Pharm.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid","jobTitle":"Pharm.D., BCPS","image":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3060.webp","sameAs":["https://www.linkedin.com/in/leila-khurshid-pharmd-bcps/"]},{"@type":"Article","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#article","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder","headline":"Cocaine Use Disorder","description":"Cocaine use disorder refers to a person's inability to control their use of the drug. 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(2013b, May 27). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association Publishing.","links":[]},{"number":2,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#cocaine-drugfacts","text":"Cocaine DrugFacts. (2022, March 22). National Institute on Drug Abuse. Retrieved October 19, 2022, from https://nida.nih.gov/publications/drugfacts/cocaine","links":[]},{"number":3,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#cognitive-behavioural-therapy-reduced-cocaine-abuse-compared-12-step","text":"Palinkas, L. A. (1999, May 1). Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation. Evidence-Based Mental Health, 2(2), 51–51. Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation","links":[{"url":"https://doi.org/10.1136/ebmh.2.2.51","label":"Cognitive behavioural therapy reduced cocaine abuse compared with 12 step facilitation"}],"url":"https://doi.org/10.1136/ebmh.2.2.51"},{"number":4,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#facts-about-cocaine-facts-about-drugs-illustrated","text":"LeVert, S. (2007, January 30). The Facts about Cocaine (The Facts about Drugs) (Illustrated). Cavendish Square Publishing.","links":[]},{"number":5,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#teen-cocaine-abuse-everything-you-need-know","text":"Walsh, Karen (2022, April 22). Teen Cocaine Abuse: Everything You Need to Know. Destinations for Teens Mental Health Treatment Center. Retrieved October 19, 2022, from Teen Cocaine Abuse: Everything You Need to Know","links":[{"url":"https://www.destinationsforteens.com/destinations-blog/destinations-blog-teen-cocaine-abuse-everything-you-need-to-know/","label":"Teen Cocaine Abuse: Everything You Need to Know"}],"url":"https://www.destinationsforteens.com/destinations-blog/destinations-blog-teen-cocaine-abuse-everything-you-need-to-know/"},{"number":6,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#cocaine-addiction-psychology-neurophysiology","text":"Gawin, F. H. (1991, March 29). Cocaine Addiction: Psychology and Neurophysiology. Science, 251(5001), 1580–1586. Cocaine Addiction","links":[{"url":"https://doi.org/10.1126/science.2011738","label":"Cocaine Addiction"}],"url":"https://doi.org/10.1126/science.2011738"},{"number":7,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#neurobiology-cocaine-addiction","text":"Nestler, E. (2005, December). The Neurobiology of Cocaine Addiction. Science & Practice Perspectives, 3(1), 4–10. The Neurobiology of Cocaine Addiction","links":[{"url":"https://doi.org/10.1151/spp05314","label":"The Neurobiology of Cocaine Addiction"}],"url":"https://doi.org/10.1151/spp05314"},{"number":8,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#first-drug-use-drug-dependence-developmental-periods-risk-dependence","text":"Wagner, F. (2002, April). From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol. Neuropsychopharmacology, 26(4), 479–488. From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence…","links":[{"url":"https://doi.org/10.1016/s0893-133x(01)00367-0","label":"From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence…"}],"url":"https://doi.org/10.1016/s0893-133x(01)00367-0"},{"number":9,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#cocaine-addiction-get-help-uk","text":"NHS website. (2022, June 13). Cocaine addiction: get help.uk. Retrieved October 19, 2022, from NHS","links":[{"url":"https://www.nhs.uk/live-well/addiction-support/cocaine-get-help/","label":"NHS"}],"url":"https://www.nhs.uk/live-well/addiction-support/cocaine-get-help/"},{"number":10,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#apa-dictionary-psychology","text":"VandenBos, G. R. (Ed.). (2007). APA Dictionary of Psychology. American Psychological Association.","links":[]},{"number":11,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder#program-engaging-treatment-refusing-substance-abusers-treatment-craft","text":"Meyers, R. J., Smith, J. E., & Lash, D. N. (2005). A program for engaging treatment-refusing substance abusers into treatment: CRAFT. International Journal of Behavioral Consultation and Therapy, 1(2), 90–100. A program for engaging treatment-refusing substance abusers into treatment","links":[{"url":"https://doi.org/10.1037/h0100737","label":"A program for engaging treatment-refusing substance abusers into treatment"}],"url":"https://doi.org/10.1037/h0100737"}],"relatedReading":[],"links":[{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/","label":"Home"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library","label":"Library"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders","label":"Substance Use Disorders"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/ethan-cullen","label":"Ethan Cullen"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/leila-khurshid","label":"Leila Khurshid, 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