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Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.
Cocaine addiction treatment at The Archangel Centers in Charlotte treats adults with cocaine use disorder, often alongside co-occurring depression, anxiety, post-traumatic stress, or other mental health conditions. The full outpatient continuum is delivered on-site, serving clients across Mecklenburg County and the Charlotte metro region.
Cocaine has a binge-and-crash pattern that drives a particular kind of clinical picture. The high is short-lived, the urge to redose is intense, and the crash brings depression, exhaustion, and craving. Most cocaine clients describe their use in episodes that escalate over a weekend or a string of nights, not as steady daily use.
The supply has gotten more dangerous. Cocaine is now frequently contaminated with fentanyl, sometimes by accident, sometimes deliberately, and cocaine-fentanyl overdoses are rising fast across the country. Every cocaine client in our program gets the same naloxone-in-the-household conversation as opioid clients.
There is no MAT for cocaine in the way there is for opioids or alcohol. Treatment is built on behavioral interventions delivered through Partial Care or PHP first, stepping down through IOP and OP, with medications used selectively for co-occurring depression, anxiety, sleep, or attention symptoms.
The Charlotte clinic operates under appropriate North Carolina state licensure for outpatient SUD and co-occurring mental health treatment. Clinical work follows the ASAM framework. Clinical leadership is held by Jamie Salsberg, Clinical Director. We do not assert accreditations the clinic does not hold.
Our Charlotte program delivers a full clinical day Monday through Friday, with a manageable caseload that keeps the assigned primary therapist in place across the continuum. Single-call admissions cover clinical assessment, insurance verification, and clinical review with a scheduled start date. Same-week placement is often possible.
The Charlotte clinic operates in the Mecklenburg County metro area, with admissions, clinical assessment, and insurance verification handled together on the same intake call.
For cocaine use disorder specifically, the program leans on three things. First, the speed of the admissions process, a 24/7 line, single-call assessment, and same-week placement when clinically indicated. Second, the integration of medication management with the behavioral work; the on-site medical provider sees new clients within approximately 48 hours and stays connected to the clinical team throughout. Third, Evidence-based therapies adapted for stimulant use disorder. With no FDA-approved MAT, behavioral interventions carry the load: CBT trigger work, DBT urge-surfing, contingency-management principles in the urine-drug-screen schedule, plus medication for co-occurring depression, anxiety, or attention symptoms where indicated.
The Archangel Centers was founded by Mike Sorrentino, a recovery advocate with more than a decade in active recovery, with co-founder Lauren Sorrentino. The clinical and medical leadership team includes licensed NC clinicians, the on-site medical provider, and case management, small enough that each client knows their primary therapist by name.
Cocaine has a binge-and-crash pattern that drives a particular kind of clinical picture. The high is short-lived, the urge to redose is intense, and the crash brings depression, exhaustion, and craving. Most cocaine clients describe their use in episodes that escalate over a weekend or a string of nights, not as steady daily use.
The supply has gotten more dangerous. Cocaine is now frequently contaminated with fentanyl, sometimes by accident, sometimes deliberately, and cocaine-fentanyl overdoses are rising fast across the country. Every cocaine client in our program gets the same naloxone-in-the-household conversation as opioid clients.
There is no MAT for cocaine in the way there is for opioids or alcohol. Treatment is built on behavioral interventions delivered through Partial Care or PHP first, stepping down through IOP and OP, with medications used selectively for co-occurring depression, anxiety, sleep, or attention symptoms.
Group rooms, private therapy offices, the medical office, family programming rooms, and a wellness space, designed for clinical depth and nervous-system regulation.
Cocaine withdrawal is primarily psychological rather than physical. Clients describe profound fatigue, depressed mood, intense cravings, vivid unpleasant dreams, and increased appetite, peaking days 2 through 5 after last use. There is no acute medical danger to cocaine withdrawal, which is why coordinated medical detox is rarely needed; the danger is the depressive crash that drives early relapse.
Medical detox is rarely required for this substance, most clients begin in Partial Care or PHP directly.
Medical detox is rarely required for cocaine use disorder. Most clients begin in Partial Hospitalization (PHP), IOP, or OP based on the clinical assessment. For clients arriving in active withdrawal or with polysubstance complications, coordinated medical detox at an accredited partner facility is available, see coordinated medical detox at Charlotte.
No FDA-approved MAT for cocaine use disorder. Behavioral interventions are the primary intervention. CBT targets the trigger-thought-craving chain; DBT supports distress tolerance during cravings; contingency-management principles inform the treatment plan and the urine-drug-screen schedule.
Medication where indicated: Antidepressants for the depressive crash that follows extended use, sleep medications used short-term for the disrupted sleep architecture, and treatment for co-occurring ADHD or anxiety where it is part of the picture. Medication decisions are made by the medical provider based on the clinical presentation, not the cocaine use itself.
Contingency-management framing: Drug screens are not punishments, they are clinical information. A positive screen prompts a same-week clinical review and a treatment-plan adjustment, often a step-up in care intensity for a defined period.
Substance use disorder is a clinical diagnosis with specific criteria. If several of the following describe the current pattern, a clinical assessment at our Charlotte clinic is the right next step.
The full outpatient continuum is delivered on-site. The clinical assessment matches each client to the appropriate starting level based on severity, withdrawal status, work and family responsibilities, and history of prior treatment.
| Level | Schedule | Typical length | Page |
|---|---|---|---|
| Partial Hospitalization (PHP) (PHP) | full clinical day, Monday through Friday | Approximately 30 days, clinically driven | Partial Hospitalization (PHP) at Charlotte |
| Intensive Outpatient (IOP) | 3 or 5 days a week, 3 clinical hours per session | Approximately 30 to 60 days, clinically driven | IOP at Charlotte |
| Outpatient (OP) | Flexible, individual therapy + periodic continuing-care groups | Open-ended continuing care | OP at Charlotte |
The arc varies by client, but the following stages are typical for cocaine use disorder clients moving through the Archangel Centers continuum.
Most clients sleep heavily for several days, then sleep architecture remains disrupted for weeks. Clinical work supports sleep hygiene and short-term medication if indicated. Daily contact in Partial Care or PHP keeps the structure tight when motivation is lowest.
The post-cocaine depressive trough lifts gradually. PHQ-9 is re-administered to track. Antidepressants are initiated where clinical depression is part of the picture.
CBT trigger maps are detailed and specific, people, places, money rituals, drinking contexts. DBT urge-surfing skills are practiced in group and reinforced in individual sessions.
Many cocaine clients have untreated ADHD, anxiety, or depression that drove the original use. The medical provider initiates appropriate treatment alongside the SUD work.
Written coping plans, refusal skills, and a clear step-down path through IOP to OP. Alumni programming begins. Drug screens continue at a frequency set by the treatment plan.
(888) 464-2144 connects you with a counselor who opens a confidential clinical conversation.
The team verifies benefits in real time so the cost picture is clear before any commitment.
A licensed clinician conducts the assessment by phone, video, or in person. Battery: ASAM Criteria, LOCUS, PHQ-9, GAD-7, Columbia Suicide Severity Rating Scale, biopsychosocial. Typically 30 to 60 minutes.
Most direct admissions begin within 24 to 72 hours of the assessment. For clients who do not need detox first, the outpatient start date is scheduled the same week when clinically possible.
The Charlotte clinic draws clients from across Mecklenburg County and the broader Charlotte metro, including the surrounding cities and counties along the I-77 and I-85 corridors.
For state-specific procedural guidance, involuntary commitment, Medicaid coverage, court-mandated treatment, and county resources, see the North Carolina state hub.
Recovery starts with a confidential assessment, not a commitment. The clinical team determines whether Partial Hospitalization (PHP), IOP, OP is the right starting point, with insurance verification in the same call.
Call (888) 464-2144 or verify your insurance. The admissions line is open 24 hours a day.
This page was prepared by The Archangel Centers editorial team. The Archangel Centers is an outpatient provider; medical detox and inpatient rehabilitation are coordinated through accredited partners, not delivered on-site. This is general educational information, not medical advice.
“I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.”- Mike Sorrentino, Founder
Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.
The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.
Read the Full StoryMost clients leave the first admissions call with a clinical assessment, an insurance verification, and a scheduled start date. Recovery starts with a decision, not a commitment. The admissions line is staffed around the clock.
Confidential, 24/7 admissions. Same-week placement is often available. Verify your insurance free of charge before any commitment.
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