Stimulant Use Disorders
Methamphetamine, cocaine, and other stimulant use disorders are treatable. Care should address medical and psychiatric safety, sleep and nutrition, co-occurring conditions, evidence-based behavioral treatment, harm reduction, and long-term recovery.
Behavioral treatment
Contingency management has the strongest evidence and is considered a standard of care. CBT, Community Reinforcement Approach, and the Matrix Model can also be useful.
Medication is nuanced
There is not a single FDA-approved medication for stimulant use disorder. Selected off-label medications may be considered based on the stimulant involved, co-occurring conditions, and specialist assessment.
Harm reduction matters
Nonmedical stimulant supplies can contain fentanyl or other opioids. Overdose education and access to naloxone remain important even when a person does not intend to use opioids.
Clinical Guideline
How treatment works at EvolveMD
We use the SURF framework—Stabilize, Understand, Restore, Flourish—to organize care around safety, understanding, rebuilding, and long-term wellbeing.
Learn about SURF →