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.
Patient Resources
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 →