Residential depression treatment for Lantana — TMS and ketamine in-house.

RECO Immersive's Delray Beach residential campus sits eleven miles south of Lantana — eighteen minutes down Federal Highway, less along A1A through Manalapan and Ocean Ridge. For adults whose depression has failed two or more outpatient antidepressant trials, the in-house rTMS suite and psychiatrist-supervised ketamine program allow escalation to interventional treatment inside the residential window, not weeks later across separate referrals. Observed medication adherence, structured sleep, and same-day integration therapy after each ketamine session are the load-bearing clinical advantages over standalone outpatient care.

Lantana sits eighteen minutes north of Delray Beach along Federal Highway — closer still by A1A through Manalapan and Ocean Ridge. For residents of Hypoluxo Island, Old Town Lantana, and the small barrier-island communities between Boynton Inlet and Lake Worth, RECO Immersive is the closest residential depression treatment program that pairs 24-hour clinical structure with in-house rTMS and ketamine access. When outpatient antidepressant trials have failed and PHQ-9 scores remain in the moderately-severe range, escalation to interventional treatment happens inside a single clinical setting rather than across three separate referrals.

When residential depression treatment is the appropriate level of care

Residential care is calibrated to a specific clinical presentation, not a marketing category. The profile that fits includes:

• Severe major depressive disorder with a persistent PHQ-9 score in the 15-27 range despite adequate outpatient trials.
• Recent psychiatric hospitalization with residual symptoms requiring sustained structure.
• Profound anergia and functional collapse that prevents reliable attendance at an outpatient IOP.
• Treatment-resistant depression — failure of two or more adequately-dosed antidepressant trials — where the plan will include concurrent rTMS or ketamine and benefits from observed medication adherence.
• Suicidal ideation without imminent intent or plan, where the client needs the containment of a structured setting but not the locked environment of an inpatient psychiatric unit.

RECO Immersive is not appropriate for acute suicidal crisis requiring involuntary hospitalization, active psychosis, or medical instability requiring inpatient medical care. The admissions team screens against these exclusions before offering a bed, and clients presenting in acute crisis are referred to a local receiving facility first. Persistent depressive disorder with recent decompensation, bipolar II depression currently in a depressive episode, and severe postpartum-onset major depression are also frequent admission profiles evaluated against the same criteria.

Concurrent rTMS and ketamine during the residential stay

The load-bearing advantage of residential care over standalone outpatient rTMS or ketamine is what happens in the twenty-two hours between treatments. Observed adherence to the concurrent oral antidepressant — sertraline, venlafaxine, bupropion, or an augmenting agent such as aripiprazole, quetiapine, or lithium — removes the largest single confound in outpatient interventional care. Structured sleep during the treatment window supports the neuroplastic response the protocols depend on. Integration therapy after each ketamine session happens the same day, not at the next scheduled outpatient appointment two weeks later.

Clients who have failed two or more adequately-trialed antidepressants typically begin rTMS or a ketamine induction series within the first two weeks of admission. The standard rTMS protocol delivers 3,000 pulses per session at 120% of resting motor threshold to the left dorsolateral prefrontal cortex over 30 to 36 sessions; residential placement compresses the acute course into the treatment window rather than stretching it across three months of outpatient attendance. Ketamine is delivered under psychiatric supervision with same-day integration in both individual and group therapy. The psychiatry team stages each escalation as part of the treatment plan rather than as a separate outside referral.

Behavioral Activation, CBT for depression, and IPT within the daily structure

Depression’s behavioral withdrawal — the collapse of rewarding activity, mastery experiences, and social contact — is targeted directly by the residential daily structure. Behavioral Activation is delivered as a formal protocol grounded in the Martell and Jacobson model: activity monitoring, graded task assignment, and scheduling of value-consistent behaviors. It is not generic activity therapy. Clients track weekly PHQ-9 and daily activity logs, and the primary therapist reviews trajectory in individual sessions at least twice weekly.

Cognitive Behavioral Therapy for depression targets the automatic thoughts and rumination cycles that maintain depressive episodes — thought records, cognitive restructuring, and behavioral experiments run against beliefs about worthlessness, hopelessness, and predicted failure. Interpersonal Therapy addresses grief, role transition, interpersonal deficits, and role disputes as depressive triggers. DBT skills — distress tolerance, emotion regulation, and interpersonal effectiveness — are woven in for clients with comorbid emotion dysregulation. ACT and mindfulness-based cognitive therapy modules address rumination and cognitive fusion, and Motivational Interviewing is used when ambivalence about medication or engagement is itself the barrier.

Step-down when depression starts to lift

As PHQ-9 trajectory improves and functional capacity returns, clients step down to Partial Hospitalization at RECO Health — 30 or more clinical hours weekly, with evenings at home or in supported housing. The step-down is not a discharge; the psychiatrist and primary therapist continue through the transition and the treatment plan is updated to reflect the outpatient context. From PHP the standard trajectory moves to IOP at nine to twelve clinical hours weekly, then to weekly outpatient with the psychiatrist for medication management and a therapist for continued CBT or IPT.

The compressed residential block does the intensive clinical work — resolving the acute episode, staging the interventional treatment, and rebuilding daily function — so that outpatient continuation is productive rather than crisis-managed. Family and relapse-prevention work intensifies during PHP, when clients begin re-engaging with home and work responsibilities in Lantana or wherever they live. Relapse prevention plans identify early warning signs specific to the individual’s episode history and codify a re-entry pathway if PHQ-9 begins climbing again post-discharge.

What to expect during the first 72 hours

Intake begins with a full psychiatric evaluation, complete medical history, and structured assessments — PHQ-9 for depression severity, GAD-7 for anxiety, MDQ to screen for bipolarity, C-SSRS for suicide risk, and the ASRS if adult ADHD is suspected as a comorbidity. Prior treatment records, hospitalization discharge summaries, and current medication lists are reviewed the first day. The psychiatrist makes initial medication decisions within 24 hours — typically continuing effective agents, adjusting doses, or cross-tapering ineffective ones rather than restarting the regimen from scratch.

A primary therapist is assigned within 24 hours, and the initial treatment plan is finalized within 72 hours. Clients from Lantana and the surrounding barrier-island communities can be picked up on the day of admission; personal items are inventoried on arrival and returned at discharge. The first week emphasizes stabilization, sleep normalization, and orientation to the daily schedule before full engagement in group programming. Concurrent substance use, when present, is assessed against ASAM Criteria dimensions and folded into the treatment plan rather than treated as a separate track.

Insurance and admissions from Lantana

RECO Immersive is in-network with Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BlueCross BlueShield plans. The admissions team runs a verification of benefits at first contact — typically within an hour — and provides a clear summary of expected coverage, deductible status, and any out-of-pocket estimate before a bed is offered. Single case agreements are pursued when the plan is out of network but the clinical presentation clearly meets residential level-of-care criteria on documented severity and prior treatment history.

For families in Lantana, Hypoluxo Island, Manalapan, and Old Town Lantana, transport from home to the Delray Beach campus is arranged the same day when a bed is available. The clinical intake begins the moment the client arrives — the admissions call is not a screening funnel, it is the first step in the assessment.

Serving residents of: Hypoluxo Island, Manalapan, Ocean Ridge, Old Town Lantana.