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

For adults in Pompano Beach, Cresthaven, and Lighthouse Point, RECO Immersive sits 28 minutes north on I-95 — close enough for family involvement and step-down attendance, far enough for clinical separation from the environment maintaining the depressive episode. Residential care is delivered with in-house rTMS and ketamine, so escalation from a failed outpatient antidepressant trial to interventional treatment happens in one setting rather than across three referrals. Psychiatry and the primary therapist continue through PHP and IOP step-down at RECO Health.

The route from Pompano Beach to RECO Immersive’s Delray Beach campus is 18 miles north on I-95 — roughly 28 minutes outside rush hour. That distance is enough to remove an adult from the neighborhoods and routines maintaining a depressive episode without severing the ties that make family involvement and eventual step-down feasible. RECO Immersive provides residential depression treatment for adults with major depressive disorder, persistent depressive disorder, and treatment-resistant depression, with in-house rTMS and ketamine access folded into the same 24-hour clinical setting rather than delivered across three separate referrals.

When residential depression treatment is the right level of care

Residential care is not the first step for most people with depression. It is clinically indicated when a presentation includes severe major depression with a PHQ-9 persistently in the 15-27 range despite adequate trials of at least two antidepressants at therapeutic doses and duration, recent psychiatric hospitalization with residual symptoms that outpatient follow-up has not consolidated, or profound anergia and functional collapse that prevents reliable attendance at a partial hospitalization or intensive outpatient program.

The other core indication is suicidal ideation without imminent intent or plan — the client who is safe to sleep in a supported clinical setting but not safe in an unmonitored home, and who does not require the locked containment of an inpatient psychiatric unit. Treatment-resistant depression is a common driver: clients who have failed two or more outpatient antidepressant trials and are candidates for concurrent rTMS or ketamine benefit from residential because medication adherence, sleep architecture, and psychotherapy integration can be directly observed rather than assumed.

RECO Immersive is not the appropriate level of care for an acute suicidal crisis with intent or plan, active psychosis, or medical instability requiring inpatient management. Those presentations are triaged to a higher-acuity setting and, when clinically appropriate, admitted after stabilization.

Concurrent rTMS and ketamine inside the residential stay

The load-bearing advantage of residential over standalone outpatient interventional treatment is that the concurrent antidepressant, sleep window, and psychotherapy integration all occur in the same setting. rTMS is delivered on-site at standard high-frequency parameters — typically 3000 pulses per session at 120% of resting motor threshold over the left dorsolateral prefrontal cortex, five sessions per week for four to six weeks — with the psychiatry team supervising taper or augmentation of the oral antidepressant (sertraline, escitalopram, venlafaxine, bupropion, or an atypical augmentation such as aripiprazole or quetiapine) rather than negotiating titration by phone with an outside prescriber.

Ketamine and intranasal esketamine follow the same logic. Racemic ketamine induction is typically two to three infusions per week during the first two to three weeks of residential, with integration therapy delivered within hours of each session rather than at the next outpatient appointment. Clients who have failed two or more outpatient antidepressant trials frequently begin the TMS course or ketamine induction inside the first two weeks — psychiatry stages the escalation as part of the treatment plan, not as a separate referral to a standalone clinic.

For clients presenting with a depressive episode inside bipolar II, lithium and lamotrigine levels are drawn on schedule and dosing adjusted without the delay typical of outpatient monitoring.

Behavioral Activation, CBT for depression, and the daily structure

Depression’s behavioral withdrawal — the collapse of rewarding activity and mastery experiences — is directly targeted by the residential daily structure. Behavioral Activation is delivered as a formal protocol, not as generic advice to “get out and do something.” Clients complete daily activity monitoring, hierarchies of value-consistent activities, and scheduled behavioral experiments; the residential setting removes the friction that keeps activation from happening at home.

CBT for depression targets the cognitive distortions and the rumination cycle that maintain the episode, with individual sessions two to three times weekly and daily group work. Interpersonal Therapy addresses grief, role transition, role dispute, and interpersonal deficits — the relational drivers that antidepressant medication does not touch. Acceptance and Commitment Therapy and Dialectical Behavior Therapy skills are folded in for clients whose presentation includes prominent emotion dysregulation, experiential avoidance, or a co-occurring trauma history where EMDR is later added.

Sleep, nutrition, and morning bright-light exposure are treated as clinical variables, not lifestyle suggestions. Circadian disruption is one of the most common maintaining factors in a depressive episode, and the residential schedule enforces a consistent sleep window that is difficult to reproduce at home.

Insurance and admissions from Pompano Beach

RECO Immersive is in-network or works out-of-network with Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BlueCross BlueShield plans. Admissions verifies benefits before arrival and provides a written estimate of client responsibility that includes the residential per-diem, ancillary costs for rTMS or ketamine when clinically indicated, and observation of medical detoxification when a co-occurring alcohol or benzodiazepine dependence is present at intake.

Prospective clients from Cresthaven, Lighthouse Point, Sea Ranch Lakes, and Hillsboro Shores typically complete a phone screen the same day. If residential is the appropriate level of care, admission is usually scheduled within 24 to 72 hours. If a different level of care is indicated — PHP, outpatient rTMS, or a higher-acuity setting — admissions provides a warm handoff rather than a bare discharge.

What to expect in the first 72 hours

Intake begins with a psychiatric evaluation, medical history and physical, and structured assessment. PHQ-9 anchors depression severity; GAD-7 quantifies co-occurring anxiety; ASRS screens a suspected adult ADHD component; the C-SSRS documents suicide risk; and CIWA or COWS is initiated when alcohol or opioid withdrawal is in play. Medication reconciliation is completed the first day, and the psychiatrist decides whether the current antidepressant continues, is augmented (commonly aripiprazole, quetiapine, or lithium), or is cross-tapered to an alternative agent such as buspirone or an atypical.

The primary therapist is assigned on admission and meets the client within the first 24 hours. A written treatment plan is completed within 72 hours and reviewed with the client. Family contact is coordinated through a designated liaison — a scheduled call inside the first week rather than open phone access, which is a clinical decision consistent with the structure of residential care and the need to protect the initial treatment window from the same relational patterns that often maintain the depressive episode.

The step-down when depression starts to lift

The residential stay is a compressed clinical block, not the whole treatment. As the PHQ-9 trajectory improves — typically a shift from the 15-27 range into the 10-14 range — and functional capacity returns, clients step down to partial hospitalization at RECO Health (30 or more clinical hours weekly, evenings at home or in supported housing), then to intensive outpatient at nine hours weekly, then to standard outpatient care.

Psychiatry and the primary therapist continue through the step-down so that the client is not repeating history to a new provider at each level. For Pompano Beach clients who elect to return home during PHP or IOP rather than continue in supported housing, the drive between Cresthaven or Lighthouse Point and the Delray Beach campus is short enough that step-down attendance is realistic. Discharge from residential without a defined step-down plan is not standard of care and is not how RECO Immersive discharges.

Serving residents of: Cresthaven, Lighthouse Point, Sea Ranch Lakes, Hillsboro Shores.