Drug rehab serving West Palm Beach — the specialist, 28 minutes away.

RECO Intensive sits 18 miles south of West Palm Beach on I-95 — close enough that family sessions are workable from El Cid, SoSo, or Flamingo Park, far enough to step out of the daily environment. We deliver substance-specific protocols, in-house MAT prescribing, and a single primary therapist who follows each client from detox through aftercare rather than handing off at every level-of-care transition.

West Palm Beach sits 18 miles north of RECO Intensive’s Delray Beach campus — a 28-minute drive down I-95 or Federal Highway outside of rush hour. For Palm Beach County residents living south of Okeechobee Boulevard, in neighborhoods like El Cid, Flamingo Park, SoSo, Northwood Hills, or Downtown WPB, the Delray campus is the nearest specialist-level program that combines medical detox, PHP, IOP, and an integrated sober-living network under one clinical team. Distance matters in early recovery — short enough that family can come for the weekly family session, far enough that a client steps out of the bars, dealers, and stressors that drove the use in the first place.

Drug rehab at RECO is not a single template applied to every client. The substances most prevalent in South Florida — opioids (heroin, fentanyl, prescription pain medication), cocaine, methamphetamine, benzodiazepines, and the polysubstance combinations that show up in actual chart reviews — each require distinct medical management, distinct withdrawal trajectories, and distinct relapse-prevention frameworks. The page below describes how we treat each.

Substance-specific clinical protocols

Opioid use disorder, stimulant use disorder, and sedative use disorder are clinically different conditions. Opioid withdrawal is medically uncomfortable but rarely life-threatening; benzodiazepine and alcohol withdrawal can be fatal without medical oversight and require a tapering protocol with seizure precautions. Cocaine and methamphetamine withdrawal looks more like a depressive episode with sleep dysregulation and intense craving than a physical syndrome, and the relapse-prevention work is correspondingly different — environmental cue exposure and contingency-management techniques carry more weight than medication.

RECO’s clinical staff are trained to assess across the six ASAM dimensions — acute intoxication and withdrawal, biomedical conditions, emotional and behavioral conditions, readiness to change, relapse potential, and recovery environment — and to assign level of care based on that assessment rather than on a fixed package. A West Palm Beach client arriving from a fentanyl relapse with an untreated bipolar diagnosis is routed differently from a client coming off a six-month stimulant binge with no co-occurring psychiatric load, and the treatment plan reflects that.

Medication-assisted treatment where indicated

Medication-assisted treatment, when clinically indicated, is delivered by RECO’s in-house addiction psychiatrists — not referred out. For opioid use disorder we prescribe and manage buprenorphine (Suboxone, Sublocade) and extended-release naltrexone (Vivitrol). For alcohol use disorder we use naltrexone, acamprosate, and disulfiram depending on the clinical picture, drinking history, and the client’s own goals. MAT is integrated into the broader treatment plan — psychiatry meets weekly with the primary therapist and case manager so medication decisions and behavioral work move together rather than in separate silos.

MAT is offered, not required. Some clients want it; others, particularly those with shorter use histories or specific occupational concerns, prefer abstinence-based treatment. Our position is that the evidence for buprenorphine in opioid use disorder is strong enough that we discuss it with every opioid client, and that the choice belongs to the patient. Opioid-specific treatment and alcohol-specific treatment have dedicated overviews if you want the deeper clinical detail.

Behavioral therapy across the continuum

The therapeutic foundation is evidence-based: Cognitive Behavioral Therapy for thought-pattern restructuring and relapse prevention, Dialectical Behavior Therapy for emotion regulation and distress tolerance, Motivational Interviewing for ambivalence and engagement, and Trauma-Focused CBT and EMDR for the trauma histories that drive a substantial share of substance use. Group programming runs alongside individual sessions — process groups, psychoeducation, relapse-prevention skills work, and structured family sessions.

The clinical decision that matters most for continuity is this: every RECO client has one primary therapist who follows them through every level of care. A client who steps down from residential care to PHP to IOP works with the same therapist who heard their first intake. The therapeutic alliance, the clinical history, and the relapse-prevention plan move with them. Fragmented programs hand the client off at every transition; we don’t, and our outcomes reflect it.

Co-occurring mental health treatment

National prevalence data and our own intake numbers point the same direction: the majority of clients arriving for substance use treatment also carry a co-occurring psychiatric condition. The most common are major depressive disorder, generalized and social anxiety disorders, PTSD (particularly in clients with childhood trauma or first-responder histories), bipolar II, and ADHD. Treating substance use without treating the underlying psychiatric condition produces predictable relapse — clients self-medicate the depression or the trauma symptoms with whatever worked before.

RECO’s dual-diagnosis track treats both concurrently. Psychiatric medication management, individual therapy targeting the psychiatric condition, and substance-specific recovery work happen on the same treatment plan, coordinated by the same clinical team. For clients with active PTSD we phase trauma processing carefully — early sobriety is rarely the right window for intensive EMDR, but stabilization, psychoeducation, and skills work begin in the first week.

How West Palm Beach families typically use the program

The geography of the 18-mile drive shapes how families engage. Most West Palm Beach clients begin at the level of care their ASAM assessment indicates — often PHP or residential — and step down toward outpatient as they stabilize. Family sessions are usually weekly; we schedule them around traffic patterns on I-95 so parents driving down from Northwood Hills or partners coming from El Cid aren’t sitting in the southbound 5 p.m. backup. Many clients transition into RECO’s sober-living network after the intensive phase, which keeps them in a structured environment within reach of both the Delray clinical team and their West Palm Beach support system.

We accept most major commercial insurance carriers including Aetna, Cigna, Blue Cross Blue Shield, United Healthcare, and Florida Blue. Insurance verification takes about an hour and gives you concrete coverage and out-of-pocket numbers before you commit to anything. The alumni and aftercare program continues after formal treatment ends — weekly groups, alumni events, and direct lines to your clinical team if something shifts.

If you’re researching for yourself or for someone in your household, call (866) 396-2008. The intake conversation is clinical, not a sales call — we ask the questions a clinician needs to ask to recommend the right level of care, and if RECO isn’t the right fit we say so.

Serving residents of: El Cid, Flamingo Park, Northwood Hills, SoSo, Downtown WPB.