Nexa Retreat — Costa Rica

Care at Nexa Retreat — Costa Rica

A private, individually designed stay in Costa Rica

Nexa Retreat advertises a residential therapeutic immersion for one client at a time in Costa Rica. Its main program is built around individual appointments, private accommodation, and a combination of psychological, medical, experiential, and wellness services. The provider describes an audience that includes people dealing with emotional distress, substance-related difficulties, trauma, burnout, or persistent behavioral patterns. Privacy and a tailored schedule are central to the offer. The public information does not identify a single fixed treatment villa, so the residence and the clinical arrangements for a particular stay need to be specified before admission.

The main provider site emphasizes active participation and an individual treatment plan rather than group programming. That format may appeal to someone who wants close attention and discretion, but it does not determine clinical suitability by itself. A person considering Nexa needs an assessment that addresses the actual concern, current symptoms, medications, physical health, and the support required during the proposed stay. A private residential immersion is also distinct from admission to an acute hospital. The reviewed material does not establish hospital-level facilities or continuous on-site physician coverage at a named property.

Clinical responsibilities and the current team

The current staff page names Nicholas Russi as co-founder and executive director, with addiction-counseling and clinical-supervision credentials described in his biography. It identifies Dr. Andrea Mesén Fainardi as a psychiatrist, TMS specialist, and neuropsychiatric consultant, providing psychiatric oversight and medical assessment. Those roles give substance to the provider’s claim of medical and clinical involvement. They do not establish that every team member attends every stay in person. The individual offer should identify the lead clinician, the planned appointments, and the person responsible for decisions between scheduled sessions.

Other listed roles span different kinds of work. Dr. Allen Berger is described as a psychologist specializing in Gestalt and experiential psychotherapy. Garland Hunt Jr. is presented as a breathwork facilitator and coach, while David Gilbert works in coaching and integration. The page also lists case managers and psychiatric nurse-practitioner support. These functions should remain distinct in a prospective resident’s understanding of the schedule. Coaching, bodywork, and practical case management can complement clinical care, but a long day containing those activities is not equivalent to the same number of hours of psychotherapy or medical treatment.

The site includes professionals with experience and credentials from several countries. Before agreeing to a treatment plan, establish who will actually deliver each service in Costa Rica and what local professional authorization applies to that work. This review does not independently certify every practitioner’s registration or the licensing of the proposed villa. It also does not assume that a clinician’s credentials in another country automatically authorize every advertised intervention locally. The purpose of identifying those responsibilities is to make the private arrangement concrete: the client should know who is treating them, where, and under which clinical agreement.

Psychotherapy and experiential work

The treatment-approach page describes experiential psychotherapy using present-moment awareness, emotional expression, imagery, and relationship patterns. Named approaches include Gestalt and parts-based work, psychodrama, and somatic exploration. These are presented as possible components of an individualized sequence, not as a standard curriculum that every client completes. The clinical plan should explain how the chosen methods relate to the person’s actual goals. Someone whose main concern is substance use, for example, needs to understand how reflective or experiential sessions connect with practical decisions about use, relationships, and life after the retreat.

Integration is a recurring theme in Nexa’s description. The provider says it works on translating experiences into daily habits, emotional skills, boundaries, and relationships. That emphasis is useful to examine at the level of ordinary behavior: what will the client practice between sessions, how will progress be discussed, and which changes are realistic on returning home? A powerful experience during a private stay is not itself a completed continuing-care plan. The person and the clinical team need to agree on what support will continue, who will provide it, and how the plan will respond if difficulties persist.

Daily movement and body-based options include tai chi, fitness, yoga, breathwork, massage, and other restorative bodywork. These activities broaden the schedule beyond seated appointments and can be selected around preferences and physical limitations. The website uses strong language about nervous-system change and lasting transformation; this profile describes the advertised services without treating those claims as guaranteed outcomes. The presence of a natural setting, intensive attention, or a particular wellness practice does not establish that every client will improve in a specified way or within the duration of a package.

TMS and other specialized interventions

Nexa advertises accelerated transcranial magnetic stimulation, or TMS, as part of its program. The official material links this work with psychiatric oversight and a personalized treatment sequence. It does not provide enough detail to establish the exact device, protocol, number of sessions, or indication for a particular person. Those decisions require the responsible clinician’s assessment and an explanation of the expected benefits, limitations, alternatives, and relevant risks. The inclusion of TMS on a package page should not be read as a reason for every resident to receive it or as a promise of rapid improvement.

Psychedelic-assisted work is also advertised, with the program page qualifying its use according to clinical appropriateness. The approach page describes preparation, a supported experience, and subsequent integration. However, the reviewed public material does not specify one substance, a universal treatment protocol, or the legal authorization for each possible intervention. A prospective client needs those details explained directly, including the responsible medical professional, screening, informed consent, and the arrangements if additional care is required. This listing does not validate any particular psychedelic intervention or imply that purchasing the package makes every advertised modality suitable or legally available.

Three published program ranges

The official program-and-cost page, checked on October 20, 2026, describes a ten-day Intensive Reset priced at USD 80,000–95,000. The provider positions it as a shorter immersion for people seeking focused work with limited time away. Its stated components include assessment, individual therapeutic work, somatic practices, nature-based activities, private accommodation, and chef-prepared meals. The duration is a package description, not evidence that ten days will resolve every presentation. The assessment should determine whether that amount of time is appropriate and what care will be needed afterward.

The twenty-one-day Deep Transformation is listed at USD 165,000–195,000. The provider describes additional time for therapeutic work, reflection, and adjustment of the daily plan, with coordination involving family members or referring professionals when appropriate. The main practical distinction is the longer opportunity to work through the agreed plan, not an assurance of a particular emotional or neurological result. The written quote should identify how the additional days change the clinical schedule and what involvement from family or outside professionals is actually included, rather than relying only on the program’s name.

The six-week Immersive Rebuild is listed at USD 330,000–390,000. Nexa describes a longer, more adaptable program with expanded integration work and coordination with medical providers, advisers, or family offices where relevant. The page also includes transition planning and continuity support in this tier. These are published package ranges, rather than nightly or monthly rates. This profile does not prorate them into a hypothetical thirty-day price or assume that unused days are refunded proportionally. The contract should establish payment stages, extensions, cancellation, early departure, and the limits of any support after the residential period.

The villa, daily support, and additional costs

The published inclusions describe a private villa, chef-prepared meals, concierge coordination, and private transportation. Nexa refers to ocean or jungle settings, so a beachfront property should not be assumed for every admission. The destination page emphasizes time in nature, but it does not identify the exact accommodation or an independently verified clinical facility address. Request the proposed property’s location, bedroom and bathroom arrangements, accessibility, staffing, and travel logistics in the offer. Photographs and broad descriptions of Costa Rica cannot establish those details for a particular stay.

The program page separately identifies optional services that cost extra. These include neurofeedback intensives, expanded breathwork or somatic work, executive coaching, family intensives, adventure-based excursions, spiritual or ceremonial experiences, selected biomarker testing, and longevity services. The final price can also vary with the villa, clinical complexity, pace, and chosen modalities. Those qualifications matter at this price level: a prospective client should have an itemized distinction between included sessions, optional additions, outside medical care, and follow-up. The word private describes the format, not an unlimited entitlement to every service on the website.

Reconciling the website and arranging continuing care

Some public information is inconsistent. The contact-page FAQ refers to a four-week residential program, group therapy, and secondary or outpatient treatment, while the main program page specifies one client, individual sessions, and the three different package lengths above. Some sections also mention THE BALANCE, but the reviewed material does not establish an affiliation between the two providers. The specific Nexa offer should therefore be confirmed in writing. This profile does not transfer another organization’s services or treat the inconsistent FAQ as proof that group programming or a separate outpatient clinic is included.

Nexa’s package information includes an integration roadmap and recommendations for continued support, while ongoing coaching or therapy is described as optional. Agree on the actual appointments, charges, and responsible professionals before leaving, particularly if care will continue across national borders. The current contact page gives the toll-free number +1 800 790 0394 and a consultation form. When comparing Nexa with other treatment options in Costa Rica, the meaningful comparison is the proposed clinical plan, confirmed residence, named practitioners, and total contractual cost, with the limitations of the public information kept clear.