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Spravato (Esketamine) for Treatment-Resistant Depression

Spravato is an FDA-approved nasal spray medication for adults with treatment-resistant depression (TRD)—a form of depression that hasn’t improved with traditional antidepressants.


How Spravato Works

Unlike typical antidepressants, Spravato:

  • Targets the NMDA receptor, part of the brain’s glutamate system

  • Promotes neuroplasticity and more flexible brain connections

  • Works faster than standard antidepressants—often within hours or days


Benefits of Spravato Treatment

  • Rapid relief from depressive symptoms

  • Reduced suicidal thoughts in clinical studies

  • Alternative for patients who haven’t responded to other medications

  • Used with an oral antidepressant for enhanced effectiveness


Administration & Safety

Spravato is administered in-office under medical supervision due to possible side effects, including:

  • Dissociation or disconnection

  • Dizziness or sedation

  • Nausea

  • Not everyone is a candidate for Spravato. A thorough evaluation is required.


Is Spravato Right for You?

If you’ve tried multiple antidepressants without relief, Spravato may be a valuable next step. Talk to your provider about whether this treatment aligns with your needs and medical history.

Contact us today to schedule a consultation and find out if Spravato is the right option for your mental health journey.


Insurance Coverage

Thanks to our partnership with Fairfax TMS, PLLC, we now accept insurance for: