Spravato (esketamine) nasal spray represents a significant advancement in the treatment of depression, particularly for individuals in Seattle grappling with treatment-resistant depression (TRD). Approved by the U.S. Food and Drug Administration (FDA), Spravato offers a novel approach for those who have not found relief with traditional antidepressant therapies.
Our team offers comprehensive medication supervision for various mental health concerns. While we specialize in treating Major Depressive Disorder, Bipolar Disorder, Generalized Anxiety Disorder, and ADHD/ADD, we are also skilled in managing complex conditions like Schizophrenia, PTSD, and OCD. Our focus is on medication care that meets the diverse needs of patients throughout Seattle, from children to adults.
Depression is a pervasive mental health condition affecting millions worldwide. While many individuals respond positively to standard antidepressant medications, a substantial subset does not experience adequate relief. This condition, known as treatment-resistant depression, is defined by the lack of satisfactory response to at least two different antidepressant treatments. For these individuals, alternative therapeutic options become essential.
Spravato is administered in a controlled clinical setting to ensure safety and monitor any potential side effects. The treatment protocol typically involves:
Induction Phase: Twice-weekly sessions for the first four weeks.
Maintenance Phase: Once-weekly sessions during the second month, followed by treatments every one to two weeks thereafter, based on individual response and clinician assessment.
During each session, patients self-administer the nasal spray under the supervision of a healthcare professional. Post-administration, patients are monitored for approximately two hours to observe any immediate reactions and ensure overall well-being before discharge.
Commonly reported adverse effects include:
Dissociation: Feelings of detachment from oneself or surroundings.
Dizziness: Sensations of lightheadedness or unsteadiness.
Nausea: Upset stomach or the urge to vomit.
Increased Blood Pressure: Elevations in blood pressure levels during and shortly after administration.
Due to these potential side effects, Spravato is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS). This ensures that the medication is administered in certified healthcare settings where patients can be appropriately monitored.
Spravato offers a unique mechanism of action, targeting the NMDA receptors in the brain, which are involved in mood regulation. By modulating these receptors, Spravato can provide rapid relief from depressive symptoms, sometimes within hours of administration. This makes it a valuable option for those who have struggled with chronic depression or who need urgent relief from severe symptoms, such as suicidal thoughts.
Individuals undergoing Spravato® treatment have reported transformative experiences. Many describe a rapid reduction in depressive symptoms, leading to improved daily functioning and quality of life. The swift action of Spravato provides a renewed sense of hope for those who have struggled with persistent depression despite trying multiple traditional therapies.
We are excited to share that we now accept all major commercial insurance plans and Medicare for our medication support services in Seattle. This allows us to provide accessible and high-quality care to more individuals in our community. We also continue to offer our private pay option, which remains a reliable choice for those who prefer a direct approach to their medication follow-up visits.
Our private pay service, Phoenix Mental Health Concierge, focuses on individualized care without insurance constraints. This option allows for more personalized attention, quicker responses, and flexible appointment scheduling, letting us focus on your specific treatment needs. We’re happy to discuss details and pricing if this service fits your preferences.
For those utilizing insurance, we work with all major carriers, including Medicare, for prescription management services. We understand that private pay isn’t feasible for everyone, but quality care should always be within reach. With insurance coverage, some visits might be shorter, and wait times could be longer due to network limitations.
Phoenix MH Concierge | Phoenix MH Insured Care | |
|---|---|---|
Clinic Location | Leon Springs / Dominion Area of San Antonio | Medical Center of San Antonio |
Payment Method | Private Pay | Commercial Insurance, Medicare |
Wait Time for Initial Appt. | 1-2 Weeks | 2-4 Weeks |
Average Time of Appointments | 30 Minutes | 10-15 Minutes |
Customized Treatment Plans | Tailored to Your Needs | Tailored to Your Needs |
Autonomy and Involvement in Clinical Decision Making | Active Participation From Patients In Any & All Treatment Decisions | Active Participation From Patients In Any & All Treatment Decisions |
Response from Providers to Patient Inquiries | Less That 24 Business Hours | 24-72 Business Hours |
Types of Appointments Offered | In-Person, Phone, Virtual | In-Person Only |
Call or email us now—we’re ready to answer your questions and guide you through your options.
