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Spravato (esketamine) is an FDA-approved nasal spray that the Telepsych 4 You team uses to treat adults with treatment-resistant depression (TRD) and major depressive disorder (MDD). Unlike traditional antidepressants that target serotonin, Spravato works on your brain's glutamate system, helping you experience faster results.
Because it acts differently from standard medications, it can bring relief even when other treatments have failed. It’s used alongside an oral antidepressant as part of your personalized care plan.
You may be a candidate for Spravato if conventional treatments haven't provided enough relief. Your Telepsych 4 You practitioner conducts a thorough psychiatric evaluation to determine whether it's the right fit.
You might benefit from Spravato if you:
Not everyone is a candidate, and the team will also screen for any contraindications, such as certain cardiovascular conditions or a history of psychosis, to make sure Spravato is safe for you. Your provider carefully reviews your full mental health history, current medications, and treatment goals before making any recommendations, ensuring your care is both safe and personalized.
Spravato treatment is coordinated through Telepsych 4 You's telehealth platform, and the team works closely with you to connect you with a certified Spravato treatment center near you where you can safely self-administer the nasal spray under supervision. Because it can cause temporary side effects such as dizziness or dissociation, you're monitored for at least two hours after each session. Driving is not permitted on treatment days, so you'll need to arrange a ride home after each appointment.
Treatment typically begins with twice-weekly sessions during the induction phase, then transitions to weekly and bi-weekly maintenance visits. The induction phase lasts about a month, and then you'll move into a longer-term maintenance schedule.
You can expect improvements in your mood and daily functioning within the first few weeks. Your skilled Telepsych 4 You team monitors your progress closely through telehealth follow-ups and adjusts your overall treatment plan to support your long-term wellness.
For lasting relief and to see if Spravato is right for you, call to schedule an appointment or book online.