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 Spravato®(esketamine) for Treatment-Resistant Depression

Spravato® is an FDA-approved nasal spray treatment for adults with depression who have not improved with other medications. At Family Dynamics Behavioral Health, we provide Spravato in-office under careful medical supervision, with a focus on safety and comprehensive aftercare.

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Key Benefits:

  • Administered safely in-office with monitoring

  • Rapid relief for some individuals who have not responded to traditional antidepressants

  • Designed to complement ongoing therapy and mental health care

Am I a Candidate?

You may be a candidate if you:

  • Are 18 or older

  • Have a diagnosis of major depressive disorder (MDD) or treatment-resistant depression

  • Have tried at least two antidepressant medications without enough relief

  • Are medically stable and able to attend in-office treatments twice per week during the initial phase

  • Have reliable transportation home after each session (you cannot drive the day of treatment)

You may not be eligible if you:

  • Have uncontrolled blood pressure or cardiovascular problems

  • Are pregnant or planning pregnancy

  • Have a history of certain conditions (e.g., aneurysm, bleeding disorders)

What to Expect During Treatment

Before treatment

  • Initial psychiatric consultation to confirm eligibility

  • Coordination with your insurance for prior authorization

  • Review of your medical history and current medications

During treatment

  • Administered in our clinic under direct supervision

  • You’ll be monitored in a comfortable room for about 2 hours

  • Side effects may include dizziness, dissociation, nausea, or increased blood pressure (these usually resolve within the monitoring period)

After treatment

  • You cannot drive; a trusted friend or family member must take you home

  • Continue therapy and/or medication management as usual

  • Treatment schedule is typically twice weekly for 4 weeks, then gradually less often

Why Choose Family Dynamics Behavioral Health?

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  • Board-Certified Mental Health Nurse Practitioners and/or Psychiatrist Supervision: All Spravato treatments are administered under the guidance of highly trained, licensed professionals to ensure safety and efficacy.

  • Safe & Comfortable Setting: Treatments occur in a private, monitored environment designed for patient comfort.

  • Personalized Care: Every treatment plan is tailored to the patient’s unique mental health needs.

  • You may continue seeing your regular medication management provider, and with your consent, we provide weekly updates to ensure coordinated and seamless care.

Our patients benefit from expert care and a supportive environment:

Our Commitment to Your Safety

Every Spravato session is supervised by a trained psychiatric provider in a comfortable, private space. We monitor vital signs, provide supportive care during your visit, and coordinate follow-up with your therapist or prescriber.

Insurance & Coverage

Most insurance plans require prior authorization. We work with you to submit necessary documentation. Please call us to discuss your specific plan.

Take the Next Step Towards Relief

If you have struggled with depression that has not improved with standard treatments, Spravato may be a new pathway to relief. Schedule a consultation today to see if this therapy is right for you.

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Family Dynamics Behavioral Health

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