Break Free from Treatment-Resistant Depression
If traditional medications haven’t worked, Spravato® may offer the relief you’ve been searching for. Our providers offer safe, FDA-approved treatment in a supportive clinical setting.
How Can We Help!
Whether you’re dealing with anxiety, depression, ADHD, or another challenge, we offer personalized treatment and compassionate support to help you find balance and healing.
Spravato (Esketamine). CIII Nasal Spray in Laurel, MD
thrilled to announce the addition of Spravato, a revolutionary treatment option, to our comprehensive services at MindBodyPinnacle Health.
What is Spravato Nasal Spray
Spravato is an FDA-approved nasal spray containing esketamine, a compound related to ketamine, specifically designed for individuals with treatment-resistant depression and major depressive disorder.
We are pleased to offer this innovative treatment, which is covered by most insurance plans, including commercial insurances and selected Medicaid plans.
How Spravato Nasal Spray Works
At MindBodyPinnacle Health, we prioritize thorough care. After administering Spravato, we monitor patients for a minimum of two hours for safety and comfort. This period also facilitates ketamine-assisted psychotherapy, which may occur during the latter part of observation or the next day. These sessions are crucial for integrating treatment experiences into the broader therapeutic process, often resulting in major breakthroughs and improved healing from trauma.
Who Qualifies for Treatment?
You may qualify if you:
- Have not responded adequately to two or more oral antidepressants
- Are 18 years or older
- Can receive treatment in a REMS-certified clinic
- Do not have contraindications like uncontrolled hypertension
How Is SPRAVATO Administered?
SPRAVATO® is a nasal spray self-administered by the patient under the direct supervision of a healthcare provider at a certified SPRAVATO® treatment center.
It is not taken at home and must always be given in a controlled medical setting that participates in the REMS (Risk Evaluation and Mitigation Strategy) program.
Step-by-Step Process
- Pre-Treatment
- Patients are advised to avoid eating for at least 2 hours and avoid drinking liquids for 30 minutes before treatment.
- Vital signs (blood pressure, pulse, and oxygen) are checked before dosing.
- Administration
- SPRAVATO® comes in single-use nasal spray devices (each device delivers 28 mg of esketamine in two sprays — one per nostril).
- Depending on the prescribed dose:
- 56 mg = 2 devices
- 84 mg = 3 devices
- The patient sprays once in each nostril per device, under provider guidance.
- A 5-minute rest period is observed between devices to allow absorption.
- Observation Period
- After dosing, patients remain in the clinic for at least 2 hours for monitoring of:
- Blood pressure
- Sedation, dissociation, and alertness
- A provider determines when the patient is safe to leave.
- After dosing, patients remain in the clinic for at least 2 hours for monitoring of:
- Post-Treatment
- Patients cannot drive or operate machinery until the next day after a full night’s rest.
- They must arrange for transportation home after each session.
What to Expect During Treatment
- Consultation & Evaluation: Includes review of treatment history and assessment for Spravato® eligibility.
- Self-Administration: Patients administer Spravato® via nasal spray under supervision.
- Monitoring Period: Remain at our clinic for 2 hours for vital sign and side effect monitoring.
- Treatment Schedule:
- Weeks 1-4: 2 treatments/week
- Weeks 5-8: 1 treatment/week
- Week 9+: Maintenance phase, based on response
Common Side Effects
- Dizziness, nausea, headache, blood pressure increase
- Dissociation, sleepiness, anxiety
- Typically resolve same day
Important Safety Information About SPRAVATO
At MindBodyPinnacle Health, we ensure all patients receive comprehensive safety guidance before starting treatment. Below are key safety considerations:
- Sedation, dissociation, and respiratory depression: May cause dizziness, sedation, disconnection from self (dissociation), and breathing problems. You will be monitored for at least 2 hours post-dose.
- Abuse and misuse potential: Your provider will assess substance use history before and during treatment.
- REMS Program access only: SPRAVATO is only available through certified REMS clinics like ours.
- Suicidal thoughts and behaviors: Particularly in patients under 24. Monitoring for mood changes is essential.
SPRAVATO Patient Resources
We support our patients every step of the way with the following materials and tools:
SPRAVATO Dosing Guide
A detailed outline of dosage adjustments across treatment phases (induction, optimization, and maintenance). Helps patients understand their journey and what to expect.
SPRAVATO Treatment Guide
Comprehensive educational guide that covers benefits, expectations, potential risks, and frequently asked questions.
SPRAVATO Patient Brochure 1
SPRAVATO Patient Brochure 2
The Synergy of Therapy and Spravato:
At MindBodyPinnacle Health, we embrace the synergy between Spravato treatment and therapy to enhance overall mental health. This combined approach significantly boosts neural network flexibility, improving emotional engagement and the mind-body connection. It offers new perspectives on traumatic memories, easing anxiety and deepening understanding. By integrating rapid symptom relief with targeted therapy, this method fosters profound insights and effective change strategies, supporting personal growth within a therapeutic framework. Our commitment to combining medication with psychotherapy aims to provide holistic, transformative care.
Starting Your Journey with Spravato at MindBodyPinnacle Health
Your journey to ketamine-assisted psychotherapy starts with a detailed 60-minute intake session, available both in-person and online, where we discuss your mental health goals, lifestyle, and medical history to create a customized treatment plan. We work closely with your insurance to handle pre-authorizations and minimize your costs, informing you about all financial options. While IV ketamine is often not covered, Spravato™ is more likely to be insurance-eligible and comes with a rebate program that could reduce costs to as low as $10 per visit.
FMLA/STD PAPERWORK HELP.
At MindBodyPinnacle Mental Health, we understand that seeking advanced treatments like TMS (Transcranial Magnetic Stimulation) and Spravato therapy represents a crucial step in your mental health journey—one that shouldn’t be compromised by workplace pressures or financial strain. Our comprehensive care extends beyond the treatment room to include dedicated support for patients navigating Family and Medical Leave Act (FMLA) and Short-Term Disability (STD) processes. These innovative therapies, while life-changing for treatment-resistant depression, often require consistent scheduling over several weeks, making job protection and income security essential components of successful recovery. Our experienced clinical team works closely with patients to provide the detailed medical documentation required for FMLA approval, ensuring you can focus entirely on healing without fear of employment consequences. For those whose symptoms significantly impact their ability to work, we provide thorough STD evaluations and ongoing documentation to support your claim, recognizing that financial stability during treatment is not a luxury—it’s a fundamental part of comprehensive mental healthcare. Because at MindBodyPinnacle Mental Health, we believe that accessing cutting-edge psychiatric treatments shouldn’t force you to choose between your career and your mental health.
Ben’s Story
Meet Ben, a 40-year-old from New York who has treatment-resistant depression (TRD). His internal struggles led to feelings of worthlessness and isolation, affecting his daily life. Ben had tried multiple antidepressants before his psychiatrist recommended SPRAVATO®. Learn more about Ben’s SPRAVATO® (esketamine) treatment experience and his experience with treatment-resistant depression in this video.
Frequently Asked Questions
Who is eligible for SPRAVATO® treatment?
SPRAVATO® is typically prescribed for adults who have not responded to at least two other antidepressants. A comprehensive psychiatric evaluation at MindBodyPinnacle Mental Healthwill determine your eligibility based on medical history, diagnosis, and safety profile.
What should I expect during a SPRAVATO® treatment session?
You’ll self-administer the nasal spray under supervision in a private treatment room. Our medical staff monitors you for 2 hours post-administration for safety and side effects such as sedation or dissociation. You cannot drive home afterward, so transportation must be arranged.
How quickly does SPRAVATO® work for depression?
Many patients report symptom improvement within the first few sessions often as early as Week 1 of treatment. However, response time varies. It is important to complete the full induction and maintenance phases for sustained results.
How often will I need SPRAVATO® treatments?
Treatment begins with twice-weekly sessions during the first month (Induction Phase), then typically shifts to weekly or biweekly sessions during the Maintenance Phase. Dosing is individualized based on your progress and tolerability.
Is SPRAVATO® covered by insurance?
Many commercial insurers and Medicare plans cover SPRAVATO®, but prior authorization is usually required. Our team will help verify your benefits, obtain approvals, and minimize out-of-pocket costs wherever possible.
Are there side effects associated with SPRAVATO®?
Common side effects include dizziness, dissociation, nausea, sedation, and increased blood pressure. These are typically short-lived and monitored during your visit. Rare but serious risks include respiratory depression and abuse potential, which is why treatment is only available at certified REMS centers like MindBodyPinnacle Mental Health.
Can I take time off work for SPRAVATO® treatment?
Yes. We provide full support for FMLA and Short-Term Disability (STD) paperwork. Our clinicians are experienced in preparing the documentation you need to protect your job and income during treatment.
Is SPRAVATO® the same as ketamine infusion therapy?
While both are derived from ketamine, SPRAVATO® is an FDA-approved nasal spray with a defined dosing protocol and safety monitoring. Ketamine infusions are off-label and typically not covered by insurance. SPRAVATO® is administered only at REMS-certified clinics like ours.
How do I start SPRAVATO® treatment at MindBodySoul in Decatur?
Start by scheduling a consultation at +1 (443) 713-8643. We’ll assess your symptoms, review your treatment history, and determine whether SPRAVATO® is the right option for you. If eligible, we’ll begin the intake and insurance approval process right away.