SPRAVATO® Therapy in Baltimore, MD

SPRAVATO®, or Esketamine, is an innovative FDA-approved treatment that has relieved thousands of individuals suffering from treatment-resistant depression. Administered as a nasal spray under the supervision of a certified healthcare provider, SPRAVATO® is unique in that it may be able to alleviate symptoms of depression within hours rather than the weeks or months a typical antidepressant may take. While a standard antidepressant, such as the SSRIs Fluoxetine (Prozac) or Sertraline (Zoloft), targets specific neurotransmitters in the brain like serotonin, SPRAVATO® targets the NMDA receptor within nerve cells and helps reset these connections between nerve cells. SPRAVATO® went through both short-term and long-term trials before the FDA approved it for use with treatment-resistant depression.

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Frequently Asked Questions

Rising depression rates worldwide make one thing clear: the current antidepressants so commonly prescribed are not bringing adequate relief to all those suffering. These oral antidepressants typically aim to treat depression by increasing certain neurotransmitters in the brain to affect mood. SPRAVATO® works differently – it targets the NMDA receptor antagonist and may be able to reset and restore neuronal connections. Through this, SPRAVATO® can treat the disorder, not just the symptoms.

SPRAVATO® is approved for severe major depressive disorder and suicidal ideations.

SPRAVATO® is administered nasally. This treatment is administered only at REMS certified clinics.

Medical contraindications for the use of SPRAVATO® are uncontrolled high blood pressure, recent cardiovascular events (stroke and heart attack), recent head trauma, significant kidney, liver, lung, or heart disease, seizures, excessive use of alcohol, or active illegal drug use.
Psychiatric contraindications include bipolar disorder, schizophrenia, and psychosis.

SPRAVATO® has not shown to cause addiction.

Improved mood, energy, and motivation, ability to feel joy, return of hope, decrease or resolution of suicidal thoughts, decreased anxiety, feeling less triggered, ability to forgive past hurts, feeling less irritable and more…

Once you complete the assessment forms, you will be escorted to one of our infusion rooms. One of our providers will speak to you about the treatment plan and you will be prepared for your session. Following your first visit, each time you return we will speak about any improvements you may be noticing, we will discuss the treatment plan, and provide support.

Most people describe their experience as very pleasant and some call it “brain-spa.” You will be safe and monitored. Most of our patients prefer to be alone in the room to honor their time and experience, but you are welcome to have a family member or a friend with you. If you need one of our staff members to stay in the room with you, all you need to do is just let us know!

Some people feel tired after their session and nap when they arrive home.

Usually older individuals seem to experience more fatigue on the day of the treatment, which can linger the next day. Drinking a lot of water and eating fresh food is helpful.

Some people report experiencing a variety of emotions that they haven’t felt a long time. Some individuals benefit from journaling.

Most common side effect we see is nausea, which is easily treated with anti-nausea medication. Best way to avoid nausea is to not eat food 4-6 hours and not drink for 2 hours before the treatment.

SPRAVATO® can also cause mild elevation in heart rate and blood pressure.

No. SPRAVATO® is used as an adjunct to the therapy you are already receiving. During your psychiatric evaluation, we will discuss medications that you may need to hold the morning of the treatment.

You can expect to spend two hours at the clinic on your treatment days.

Remember not to eat for 6 hours and not to drink liquids for 2 hours prior to your appointment.

Follow the instructions about what medications to take or skip the day of your appointment.

Avoid cannabis the day or your treatment and minimize your alcohol consumption.

Make sure you have a ride home.

Bring a blanket (if you prefer to use your own), headphones, and a good playlist. Music is an important part of the experience.

Avoid stressful situations prior to your treatment.
Wear loose fitting clothing.

We believe that therapy is an integral part of healing and can have more profound benefits when combined with SPRAVATO®. Working with your therapist within 24-48 hours following a session is ideal.

Ultimately engaging in therapy is a personal decision that we respect.

If you would like to have support, but therapy is not what you are looking for – we offer life coaching, which focuses more on present time (as opposed to heavy focus on your past).

It is important to remember that everyone has a different path and a different story. Some people notice some relief following the first session and for the majority of people it takes more treatments. For some patients it may take the whole loading series to experience relief.
Yes. We have a strict no-driving policy, in which we indicate that anyone who attempts to drive themselves home will be discharged from our clinic.

Initial SPRAVATO® series involve two treatments a week for four weeks, one treatment a week for four weeks, and ether weekly or by-montlhy treatments in the last four weeks. The treatments are administered twice a week, mostly on Tuesdays and Fridays in consecutive weeks.

Maintenance therapy involves either weekly or twice a month treatments.

Most insurances cover SPRAVATO® therapy. For those individuals with high copays, Jansen offers discounts for medication as well as assistance with copay coverage.

  1. Please review our website for information about the logistics on our website if you have not already done so.
  2. Schedule a consultation request form. Once you submit the form you will see a calendar with available times and dates.
  3. Please select the appointment time that works best for you and complete the screening form via the link you receive as a text message. (Please make sure you enter your cell phone number).

The purpose of the initial screening is to establish if you would be a good candidate for the Spravato therapy.

During psychiatric evaluation we will talk more in depth about your medical and psychiatric history and your goals. Our providers will answer additional questions that you may have about the treatment.

Meditation and exercise are two great ways to improve your brain function and when added to your SPRAVATO® therapy can lead to longer lasting effects. Increasing the consumption of fresh, whole foods can also improve your mood and overall well being. Surrounding yourself with people you love and dedicating just 15 minutes a day to the activity you like will help make your progress even more profound.

You are not alone. Most people have a healthy dose of anxiety when trying something new. Majority of people who trust us with their care experience anxiety when they arrive for the first treatment. After the first session, patients report that they felt relaxed and safe, and feel at peace when they come back for following sessions.

We offer third party financing through advance care card, with an option for interest free financing for up to 14 months. To apply visit https://advancecarecard.com

Best spravato treatment in baltimore md

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Wherever you are in your life, no matter what part of the treatment journey you’re on, it’s time for you to heal. Contact Baltimore Ketamine Clinic today to get started.