Spravato (Esketamine)

Spravato or esketamine is a form of ketamine, used to treat adults with treatment-resistant depression (TRD). Unlike traditional antidepressants that target neurotransmitters like serotonin or norepinephrine and take weeks to show effects, Spravato leads to rapid changes in brain connectivity, resulting in some patients seeing an improvement in mood within hours or days.

Label for Spravato (esketamine)  nasal spray with a colorful burst design on the right.

Why Spravato?

Here at Joyful Horizon, we offer a wide variety of different treatments for depression, but let us share a few reasons why you may want to consider Spravato treatment…

  • Spravato is now fully FDA approved as a monotherapy treatment for Major Depressive Disorder

  • Clinical trials suggest that Spravato is more effective in treating depressive symptoms as compared to typical antidepressants

  • Some patients saw a significant improvement in depressive symptoms within just hours of their first session

  • Spravato has far fewer side-effects as compared to typical antidepressants

The Spravato Treatment Process

Step 1 - Is Spravato is Right for You? 

Together, you and our provider (Dr. Vineka Heeramun) will discuss what your specific symptoms look like, and you will discuss whether or not Spravato treatment is right for you. From there, our team will do the heavy lifting of gathering your specific health plan’s benefits for Spravato treatment, as well as acquiring any necessary prior authorization for treatment, so all you have to do is sit back and let us take care of you.

Before starting Spravato, you will discuss the treatment with Dr. Heeramun and have an opportunity to decide whether this treatment option is right for you.

Step 2 - Preparing for Treatment

Once you and Dr. Heeramun have decided Spravato treatment is right for you, and we have gotten approval from your insurance to go forward with treatment, the next step is simply preparing yourself for treatment. One of the most critical areas where we see our patients making the most of the potential benefits of Spravato treatment is by doing things like guided meditations, journaling, telehealth therapy, or anything else that gets them into a positive mindset. Mindfully preparing for your Spravato sessions ensures that you get the maximum benefit possible.

Once you have met with the doctor and we have determined Spravato treatment to be a viable option, we here in the office take care of getting you covered and getting your medication shipped to our office. Your job is to prepare yourself for treatment

Step 3 - Get the Help You Deserve

On the day of your appointment, we will take you back to a quiet, private room with a relaxing recliner and cozy amenities to help you feel right at home. While everyone’s experience on Spravato is different, you can expect to experience heavy dissociation, distorted perception, and distorted sensation. We will be with you, monitoring vitals every step of the way, so rest assured that your treatment will be safe and comfortable. As mentioned above, some patients see a meaningful decrease in depressive symptoms within days or even hours of Spravato treatment. Reach out today and get the safe, effective, and quick help that you truly deserve.

A woman wearing a white sleep mask and red sweater, lying on a black recliner chair, covered with an orange blanket, asleep in a cozy room with wooden blinds and a potted plant.
A tropical beach scene during sunset with a palm tree on the left, calm water, and dark clouds in the sky.