Services
Spravato (esketamine)
An FDA-approved nasal spray for adults with treatment-resistant depression, given in our clinic with a monitoring period after each dose.
What it is
Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression. It is used alongside an oral antidepressant.
Because of how it works, Spravato is only given in a certified clinic. You take each dose yourself under the supervision of our clinical team, then rest with us during a monitoring period before heading home.
Who it may help
- Adults living with depression who have tried at least two antidepressants without enough relief
- People who are currently taking, or are willing to take, an oral antidepressant
- Anyone who can arrange a ride home after each appointment
Your clinician will talk with you about whether this treatment is a good fit.
Your visit
What a visit looks like
- Step 1
Arrive and check in
A clinician checks your blood pressure and how you're feeling that day.
- Step 2
Your dose
You use the nasal spray yourself, guided by our team, in a private and comfortable treatment room.
- Step 3
Monitoring period
You rest for at least two hours while we keep an eye on you. Many people listen to music or simply relax.
- Step 4
Ride home
You can't drive for the rest of the day, so a friend, family member, or rideshare takes you home.
Locations
Where we offer Spravato
Clinicians
Clinicians who provide Spravato
Maya Okafor, MD
Board-certified psychiatrist · Medical Director, San Francisco
San Francisco
Rachel Kim, PMHNP-BC
Psychiatric nurse practitioner
San Francisco
Priya Raman, MD
Board-certified psychiatrist
Portland · Seattle
Jordan Ellis, PMHNP-BC
Psychiatric nurse practitioner
Seattle · Portland
Daniel Reyes-Whitfield, DO
Board-certified psychiatrist · Lead Psychiatrist, Houston
Houston
Get in touch
Tell us a little about yourself
Share a few details and a member of our patient team will reach out within one business day to talk through your options, check your insurance, and help you find the right clinician and location.
This form isn't monitored around the clock. If you are in crisis, call or text 988, or call 911.