For individuals living with treatment-resistant depression, exploring new therapeutic options can feel both hopeful and daunting.
That’s more than understandable.
Spravato (esketamine) is a breakthrough treatment approved by the United States Food and Drug Administration that has transformed countless lives, offering relief where traditional antidepressants have fallen short.
Understanding what to expect during your ketamine session can help ease anxiety and prepare you for this innovative treatment journey. More even, reading about other people’s ketamine stories can help you gain a better understanding of how it can help you.
What to expect during ketamine treatment
Ketamine has been used as a pain management and as an anaesthetic for decades now, but it is relatively recently that it has undergone rigorous assessment for depression.
Clinical trials have proven ketamine therapy to be effective and safe for the treatment of resistant depression, for patients who have tried at least two other antidepressant medications before, without significant relief of psychiatric symptoms.
It is worth mentioning that only intranasal ketamine (Spravato) is approved by the FDA, but IV or intravenous ketamine infusions are not. Moreover, this type of ketamine, while classified as a psychedelic drug, is a recreational drug.
Embarking on ketamine treatment can be a transformative experience, offering new hope and relief for those battling persistent mental health conditions when conventional therapies haven’t provided the desired results.
The reason Spravato/ intranasal ketamine works so well is that it works with the NMDA receptors to stimulate brain functions by creating new neural pathways. As a result, ketamine leads to not only antidepressant effects on the spot, but it also improves the way your brain perceives challenges, helping you build a more positive outlook on life.
Pre-treatment preparation
We understand that trying a new treatment after experiencing disappointment with previous therapies requires courage, and we’re here to provide the support and information you need to feel confident in your decision. So, during your initial consultation, our licensed professionals at Marpa Minds will explain the treatment protocol, answer your questions, and address any concerns.
Before beginning your ketamine therapy journey, you’ll work closely with our specialized team to ensure you’re getting a full medical assessment and you are fully prepared.
This comprehensive approach includes reviewing your medical history, discussing your previous treatment experiences, and confirming insurance coverage. Our care coordinators handle all prior authorization requirements, removing administrative barriers so you can focus entirely on your healing process.
This is not just about regulation. It’s about ensuring we provide our patients with ketamine treatment services that are effective and safe. By asking you questions and supervising the entire treatment process, our medical staff will know how to pre-empt and respond to any adverse effects. Moreover, they will know what dosage to use, and how to help you through the treatment so you reap the most benefits from it.
The treatment environment
Your treatment sessions take place in our serene, spa-like clinical environment specifically designed to promote healing and comfort. Unlike traditional clinical settings, our calming spaces feature soft lighting, comfortable furnishings, and peaceful atmospheres that help reduce treatment anxiety.
Each treatment room is thoughtfully designed to feel more like a peaceful retreat than a medical facility. This therapeutic environment plays a crucial role in your overall treatment experience, supporting both your physical comfort and emotional well-being.
You’ll settle into comfortable reclining chairs in a private, quiet space where you can relax fully during your session. Our environment reflects our understanding that healing happens best when you feel safe, supported, and at ease.
During your session
In recent years, ketamine therapy has emerged as a promising option for individuals seeking alternative solutions for mental health challenges, providing transformative experiences for many who have struggled to find relief through traditional treatments.
Administration and monitoring
Spravato is administered through a nasal spray under careful professional supervision. Our trained medical staff will guide you through the self-administration process, ensuring proper technique and timing between doses. The medication is typically given in two or three doses, spaced five minutes apart, depending on your individual treatment plan.
Throughout your session, our healthcare professionals provide continuous monitoring and support. Vital signs are checked regularly, and our team remains nearby to address any questions or concerns that arise during your treatment. This level of professional oversight ensures your safety while allowing you to focus on the therapeutic experience.
What you might experience
The effects of esketamine can vary from person to person, but most patients report feelings of dissociation, relaxation, or altered perception during the treatment session. These effects are temporary and typically begin within minutes of administration, lasting approximately one to two hours. Some patients describe feeling dreamy, peaceful, or experiencing a shift in their usual thought patterns.
It’s important to understand that these temporary effects are part of the therapeutic process. The medication works by creating new neural pathways in your brain, offering fresh perspectives and potentially breaking through the patterns associated with treatment-resistant depression. Our team will prepare you for these experiences and provide reassurance throughout your session.
Post-treatment recovery
Every patient has a different recovery story— but all in all, the vast majority of people who walk into our treatment center have reported a significant improvement of their symptoms.
Here’s what you should expect after your ketamine therapy session:
Immediate aftercare
Following your treatment, you’ll remain in our comfortable recovery area under professional supervision until the effects subside. Most patients need approximately two hours of monitoring before they’re cleared to leave.
During this time, you can rest in our peaceful environment while our staff ensures you’re feeling stable and ready to transition back to your day.
You’ll need to arrange for someone to drive you home after treatment, as the temporary effects of the medication can impact your ability to drive safely. Our team will provide clear instructions about post-treatment care and what to expect in the hours following your session.
Integration and follow-up
The therapeutic benefits of ketamine treatment often continue to develop in the days following each session. Many patients report gradual improvements in mood, perspective, and overall well-being as the treatment progresses. Our team maintains regular contact to monitor your progress and adjust your treatment plan as needed.
We encourage patients to engage in gentle, supportive activities following treatment and to stay connected with their existing mental health support systems. The integration period is an important part of the healing process, allowing the new neural pathways created during treatment to strengthen and develop.
Treatment schedule and duration
Every patient is different, so we customize the treatment for every patient, so they are safe and they benefit from the powerful effects of ketamine. In general, though, you should expect the following:
Initial treatment phase
Most patients begin with a series of treatments scheduled twice weekly for the first several weeks. This intensive initial phase helps establish the therapeutic foundation necessary for lasting improvement.
Our flexible scheduling accommodates your work and personal commitments while ensuring you receive the consistent care needed for optimal results.
The initial treatment phase is designed based on clinical research and FDA guidelines, but we customize the approach based on your individual response and needs. Some patients notice improvements after their first few sessions, while others may require several treatments before experiencing significant changes.
Maintenance and long-term care
As you progress through treatment, the frequency of sessions typically decreases based on your individual response and symptom improvement.
Some patients transition to weekly sessions, while others may eventually need treatment only monthly or less frequently. Our team works closely with you to determine the optimal maintenance schedule that supports your continued well-being.
Long-term success with ketamine therapy often involves ongoing collaboration between our team and your existing mental health providers. We maintain communication with your psychiatrist and therapist to ensure coordinated care that supports your overall treatment goals and mental health journey.
Ketamine therapy experiences: real stories from our patients
These authentic experiences from our patients demonstrate the real-world impact of FDA-approved Spravato therapy on treatment-resistant depression.
Finding hope after exhaustion: Jo’s transformation
Jo Breu arrived at our doors carrying the weight of years spent searching for relief. Like many of our patients, she had tried multiple antidepressants of adequate dose and duration, each attempt followed by disappointment when the expected relief didn’t materialize.
Her nervousness about trying Spravato was completely understandable—hope can feel dangerous when you’ve experienced repeated letdowns. But what Jo discovered was an environment that honored both her vulnerability and her strength. “Marpa Minds doesn’t feel like a clinic—it feels like a place built for healing,” she shared.
The calming space, combined with our staff’s genuine care and comprehensive support, helped her feel safe enough to try again. Most importantly, the treatment worked. “After struggling for so long, I finally feel lighter, more like myself,” Jo reflects. Her transformation from feeling stuck to experiencing genuine lightness exemplifies why we’ve dedicated ourselves to this breakthrough therapy.
The power of comprehensive care: Deirdre’s journey
Deirdre Mullen’s six-month journey with us demonstrates the power of consistent, compassionate care combined with cutting-edge treatment. Her experience highlights something we hear frequently—the immediate human connection our patients feel from their very first phone call. “You ALWAYS get a helpful human within about 2 minutes,” she noted, reflecting our commitment to removing administrative barriers that can discourage people from seeking help.
Deirdre approached treatment with cautious hope, “not expecting much of anything,” but found herself proven wonderfully wrong. The careful monitoring, professional explanations, and respectful treatment she received created a foundation of trust that supported her healing journey.
Her observation that Spravato “has lightened my depression and formed new pathways in my brain which work better” captures the neuroplasticity that makes this treatment so revolutionary. Feeling better after her first treatment, Deirdre’s experience reinforces our belief that when patients feel safe and supported, healing can begin immediately.
Life-changing healing: Suzann’s best decision
For Suzann Conners, coming to Marpa Minds represented “one of the best decisions I have ever made.”
Her description of “healing of my heart and mind” as “life changing” speaks to the comprehensive nature of recovery that becomes possible when treatment-resistant depression finally responds to intervention.
Suzann’s experience with our amazing staff, who meet “every treatment with care and attention to my well-being,” illustrates our core commitment to compassionate authority—bringing clinical expertise together with deep empathy for each patient’s journey.
Excellence in ketamine therapy: Justin’s perspective
Justin’s perspective offers valuable insight from someone who has experienced treatment at multiple ketamine facilities.
His assessment that we “set a high standard for other facilities that is hard to match” validates our commitment to excellence in every aspect of care. When he says we “do what we promise to do” and are “very efficient” with our “act together,” he’s recognizing our systematic approach to removing barriers and delivering consistent, high-quality care.
His confidence that “you will not find a better experience anywhere” reflects our success in creating an environment where healing can flourish without unnecessary obstacles or complications.
A unique therapeutic journey: M.M.’s exploration
M.M. Mulready’s reflection on his experience captures something profound about ketamine therapy—its unique ability to open new pathways for exploration and growth. His description of being “comfortable, safe, and treated with care and respect, yet allowed to explore my own journey” illustrates our approach of providing professional support while honoring each patient’s individual healing process.
The treatment gave him a “new tool for advancement of and knowledge” in his personal quest for relief from depression’s overwhelming strain. His gratitude reflects not just symptom improvement, but the empowerment that comes from having effective options when traditional treatments have been exhausted.
These stories share common threads that define the Marpa Minds experience: genuine care from our staff, a healing environment that feels more like a spa than a clinic, comprehensive support that removes administrative burdens, and most importantly, real results for treatment-resistant depression.
Each patient’s journey is unique, but they all found something they hadn’t discovered elsewhere—hope backed by science, delivered with compassion, and supported by a team dedicated to their complete well-being.
If you see yourself in these stories—if you’ve tried traditional antidepressants without achieving meaningful relief—know that breakthrough treatments like FDA-approved Spravato offer genuine possibilities for transformation.
These aren’t just testimonials; they’re evidence that when the right treatment meets the right environment and the right care team, healing is not just possible—it’s probable.
Contact us and let’s talk about your recovery journey. We are here to listen and help you with the best solution for your specific situation.