Depression Therapy

What to Expect During Spravato Treatment

7 min read

Millions worldwide struggle with treatment-resistant depression (TRD), mental health condition where standard medications offer little relief.  Despite the availability of some traditional antidepressants, TRD still poses as an ‘untreatable’ condition where its patients struggle to find a solution. Fortunately, with the help of research, there is hope for individuals dealing with TRD, and that is Spravato (esketamine nasal spray). Spravato offers a safe, non-invasive approach to TRD and major depressive disorder (MDD). While each treatment plan is personalized, there’s a general process most providers follow. This guide delves into the Spravato treatment experience at Marpa Minds, helping you decide if it’s right for you. We’ll explore what to expect during a session, along with the potential benefits and side effects of this innovative therapy.

Before Your Spravato Treatment 

Treatment doesn’t usually begin on the first visit. The first visit is usually allocated for open communication with your healthcare provider and ensuring you feel comfortable moving forward. Moreover, there are some steps that you should take in order to make sure your session goes smoothly. Before your Spravato treatment, here’s what you should expect in the lead-up to your first session:

Consultation and Eligibility Assessment

Before you are even recommended to get Spravato treatment by your healthcare provider, there will first be consultation and eligibility assessment. This initial visit focuses on understanding your unique situation. The healthcare provider will delve into your:

  • Symptoms which will be used to assess your depression’s severity, duration, and specific struggles helps your healthcare provider tailor your treatment effectively.
  • Medical History which will be evaluated in order to assess potential interactions or risks with some of your existing medical conditions or past treatments that you have received.
  • Treatment Goals which will be discussed so that your healthcare provider is aware of your desired outcomes. This helps set expectations and ensure that your treatment aligns with your needs.
  • Spravato Suitability evaluated through a comprehensive assessment will be used to determine if Spravato is the right course of action for you. 

Planning for Your Comfort and Safety 

Since Spravato can cause drowsiness or dissociation, arranging for a trusted friend or family member to drive you home after each session is essential. In addition to your Spravato treatment, your healthcare provider might also recommend specific dietary adjustments or temporary medication changes to optimize treatment effectiveness and minimize potential side effects.

During Your Spravato Treatment Session  

When you arrive for your Spravato treatment session, the first step involves a thorough assessment by medical personnel. You will be taken to a private room where your progress and comfort can be closely monitored. As part of this evaluation, your blood pressure will be measured to ensure it is within a safe range for treatment. This is very important because Spravato can potentially elevate blood pressure. Once cleared, a healthcare provider will supervise you as you self-administer Spravato at the prescribed dose. Throughout the session, mental health professionals will continuously monitor your vital signs to ensure your safety and well-being. 

What Are the Potential Side Effects

During the treatment, it is common to experience a range of side effects. One of the primary effects of Spravato is dissociation, which is a dream-like, sedated state that can have therapeutic benefits for your mental health. This feeling usually starts within minutes of administration and can last throughout the session. While in this state, some patients might feel disconnected from their surroundings or experience mild hallucinations. It is important to be aware that these sensations are temporary and typically diminish as the session progresses. Other potential side effects include dizziness, nausea, and drowsiness, which are also monitored by your healthcare team. 

What Happens During Observation Period

To make your treatment session as comfortable as possible, your healthcare provider will provide you with a range of amenities during the observation period. After administering Spravato, you will be asked to rest quietly. This introspective time can be beneficial for reflecting on your thoughts and feelings. To enhance your comfort, you might be offered blankets, pillows, or reclining chairs. Some facilities may also provide options for entertainment, such as music, meditation apps, or guided imagery videos, which can help you stay calm and relaxed. It’s important to take advantage of these resources to ensure a peaceful and supportive environment during your treatment.

After Your Spravato Treatment Session

Following your Spravato session, a focus on recovery and continued monitoring is essential for your safety and treatment effectiveness. Once the session is complete, the healthcare team will continue to monitor your well-being closely. This post-session observation period is vital to ensure that any side effects, such as dizziness, nausea, or dissociation, are manageable. The healthcare team will keep track of your vital signs and overall condition, providing immediate care if necessary. They will also assess your response to the treatment, helping to determine its effectiveness and make any needed adjustments to your treatment plan.

Addressing Questions and Concerns

During the recovery period, you will have the opportunity to discuss any questions or concerns with your healthcare provider. This is an important time to share your experiences during the session, report any side effects, and talk about how you are feeling both physically and mentally. Open communication with your healthcare team will help tailor the treatment to your specific needs and ensure the best possible outcomes.

Transportation and Rest

Since the effects of Spravato can linger after the session, it is crucial to arrange for safe transportation home in advance. You should not drive or operate heavy machinery for the rest of the day due to the potential for drowsiness and dissociation. Once you get home, plan to rest comfortably for the remainder of the day. Allowing your body to fully metabolize the medication is important for recovery and helps minimize any lingering side effects.

Spravato Treatment Phases: Initial and Maintenance

After your first session, you will most likely be asked to return to the clinic again after a certain period of time. This is because Spravato treatment typically follows a two-phase approach:

Initial Phase

This phase involves more frequent sessions, often several times a week for the first four weeks. The goal is to establish a strong therapeutic effect and closely monitor how you respond to the treatment.

Maintenance Phase

After the initial phase, the frequency of sessions is reduced. The maintenance phase is tailored to your individual progress and needs, with less frequent visits. The exact duration and schedule of this phase will depend on your response to the treatment and your healthcare provider’s recommendations.

Throughout these phases, it is important to continue taking any oral antidepressant medications as prescribed by your healthcare provider. Regular follow-up appointments will also be scheduled to evaluate your progress and make any necessary adjustments to your treatment plan.

Spravato Nasal Spray at Marpa Minds

Spravato (esketamine nasal spray) treatment offers a glimmer of hope for patients who are currently struggling with treatment-resistant depression, as traditional antidepressants often prove ineffective for this debilitating condition. Spravato provides an alternative, one backed by ongoing research and clinical studies that continue to highlight its benefits and long-term impact.

At Marpa Minds, our Spravato treatment experience prioritizes patient safety and comfort. To get your Spravato treatment started, reach out to Marpa Minds, a Westchester County, New York based depression clinic dedicated to providing you with the relief you’ve been looking for. Contact us today or call us  at 1877-88-MARPA.