Spravato® & Ketamine Therapy

At Rivendell Health, we understand that for many individuals, traditional antidepressants aren’t always enough. That’s why we offer Spravato® (esketamine) and ketamine therapy for patients with treatment-resistant depression, suicidality and other severe mood disorders. These therapies are FDA-approved or supported by emerging research and administered under close medical supervision by our psychiatric team.

If you’ve tried multiple medications without success, there is hope. Our integrated care model ensures your treatment is safe, supported, and designed for your full well-being.

Spravato® (esketamine) is a nasal spray closely related to ketamine, approved by the FDA to treat treatment-resistant depression (TRD) and major depressive disorder (MDD) with suicidal thoughts or behaviors.

At Rivendell Health, Spravato® is administered in a secure, monitored setting by licensed professionals. You’ll be closely observed during and after treatment, ensuring both safety and comfort throughout the process.

This is an accessible treatment option because many insurance plans cover it.

TRICARE covers Spravato® with prior authorization. Our page on Spravato for TRICARE members explains the referral and authorization steps for active duty, retirees and families.

Ketamine therapy, given by injection, is a well-researched, off-label treatment for several mental health conditions, including:

• Treatment-resistant depression (TRD)

• Severe anxiety

• Post-traumatic stress disorder (PTSD)

• Obsessive-compulsive disorder (OCD)

Ketamine works differently than standard antidepressants, acting on the brain’s glutamate system instead of serotonin.

Your comfort and safety are our top priorities. Here’s what your treatment journey typically involves:

1. Initial Evaluation
   Our psychiatric providers will assess your mental health history, treatment background, and determine if Spravato® or ketamine therapy is appropriate.

2. Treatment Planning
   If you’re a candidate, we’ll create a personalized protocol tailored to your diagnosis, goals, and schedule.

3. In-Office Administration

   Spravato® is self-administered under supervision in our clinic. Each session includes a two-hour monitoring period.
   
   Ketamine therapy is given by injection, followed by recovery time in our comfortable care suite.

4. Follow-Up & Support
   We stay connected between treatments, adjusting as needed and coordinating care with our internal medicine providers if applicable.

• Collaborative care model
  Our psychiatry team works closely with your internal medicine provider to ensure comprehensive oversight.

• Expert psychiatric evaluation
  We don’t rush your care. Every treatment recommendation is grounded in clinical best practices and tailored to your specific needs.

• Safe, controlled environment
  Treatments are conducted in a monitored clinical setting for maximum safety and effectiveness.

• Insurance navigation support
  Our staff can help you understand coverage and explore financing options if needed. Spravato® is covered by many insurance plans.