Spravato® (Esketamine)
for Treatment-Resistant Depression

How Spravato Works

SPRAVATO®, an innovative treatment option offered by The Nexus Group, is a prescription nasal spray that contains esketamine. This fast-acting, FDA-approved medication can help adults with treatment-resistant depression find relief when other methods have not worked. If you choose to receive Spravato at The Nexus Group, you will receive expert care in a safe, supportive environment designed to help you regain control of your life.

Unlike traditional antidepressants that target serotonin or norepinephrine, Spravato acts on the brain’s glutamate system. This unique mechanism allows it to provide more rapid relief for individuals who have not responded to other medications, making it especially suitable for those with treatment-resistant depression.

Who Can Benefit from Spravato

  • Spravato is designed for adults with treatment-resistant depression and may also be used for major depressive disorders with suicidal thoughts. You may benefit from Spravato if you have tried multiple medications without significant improvement in your symptoms.
  • If you meet the criteria, our team will conduct a thorough diagnostic evaluation to determine whether Spravato is the right fit for you. You will receive a customized treatment plan, and we will support you every step of the way. Many adults begin to notice changes within just weeks of starting Spravato—experiencing greater clarity, improved mood, and reduced emotional weight.

What to Expect During Treatment

Your Spravato treatment will begin with a detailed consultation and assessment by our team. Once approved for Spravato, you will visit the office twice a week during the initial phase of treatment. At each session, you will self-administer the nasal spray in a comfortable clinical setting. Afterward, you will be observed for approximately two hours to monitor for any side effects. The Nexus care team will ensure you feel supported and safe throughout the process.

Over time, the frequency of sessions may be reduced based on your progress and how well your body responds. You will also have regular check-ins with your clinician so that your plan can be adjusted as needed. This level of personalized care helps maximize the effectiveness of Spravato and allows you to move forward with confidence.

Frequently Asked Questions (FAQ)

Overview

We offer readily accessible psychiatric care to eligible patients via our HIPAA compliant video conferencing platform. Telepsychiatry or virtual appointment allows you to have your appointment with our compassionate providers in the comfort of your own home or space using your smartphone, laptop, desktop computer, or tablet with internet. While not all insurance covers telepsychiatry, we can provide you out-of-pocket options if needed.

An initial appointment for new patient is typically in the office. Follow up appointments can be via telepsychiatry depending patient needs and insurance coverage. However, during the COVID-19 pandemic, our providers see both new patients and current patients via telepsychiatry until further notice.

Conditions We Treat

Telepsychiatry allows access to continuing care even when you travel, get sick, or encounter commuting or weather difficulties.

  • Anxiety
  • Attention deficit hyperactivity disorder (ADHD) - children and adults
  • Autism / PDD / developmental disorders and related behavioral disturbances
  • Adjustment DisorderDepressionDisruptive behavior / irritability
  • LBGTQAI Issues
  • Medical and psychiatric comorbidities including with gut-brain involvement
  • Obsessive-compulsive disorder (OCD)
  • Sleep disturbances with psychiatric involvement
  • Tic disorders and Tourette syndrome

Services We Offer

  • Psychopharmacology/Medication Management
  • Psychodynamic psychotherapy
  • Cognitive Behavioral Therapy (CBT)
  • Hypnosis and Guided Imagery
  • Medical and psychiatric comorbidities including with gut-brain involvement
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Functional Medicine
  • Mindfulness-based Stress Reduction (MBSR)
a future free of depression.

Benefits Of TMS Therapy

Mild to No Side-effects

You can resume all your daily activities directly after TMS therapy.

Medication Free

TMS therapy does not require any medications, you can live pill free without any of the antidepressant side effects.

Quick Results

Many people report changes in mood starting as early as the first week of treatment.

testimonials

Contact Us

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