How it works
Targets glutamate, not serotonin
Esketamine improves communication between neurons and promotes neuroplasticity. Many patients feel relief within hours to days, not weeks.
Advanced therapy
Spravato (Esketamine) Treatment for Depression in Richmond. North Chesterfield.
Rapid relief for depression when medications haven't been enough. Spravato works differently, targeting glutamate to restore the brain connections depression disrupts.
How it works
Treatment, explained simply.
Supervised, in-office care
REMS-certified clinicians by your side
You'll self-administer Spravato with a nasal spray while our team monitors the entire experience in a private suite. You stay awake, alert, and cared for.
Calm, supportive setting
About two hours per visit
Sessions are unhurried. We track your vitals and response while you relax in a quiet room with continuous monitoring.
Is this right for you?
You may be an ideal candidate if any of these ring true.
- You've tried two or more antidepressants without meaningful relief.
- You're living with major depressive disorder, with or without suicidal thoughts.
- You want a fast-acting, evidence-based option backed by decades of neuroscience research.
- You have time for two-hour supervised sessions twice a week to start.
- You're seeking treatment from a REMS-certified provider in Central Virginia.
Frequently Asked Questions
Many patients feel a meaningful shift within hours or days of their first dose. Spravato targets glutamate pathways, which act faster than the serotonin systems most antidepressants work on.
You'll arrive at our office, self-administer the nasal spray under clinician supervision, and rest in a private suite for about two hours while our REMS-certified team monitors your vitals and response.
Spravato is FDA-approved and dispensed only in REMS-certified clinics. We follow rigorous safety protocols, monitor every session, and document outcomes throughout your course of care.
Spravato is covered by most commercial plans, Medicare, and Virginia Medicaid. Our care coordinators verify benefits, secure prior authorizations, and explain any out-of-pocket costs before you start.
No. Spravato can cause drowsiness or dissociation, so you'll need someone to drive you home. Our care coordinators can help with transportation logistics if needed.
Yes. Spravato complements existing treatment. We coordinate with your therapist or referring physician so your full care team stays in sync.
We're expanding to IV and IM ketamine to complement Spravato. Ask our team about joining the waitlist for these additional rapid-acting options.
Insurance and coverage
Covered by most major plans, including Virginia Medicaid.
Our care coordinators verify benefits, submit prior authorizations, and coordinate every approval before you begin. Most consultations happen within 3 to 5 business days.
- Anthem
- Aetna
- Cigna
- UnitedHealthcare
- Optima
- Medicare
- Virginia Medicaid
Don't see your plan? Call (800) 983-1974. We work with most insurers and can verify coverage in a single call.