Spravato® (Esketamine) Treatment
A breakthrough option for depression that has not responded to other treatments.
New hope for treatment-resistant depression
If you have tried antidepressants and still struggle with depression, you are not out of options. Spravato (esketamine) is an FDA-approved nasal spray for treatment-resistant depression that works differently than standard medications, and for many people it works when nothing else has.
At North Jersey Health & Wellness, Spravato is provided in-office under close medical supervision, as part of a complete plan that includes ongoing support. It is one more reason patients do not have to give up on feeling better.
Is Spravato right for you?
Spravato is designed for adults with treatment-resistant depression. You may be a candidate if you recognize yourself here:
- You have tried two or more antidepressants without enough relief
- Your depression keeps coming back or never fully lifts
- You feel stuck despite doing the work in therapy
- You want an option that goes beyond standard pills
- You are looking for something that may work faster than typical antidepressants
An evaluation with one of our physicians is the only way to know for sure whether Spravato is a fit for you.
How Spravato works
Spravato is different from a daily antidepressant in a few important ways:
- It contains esketamine, which acts on different brain pathways than standard antidepressants
- It is a nasal spray, taken in our office, never at home
- It is given under medical supervision, with monitoring for about two hours after each dose
- Many patients notice improvement sooner than they would with a typical antidepressant
- It is used alongside an oral antidepressant and your overall treatment plan
Spravato at North Jersey Health & Wellness
We make the process safe, structured, and supportive from the first visit:
- A thorough evaluation to confirm Spravato is appropriate for you
- In-office dosing with monitoring in a calm, comfortable setting
- Coordination with your medication management and therapy
- Regular check-ins to track your progress and adjust the plan
- Help understanding insurance coverage and requirements
Your Spravato sessions, your medication, and your therapy are handled by the same team, so every part of your care is pulling in the same direction.
What to expect with Spravato
- Reach out. Call or book online. We will get you scheduled, often quickly.
- Meet with a provider. A thorough, unhurried evaluation with no judgment.
- Get a personalized plan. Treatment matched to you, and adjusted as you go.
- Feel supported. We check in and change course as needed until you are doing better.
Spravato treatment in North Jersey
Spravato is provided in-office. Ask which of our New Jersey locations offers it, and we will help you plan your visits:
Not sure which office is closest, or whether telehealth is right for you? Call us at (201) 588-3491 and we will help you figure it out.
Why patients choose NJHW for Spravato
- Physician-led care under Dr. Derek Berberian, MD, board-certified in psychiatry and neurology
- Medication and therapy coordinated under one roof
- In-person visits, secure telehealth, and house calls
- In-network with most major insurance plans
- Care that starts by listening, not by reaching for a prescription pad
Spravato treatment: common questions
What is Spravato?
Spravato (esketamine) is an FDA-approved nasal spray for treatment-resistant depression, meaning depression that has not improved enough with other treatments. It works on different brain pathways than standard antidepressants and is given in-office under medical supervision.
Who is a candidate for Spravato?
Spravato is for adults whose depression has not responded to two or more antidepressants. The only way to know if it is right for you is an evaluation with one of our physicians, who will review your history and current treatment.
How is Spravato given?
Spravato is a nasal spray taken in our office, never at home. After each dose you are monitored for about two hours before going home, so you will need someone to drive you. It is used alongside an oral antidepressant.
Is Spravato safe, and what are the side effects?
Spravato is FDA-approved and given under close medical supervision for exactly this reason. Common short-term side effects include dizziness, nausea, and a feeling of detachment during the session, which is why we monitor you afterward. Your provider will review this with you.
How fast does Spravato work?
Many patients notice improvement sooner than they would with a standard antidepressant, sometimes within the first few weeks. Everyone responds differently, and your provider will track your progress and adjust the plan.
Does insurance cover Spravato?
Many insurance plans cover Spravato for treatment-resistant depression, though some require prior authorization. North Jersey Health & Wellness will help you understand your coverage and requirements before you begin. Call (201) 588-3491 with questions.
Do not give up on feeling better
If other treatments have not worked, Spravato may be the option you have been looking for. Reaching out is the first step, and we will take it from there.