Spravato®
Spravato® is for people who’ve done the work, tried the meds, and are still waiting for relief.
NeuroBloom Psychiatry is a REMS-certified Spravato® treatment center accepting new patients in the Bristol, Tennessee and Virginia area.
What is it?
Spravato® is an FDA-approved nasal spray used to treat depression that hasn’t responded to other medications. Unlike daily pills taken at home, Spravato is given in-office under the guidance of a licensed provider. You’ll self-administer the spray during your visit, then stay with us for two hours while we monitor you in a private, calming space.
Benefits
Often starts working within hours to days
Doesn’t need to be taken daily
Can be life-changing for those who haven’t had success with oral meds
Who it’s Right For
Spravato® may be right for you if:
You've tried two or more antidepressants with limited or no improvement.
You live with treatment-resistant depression or suicidal thoughts related to MDD.
You're seeking options that go beyond traditional medications.
Who it’s Not Right For
Spravato® may not be a good fit if you’re pregnant or breastfeeding, have certain heart or blood pressure conditions, or if you’ve had a serious reaction to this type of medication before. It also requires staying in the office for two hours after each dose and having someone drive you home.
FAQs
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Each session lasts about 2.5 hours.
You'll self-administer the nasal spray under the supervision of a trained clinician.
We’ll monitor your blood pressure, heart rate, and response throughout.
You’ll rest in a calm environment and won’t be allowed to leave until the observation period ends.
You must arrange a ride home — driving is not permitted until the next day.
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Weeks 1–4: Twice per week.
Weeks 5–8: Once per week.
Week 9 and beyond: Every 1–2 weeks depending on your response. This may vary based on individual needs and your provider’s recommendations.
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Most commercial insurance plans and Medicare cover Spravato®, but prior authorization is usually required. Our team will guide you through the insurance process and support you with any paperwork or specialty pharmacy coordination needed.
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Side effects can include:
Dizziness or nausea
Dissociation or feeling disconnected
Increased blood pressure
Sleepiness or fatigue
These are usually temporary and closely monitored at every visit.
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Not always. If you’re already seeing a mental health provider, we’ll request records or coordinate care with them. If you’re new to treatment, we can provide a psychiatric evaluation to assess your options, including Spravato®.
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This varies by individual. Some continue for several months while others taper off. Your treatment plan will evolve based on your response, needs, and goals.
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You’ll need the rest of the day off. We recommend avoiding work, driving, or major decisions until the next day.