How it Works

Spravato® is an innovative treatment option for those struggling with depression that has not improved with traditional antidepressant medications. If you've tried at least two antidepressants without finding meaningful relief, Spravato® may be the right treatment for you.

THE PROCESS

Therapy tailored specifically for you

1

Free

Consultation

2

Spravato Evaluation with Dr. Wolff

3

Begin Treatment

Treatment Timeline

 Phase 1

(Weeks 1–4)


two treatment per week

Phase 2

(Weeks 5–8)


one treatment per week.

Phase 3

(Week 9 and Beyond)


once every two weeks

Phase 4


Talk next steps with

Dr. Wolff


At Shore TMS, we start with a simple, stress-free consultation to see if Spravato is the treatment for you. During this screening, an intake specialist will walk you through the process of how Spravato works and discuss your goals for healing.

1

Free Consultation

A woman is sitting at a table talking to another woman while holding a tablet.
A man in a blue shirt is standing in front of pink flowers

If you’d like to proceed, we will schedule an appointment for you to meet with our psychiatrist, Dr. Wolff, for further evaluation and discussion.

2

Spravato Evaluation with Dr. Wolff

Spravato® is a self-administered nasal spray supervised by Dr. David Wolff and our clinical team. You will begin your first session with two doses to see how you respond, and if you respond well, future sessions will be provided in three doses. Treatment sessions last about two hours, allowing time for monitoring and support. Most patients notice the strongest effects about 40 minutes after treatment begins, which gradually subside during the remainder of the session.


A clinical technician will remain with you throughout each visit, providing a safe, supportive environment focused on your comfort and well-being. Treatments are scheduled twice a week for the first 4 weeks, weekly for the next 4 weeks, and biweekly thereafter. Dr. Wolff will regularly check in with you to discuss any adjustments needed based on your progress. For your safety, a ride home is needed after each session.

3

Begin Treatment

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Temporary Side Effects of Spravato?

Side effects can vary in intensity, and not everyone will experience the following effects:


  • Sedation: This is the most commonly reported side effect. Many patients find themselves needing a nap after receiving Spravato, but this sedation typically lessens over time.
  • Dissociation: Some individuals may feel a sense of disconnection from themselves, their thoughts, emotions, or their surroundings.
  • Hypertension Changes: A temporary rise in blood pressure may occur and can last for about four hours following a dose. We will monitor your blood pressure throughout your treatment.
  • Nausea: Some patients may experience nausea after administration of Spravato.

How Effective is Spravato?

Short term vs long term research

A short-term Treatment Response study indicated that Spravato is effective when used in combination with oral antidepressant(s). As shown in the chart, patients experienced more rapid, significant relief in contrast to taking antidepressants alone. Several patients reported improvement as early as 24 hours, and some even experienced full remission of symptoms within the first 4 weeks!

Sustained Benefits Over Time

Long-term data showed that those who continued Spravato treatment sustained their progress for 4 years! Spravato may also be utilized as a part of a continued care plan.

Spravato Experience Overview

Is Spravato for Me?

  • Is Spravato safe?

    Yes! Spravato is FDA-approved and administered under medical supervision. You’ll be monitored periodically throughout your session to ensure your safety and a supportive environment.

  • How long do Spravato results last?

    Results can vary, but many patients experience meaningful improvement, usually within the first 4-6 sessions (about 4 weeks), depending on the frequency of sessions. Otherwise, maintenance sessions are recommended to help support long-term relief.

  • Will my insurance cover Spravato treatment?

    We work with most major insurance plans, and our team will handle the authorization process for you to help make treatment as accessible and smooth as possible.

  • What happens after I complete Spravato treatment?

    After your initial nine treatments, we will continue to monitor your progress, and you will have the opportunity to discuss with Dr. Wolff whether maintenance sessions may be helpful to support your healing process.

  • Is there anything to do during treatment?”

    Yes! We encourage you to make your session your own – listen to music, talk with a member of our care team, or relax. You may also use our TV, practice mindfulness meditations, or bring your own entertainment.