When you have tried more than one antidepressant and depression still shapes your days, it can be hard to stay hopeful. You might feel stuck in a pattern of medication changes, partial responses, and symptoms that keep pulling you away from the life you want. It may be time to consider SPRAVATO®, or esketamine therapy.
If you are researching SPRAVATO® for treatment-resistant depression in Bedford, we will help you understand candidacy and create a plan that includes close follow-up and coordination with community therapy support.
Treatment-resistant depression (TRD) is often diagnosed when you do not achieve adequate relief after trying at least two antidepressants at an appropriate dose and duration. Your psychiatrist will look beyond a medication count and review diagnosis accuracy, adherence, sleep, anxiety, attention symptoms, and whether bipolar symptoms could be present. Those details matter because they affect both safety and the odds of meaningful improvement.
For adults with treatment-resistant depression in Bedford, TX, who need a different approach, SPRAVATO® is a supervised esketamine nasal spray option that targets depression through glutamate pathways rather than the serotonin-focused approach of many standard antidepressants. SPRAVATO® is indicated for adults. For adolescents, we focus on diagnosis, medication management, and other evidence-based strategies, and we can coordinate care with community therapists when counseling is part of the plan.
SPRAVATO® is administered in the office under the SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS) program, which requires monitoring and clinical assessment after each dose. Your visits follow a clear, consistent structure so you know what to expect each time.
A typical SPRAVATO® dosing appointment for treatment-resistant depression in Bedford, TX includes:
Because you can feel temporarily sleepy or detached afterward, you will need transportation home, and we will help you plan the rest of your day.
Dosing frequency is individualized, but many people begin with twice-weekly sessions and then transition to weekly or every-other-week maintenance based on response and clinical judgment. SPRAVATO® is indicated for treatment-resistant depression in adults as monotherapy or in conjunction with an oral antidepressant, and we will discuss what is appropriate for you.
We build your SPRAVATO® for treatment-resistant depression care plan around more than a single procedure day in Bedford, TX. Because we are psychiatrists, we can integrate esketamine treatment sessions into a full psychiatric strategy, including medication optimization and consistent follow-ups to track function at home, at work, and in relationships.
Therapy can also support recovery. While we do not have therapists on staff, we work with community providers and can coordinate with your current counselor if you want integrated support. We will also help you plan practical details such as scheduling, what to do on treatment days, and how we will decide whether to adjust frequency or maintain your results.
You do not have to accept ongoing depression symptoms as your baseline, especially if standard approaches have not delivered the relief you need. With psychiatrist-led assessment, in-office monitoring, and coordination with community therapy when it is helpful, you can move forward with a plan that feels organized and supportive.
Contact us to learn whether SPRAVATO® for treatment-resistant depression in Bedford, TX, is the right next step for you, and let our team help you build a clearer path forward.