Patient Information
Spravato (esketamine) Appointments
PATIENT INFORMATION
HOW TO GET THE MOST OUT OF YOUR TREATMENT
General Information For Spravato (esketamine) Appointments
- A SPRAVATO session will last around 120 minutes.
- The total time spent at the Klarisana office is about 120-140 minutes
- SPRAVATO nasal spray will be self administered in the clinic and will be held at Klarisana at all times.
- Patients are strictly prohibited from driving themselves home.
- Ride must be a sober adult or a ride share service
- Failure to comply may result in termination as a Klarisana patient and/or notification to law enforcement. Your safety is our priority, please keep yourself and others safe.
- Please arrive 15 minutes EARLY to all appointments to avoid delays.
Spravato Nasal Spray - Preparation Day Of
Do’s ✔️
- Do continue with your prescription medications as directed by the prescribing provider unless otherwise told by a Klarisana provider
- If prescribed, do take your anti-nausea medication 30-60 minutes prior to your session
- Do wear comfy clothes and bring a blanket/pillow if you get cold
- Do bring your comfort items such as headphones, eye mask, or anything else that might put you at ease.
- Do go to the restroom before arriving
Don'ts 🚫
- Do not be under the influence of any altering substance or illicit substance including but not limited to marijuana, alcohol, cocaine, methamphetamine, kratom, etc.*
- Do not consume large amounts of caffeine or stimulants
- Do not eat a heavy meal within 2-4 hours of your scheduled session
* If you are concerned about the possibility of withdrawal symptoms from any altering or illicit substance, please consult with a Klarisana provider prior to beginning treatment. If you are using kratom daily, please consult with your External Medical Provider before treatment.
BEFORE YOUR SESSIONS
Things to Consider Before SPRAVATO Treatment
Make a Playlist
- Consider making a playlist of songs that have positive meaning to you. Music can be a very powerful catalyst during treatment and can take you to the memories you have associated with the music.
- You may also consider a playlist that has no lyrics. Binaural beats and calming meditation music are also popular.
- If you choose to have a playlist, we recommend downloading the music so that you may place your phone on airplane mode to limit interruptions during your session.
- A playlist is not required to have a positive session. Sitting back and relaxing to the sounds of nature videos or nothing at all will still produce a powerful experience for you.
Arrive Early, Give Yourself Some Time & Space
- The time leading up to your session is where the set and setting for your session begins. Arriving early allows for you to unwind, take some time to yourself and ease into your session in a calm and relaxed environment. This can be outside on a walk, in your home or car, or inside a Klarisana facility.
- During this time, you may close your eyes and focus on your breathing, taking deep breaths to activate your parasympathetic nervous system that triggers your body’s “rest and digest” response.
- “Rest and digest” is beneficial leading into your esketamine experience as it sets your mind and body in a calm and relaxed state.
Intention Setting
- Intention setting is the practice of clearly stating what you want to experience and achieve through your actions.
- Prior to your session, practice saying “Today, I intend to … “ with what you hope to achieve that day or during that session.
- This is an important step but try to not become hyper-focused on achieving your intention in your journey, your session will bring up whatever needs to be addressed that day, give yourself grace.
Comfort Items
- Many find bringing items that make them feel comfortable or at home help them have a positive experience and feel more comfortable in the space.
- Consider bringing stuffed animals, pillow/blanket, or an item that has important sentimental meaning to you. Whatever makes you feel comfortable, we welcome.
- Please bring headphones if you would like to listen to your music this way. Over the ear headphones are best for our patients. Losing an earbud during treatment can interrupt your journey.
DURING YOUR SESSIONS
Explore Within Yourself
- The Spravato experience can feel uniquely strange—and that’s okay.
- It’s not unusual to feel disoriented, emotional, or even disconnected during your session. These sensations are part of how Spravato works, and it’s okay if the journey doesn’t always feel easy. Change rarely is.
- By choosing Spravato, you’ve taken a meaningful step toward healing.
- This treatment may bring up thoughts, emotions, or memories that feel unexpected or challenging. If these arise, we encourage you to reflect on them with your mental health provider or explore them during an Integration Session with a Klarisana Behavioral Health Provider.
Remember You Are Safe
- Though Spravato alters your state of consciousness, you still have the ability to self-regulate and communicate.
- If you ever feel overwhelmed or uneasy, remind yourself that the experience is temporary and that you are safe.
- Our team is here to support you. If you need anything—whether it’s reassurance, a check-in, or simply someone nearby—press your call button and a Klarisana team member will be right there.
Relax your Body and Mind
- Take a moment to settle in. Let go of the day’s distractions—this is your time to be present with yourself.
- Try not to engage with your phone or outside noise during your session.
- A few minutes of quiet or breathwork before treatment can help you ground yourself.
- We recommend using the restroom beforehand, getting comfortable, and making sure you have your playlist or comfort items in place before your session begins.
- Once treatment begins, try to allow the experience to unfold without judgment.
- You are safe, supported, and not alone.
AFTER YOUR SESSIONS
Do’s ✔️
- Do drink water! Hydrating can help avoid headaches and constipation from anti-nausea medicine
- Do be intentional with your technology use and media consumption. Avoid stimuli that may cause stress and anxiety.
- Do give yourself some space to process. Consider making post-treatment a “self-care” and worry-free day.
Don'ts 🚫
- Don’t Drive or operate heavy machinery for 24 hours after your session
- Don’t worry if you do not dissociate! There are many benefits to SPRAVATO, both biochemically and psychedelically. You may not dissociate each session, but that does not mean the treatment is not working
- Don’t be hard on yourself. It is a journey and every experience has a different lesson and purpose.
- Don’t give up! Klarisana is here to support you! Let us know how we can help you along your journey.
Things to Consider After Treatment
- Journaling! Research shows journaling can help reduce anxiety and depression, cultivate feelings of gratitude and help recover from trauma. You can journal daily, before your sessions or after your sessions. Any time is a good time to journal!
- Take mindful walks, watch the sunset or reflect on your session.
- Review your notes from journaling or re-listening to your playlist.
- Reflecting on aspects of the experience can be a way to help recall and process your sessions. Whether reflecting during a walk, while listening to your playlist or reading your journal, reflection between sessions can be a powerful tool to process your sessions when not in session.
- Work with a Mental Health Professional to discuss and process your experience. Integration outside of IM Ketamine Sessions can be very useful in bridging the gap between your SPRAVATO experience and real life application and can help create a plan for upcoming sessions.
Things to Keep in Mind After Treatment
- Do continue to utilize your coping mechanisms. If you need any assistance with identifying coping strategies, consider scheduling a Coaching or Integration session with a Klarisana Behavioral Health Provider to discuss mechanisms that may be helpful for you.
- If you notice any changes in how you process things, such as not being triggered by something that would typically trigger you, make note of that and take time to acknowledge that achievement. Any step in the right direction is a reason to celebrate and applaud yourself!
- If you notice any new negative thought patterns, or find yourself being triggered by things that typically did not affect you or you are having thoughts you don’t typically have, please contact a Klarisana Provider to discuss these thoughts immediately.
Success Stories
Klarisana has helped me immensely. They have a very accommodating and caring staff which helps the process very much. I would say to be prepared to let the medication help YOU not the other way around. If you approach this treatment with an open mind, it will help you see what you need to see to move past the Trauma, Depression and Anxiety. It has for me. Highly recommended.
Lura I.
Great experience and great company. I’m so glad that this treatment is available for anyone experiencing anxiety, depression or PTSD…these treatments helped me feel strong enough…
May G.
I feel like an actual person again and like I can live my life.
Heather H.
FAQ
What is Spravato®
SPRAVATO® is a prescription medicine used with or without an antidepressant taken by mouth, to treat adults with treatment-resistant depression (TRD) with an antidepressant taken by mouth, to treat depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions.
How often are Spravato® treatments administered?
Typically, sessions occur twice a week initially, then adjust based on individual response and provider guidance.
Am I a Candidate for SPRAVATO® Therapy?
SPRAVATO® is typically recommended for adults who have not experienced sufficient relief from traditional antidepressants—whether for treatment‑resistant depression or major depressive disorder with suicidal thoughts. Our expert team will evaluate your medical history, current treatments, and overall health to determine if SPRAVATO® is the right option for you.
Will my insurance cover Spravato® therapy?
Many insurance plans, including certain Medicaid programs, cover Spravato®. Our staff can help verify your coverage.
What can I expect during a Spravato® session?
You’ll self-administer the nasal spray under medical supervision in our comfortable clinic. We’ll monitor you for about two hours to ensure safety.
Still Have Questions?
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