spravato nasal spray

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How does EsketamiNe work?

Esketamine increases neuronal growth which enhances the brain’s response to neurotransmitters, such as serotonin, dopamine and norepinephrine. This chain reaction improves the brain’s response to psychiatric medications so that those who respond to esketamine can then reduce other medications.

What are the benefits of Esketamine?

SPRAVATO (Esketamine) works faster than medications. Esketamine can allow for a reduction in suicidal thoughts and symptoms of depression - sometimes within hours. It can provide lasting results. While it will likely take multiple treatments, it isn’t a daily regimen as is medication. It is usually covered by insurance. Most insurance providers cover treatments for patients who have tried other antidepressants without success.


Esketamine nasal spray is a relatively new medication that has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression, particularly treatment-resistant depression. It is a form of ketamine, an anesthetic that has shown promise in rapidly alleviating symptoms of depression in some individuals.


The benefits of EsKetamine nasal spray (SPRAVATO) for depression include:


  • Rapid Relief
  • Improved Response in Treatment-Resistant Depression
  • Reduced Suicidal Ideation
  • Shorter Treatment Duration
  • Administration Convenience
  • Potential for Sustained Improvement


It's important to note that while esketamine nasal spray can be highly effective for some individuals, it may not be suitable for everyone. As with any medication, there are potential side effects and risks associated with its use. Therefore, it should only be prescribed and administered by healthcare professionals experienced in its use, and a thorough evaluation of an individual's medical and psychiatric history is necessary before starting treatment.


Overall, esketamine nasal spray represents a promising advancement in the treatment of depression, particularly for those who have not found relief from other treatment options. As research and clinical experience with this medication continue to evolve, its potential benefits and limitations will become better understood.

At Blue Umbrella, we follow FDA guidelines, which involve nasal inhalation, administered under supervision by a trained mental health professional.

Depending on response, a few treatments may be all that is needed or more maintenance sessions might be recommended.

Learn more about spravato (esketamine)

Esketamine increases neuronal growth which enhances the brain’s response to neurotransmitters, such as serotonin, dopamine and norepinephrine. This chain reaction improves the brain’s response to psychiatric medications so that those who respond to esketamine can then reduce other medications. 

At Blue Umbrella, we follow FDA guidelines, which involve nasal inhalation, administered under supervision by a trained mental health professional.  


Depending on response, a few treatments may be all that is needed or more maintenance sessions might be recommended.

  • It works faster than medications. Esketamine can allow for a reduction in suicidal thoughts and symptoms of depression, anxiety and PTSD - sometimes within hours. 
  • It can provide lasting results. While it will likely take multiple treatments, it isn’t a daily regimen as is medication.
  • It is usually covered by insurance. Most insurance providers cover treatments for patients who have tried other antidepressants without success.

frequently asked questions

  • Why should I choose Blue Umbrella Psychiatry?

    If you are like many of our patients, you’ve been frustrated with previous psychiatry services and unable to find meaningful or lasting relief from symptoms that make life unpleasant. All of that is about to change.


    Dr. Eric Robbins founded Blue Umbrella Psychiatry after years of working in a fragmented and uncompassionate mental healthcare industry. He noted that patients aligning with disconnected physicians and therapists led to poor communication, mixed messages, and ineffective care. Blue Umbrella Psychiatry was formed to offer all mental health services under one roof, with providers collaborating and patients caring for the whole person.


    If you are looking for a psychiatry service provider who truly cares, then look no further than Blue Umbrella Psychiatry.

  • What conditions do you treat?

    We treat many conditions, such as:

    • Adolescent Mood Disorders
    • Anxiety
    • Bipolar Disorder
    • Depression
    • Treatment Resistant Depression
    • Obsessive Compulsive Disorder
    • ADHD

    and more!

  • How can I contact you?

  • What insurances do you accept?

    We currently accept:

    • Aetna
    • Medicare
    • Memorial Healthcare System
    • Optum
    • UMR
    • Cigna
    • United Healthcare
    • Oscar
    • Meritian
    • Avmed
    • Humana
    • Evernorth
    • Florida Blue

  • I don't want to be on medication. Can I still be a patient of the practice?

    We understand that medications can be stigmatizing and may have potential side effects, and we respect our patients' preferences regarding their treatment. While our providers may recommend medications as part of a comprehensive treatment plan, the final decision is always up to you.


    In addition to medication, we offer a range of non-medicinal treatment options to support your mental health journey, such as Transcranial Magnetic Stimulation (TMS) and various therapy modalities. Our primary goal is to help you achieve better mental health and wellbeing, and we will work closely with you to develop a personalized treatment plan that aligns with your preferences and needs.

  • What will the first appointment look like?

    At the first appointment, you can expect to meet with at least one clinician who will perform a thorough evaluation. Following this assessment, a diagnosis will be provided along with a personalized treatment plan to address your specific needs.

  • To what extent are parents involved in their child's care?

    A family-centered approach to treatment is something we believe in at Blue Umbrella Psychiatry. Parents play a crucial part in their child's care, and the success of the situation depends on their active participation. Beginning with a first evaluation when they offer significant insights, we appreciate parents as partners. We create individualized treatment programs together and provide chances for both group and individual therapy sessions. We also give parents the information and assistance they need to support the mental health of their children. Continuous cooperation and communication make sure that parents are aware of and involved in the process. We stand out because of our dedication to family participation and our understanding of the importance of a nurturing home environment for a child's well-being.

  • What is the difference between psychiatry and therapy?

    Psychiatry and therapy are two ways of addressing mental health issues, but they differ in their approach, focus, and the professionals involved. Psychiatry involves using medications and medical treatments to manage mental health conditions. Therapy, on the other hand, focuses on talking and problem-solving techniques to help individuals cope with emotional or behavioral issues. Psychiatrists are medical doctors who have completed medical school followed by years of specialized training in psychiatry. Psychiatric Nurse Practitioners and Psychiatrists can prescribe medications. Therapists include various professionals like psychologists, licensed clinical social workers, or licensed professional counselors, who have different educational backgrounds and are trained in counseling and psychotherapy techniques. 

  • From what age and up do you treat?

    At Blue Umbrella Psychiatry, we provide treatment for individuals from the age of 5 and above. We understand that mental health concerns can affect people of various age groups, and we are committed to addressing the needs of children, adolescents, and adults alike. Our expert team of specialists is experienced in dealing with individuals throughout all phases of development and adjusting our approaches accordingly. Whether it's assisting young children with behavioral challenges, supporting teenagers facing emotional difficulties, or providing care for adults navigating mental health issues, we strive to offer comprehensive and compassionate treatment. We want to provide effective assistance and foster well-being for people and families throughout their lifetimes, which is why we start providing services from age 5.

  • Are you a virtual or in-person practice?

    We are primarily an in-person clinic with the capability to do telehealth sessions on occasion on an as-needed basis. For the initial evaluation and subsequent follow-up sessions, you will need to be present for in-person sessions. As such we suggest that you be in close enough proximity to our clinic. 

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