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Therapy, Medication & Substance Use

Spravato Treatment for Treatment-Resistant Depression in South Central Kansas

MHASCK offers Spravato treatment in South Central Kansas for adults with treatment-resistant depression, delivered with the monitoring and connected care this therapy requires. Spravato (esketamine) is FDA-approved and given in our REMS-certified setting under prescriber supervision. It is not a first-line or standalone fix; it works alongside therapy and medication for people who have not found relief from other treatments. If depression has not lifted despite trying, this may be worth a conversation.

In crisis right now? Call or text 988 for the Suicide & Crisis Lifeline, any time.

Who it is for

Support built for where you are.

Spravato is not right for everyone, and eligibility is decided with a prescriber. It may be worth exploring if:

  • You are an adult who has tried two or more antidepressants without enough relief.
  • Your depression has been persistent and is affecting your daily life.
  • You are able to attend in-clinic sessions with monitoring afterward.
  • You want to stay connected to therapy and your care team during treatment.
  • You and a prescriber agree it is a reasonable next step for your situation.
A reclined chair by a window with a soft blanket and eye mask, a plant on the sill
How to get connected

Getting started is simpler than you think.

Starting begins with a conversation and an evaluation:

Cost and coverage. Kansas Medicaid and many plans accepted. Because Spravato is REMS-certified it is given and monitored in-clinic; we explain coverage and any out-of-pocket cost before you begin.

  1. Reach out

    Call us or use our Reach Out page and mention you are interested in Spravato.

  2. Get evaluated

    A prescriber reviews your history to see whether Spravato is appropriate.

  3. Plan treatment

    If it is a fit, we explain the schedule, monitoring, and what to expect.

  4. Begin with support

    You start treatment in our clinic, staying connected to your care team throughout.

Frequently asked questions

Questions, answered simply.

What is Spravato and who is it for?

Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression, and for depressive symptoms with suicidal thoughts, used alongside an oral antidepressant. It is for people who have not found enough relief from other treatments. A prescriber decides whether it is appropriate for your situation.

Is Spravato covered by insurance or Medicaid?

Coverage varies by plan. MHASCK accepts Kansas Medicaid and many insurance plans, and our team will help you understand what your coverage includes and any out-of-pocket cost before you begin. We will not start treatment until you know what to expect financially.

How is Spravato given?

Spravato is a nasal spray you self-administer in our clinic under supervision. Because of its effects, you cannot take it home. After each dose you stay for a monitoring period, and you will need a ride home since you cannot drive for the rest of that day.

Is it safe?

Spravato is delivered under strict FDA safety rules through a REMS-certified program, which is why it is given and monitored in our clinic. Our prescribers evaluate whether it is safe for you and watch for side effects after each dose. Safety protocols are a core part of how the treatment works.

How long does treatment take?

Spravato usually starts with more frequent sessions that taper over time as you respond. Each visit includes the dose plus a monitoring period, so plan for a couple of hours. Your prescriber will map out a schedule for you and adjust it based on how you are doing.

Do I keep seeing my therapist?

Yes. Spravato is meant to work alongside therapy and your other treatment, not replace them. Staying connected to your therapist and care team is part of getting the most from it, and because our services are coordinated, that is easy to do here.

How do I know if I qualify?

Qualification is determined by a prescriber who reviews your diagnosis and treatment history, typically looking for adults who have tried other antidepressants without enough relief. The best way to find out is to reach out for an evaluation, and we will give you an honest answer about fit.

Are the results guaranteed?

No treatment is guaranteed, and Spravato does not work for everyone. For some people with treatment-resistant depression it brings meaningful relief, especially combined with therapy and medication. We will set realistic expectations with you and monitor your response closely so we can adjust the plan as needed.

What are the side effects?

Common short-term effects include feeling dizzy, disconnected, or drowsy, and a temporary rise in blood pressure, which is why you are monitored after each dose. Your prescriber will review the full list with you and make sure it is a safe option before you start.

How do I start?

Use our Reach Out page or call us and mention Spravato. We will arrange an evaluation with a prescriber to review whether it is appropriate for you. If it is, we will explain the schedule, monitoring, and costs before anything begins.

Explore counseling and recovery support

Persistent depression is not the end of the story, and options still exist. Explore Therapy and Recovery Support: use our Reach Out page or call us to find out whether Spravato could help you.