What is Spravato^®?

SPRAVATO® (esketamine) is a prescription nasal spray that is used to treat adults with treatment-resistant depression (TRD). SPRAVATO® is an FDA-approved therapy only when taken in conjunction with an oral antidepressant.

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FDA Approved

For adults struggling with treatment-resistant depression (TRD) and major depressive disorder (MDD) with suicidal thoughts or actions.

Sustainable Relief

About 70% of patients show a clinically meaningful response, with treatments easily integrated into your life.

Insurance Coverage

SPRAVATO^® is covered by several major insurance payers, making it an accessible option for many if you’ve tried antidepressants and therapy.

SPRAVATO^®is taken at a Certified Treatment Center

Three Treatment Phases

Induction: Twice a week for the first four weeks
Optimization: Once a week for the following four weeks
Maintenance: Weekly or Bi-weekly Treatments for up to 12 months

Treatment Protocol

Must be taken with an oral antidepressant
Avoid eating 2 hours before, and drinking liquids 30 minutes before treatment
Following administration, you will be observed for 2 hours by your provider
Patient cannot drive from their appointment on treatment days due to side effects, find your ride!

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Hear From Our Patients

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“I had a terrific experience being treated for severe depression and high anxiety at CALTMS Eastlake. The staff is nothing short of excellent. They have been caring, considerate, extremely flexible with scheduling conflicts. At CalTMS I felt the patient ALWAYS comes first. I have never had a phone call go unanswered. Through counseling and TMS I have been better able to deal with my personal challenges. I am incredibly happy with the results I’m experiencing now. I owe this clinic and staff my sincerest gratitude.”

“The staff here truly cares about their patients. I have found that my depression is better because of these treatments. (Something I couldn’t really say for my antidepressants alone.) I would definitely recommend this place to anyone who is considering TMS treatments for depression. Spencer, the Director, was so helpful throughout the insurance process and because she was so efficient, I was able to start my treatments much sooner than I anticipated. (Which is more than I can say for Greenbrook TMS). They even accommodated my schedule and were there before business hours to do the treatments for me. Katie, the TMS tech was such a pleasure to talk to during my treatments and she was extremely caring and helpful. I am so glad I decided to do this and this place made it incredibly easy for me!”

“I was hesitant to do TMS in the beginning. Lots of fear. But I am very very grateful that I stepped through that fear and got treatment. The technician who worked with me is Mo. I couldn’t have asked for a more compassionate person to walk through this treatment with. She was always available for questions, and her understanding of how TMS worked was so beneficial to me. The results I got were amazing. I have been able to lower the dose of all my medications, on my way to being off them completely. It’s the first time in a very long time that I have been able to have the world be bright!”

Meet Dr. Ruchira Densert

Dr. Ruchira Densert is a board-certified psychiatrist with over 23 years of clinical experience and specialized training in advanced psychiatric care. She provides evidence-based, personalized treatment plans tailored to each individual’s needs.

“I work with military families because I understand the cost of service—not only to the individual in uniform, but to the entire family. After more than 26 years of active-duty service in the U.S. Navy, I have seen firsthand how deployments, relocations, and sustained operational stress shape emotional health, relationships, and family dynamics.

Military spouses often carry invisible burdens: frequent moves, career disruptions, prolonged separations, and the responsibility of holding everything together while their partner serves. Children grow up navigating change, uncertainty, and absence in ways that are rarely acknowledged. These experiences matter, and they deserve thoughtful, informed care.

I chose to devote my career to military families because they deserve a psychiatrist who truly understands their world—the structure, the expectations, the sacrifices, and the resilience. My goal is to provide a space where service members and their loved ones feel seen, respected, and supported, and where care is grounded in both clinical excellence and lived experience.”