NYC Spravato Services

At MidCity TMS, we are dedicated to offering cutting-edge treatments for Depression, including Spravato (esketamine) nasal spray, a groundbreaking therapy approved by the FDA for treatment-resistant Depression (TRD) and major depressive disorder with suicidal ideation (MDSI). Our mission is to provide comprehensive, personalized care to help our patients achieve mental and emotional wellness.

What is Spravato?

Spravato (esketamine) is a revolutionary nasal spray treatment usually used for adults who have not adequately benefited from at least two other antidepressant treatments. Unlike traditional antidepressants, which can take at least 4-6 weeks to become effective, Spravato offers rapid relief from depressive symptoms, often within hours to days. This makes it an invaluable option for patients struggling with severe Depression.

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How Does Spravato Work?

Esketamine, the active ingredient in Spravato, works by targeting the NMDA receptors in the brain, which are involved in mood regulation and cognitive function. By modulating these receptors, Spravato increases the levels of glutamate, a neurotransmitter that plays a crucial role in synaptic plasticity and neural communication. This process, known as synaptogenesis, helps to alleviate depressive symptoms and improve mood.

The Spravato Treatment Process

  1. Initial Consultation: The first step in the Spravato treatment journey is an initial consultation. During this session, we will review your psychiatric and medical history, current medications, and previous treatments to determine if Spravato is the right option for you.
  2. Treatment Sessions: Spravato is administered in a comfortable and private setting at our office. The treatment involves the patient self-administering the nasal spray. 
  3. Monitoring and Follow-Up: Patients are required to stay at the office for two hours for each session for observation. This allows our team to monitor for any potential side effects, such as increased blood pressure, dissociation, or sedation. Regular follow-up appointments are scheduled to assess the treatment’s effectiveness and adjust the dosage if necessary.
  4.  Maintenance: Spravato treatment usually starts with two sessions per week for the first four weeks, followed by once-weekly sessions for another four weeks. After this initial phase, the frequency of treatment sessions is tapered.
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Benefits of Spravato

  • Rapid Relief: Spravato can provide symptom relief within hours, making it a vital option for those with severe Depression.
  • FDA-Approved: Spravato is an FDA-approved treatment, ensuring it has undergone rigorous testing for safety and efficacy.
  • Effective for Treatment-Resistant Depression: It offers hope for patients who have not found relief with other antidepressant treatments.
  • Comprehensive Care: Our team at MidCity TMS is dedicated to providing thorough monitoring and personalized care throughout the treatment process.
  • Covered by Insurance:  Unlike intravenous ketamine, Spravato is almost always covered by insurance.
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Image of the interior of this Spravato treatment center, Mid City TMS

Why Choose MidCity TMS?

At MidCity TMS, we are committed to offering the highest standard of care. Our team of experienced clinicians provides a compassionate and supportive environment, ensuring that each patient receives personalized and effective treatment. We stay at the forefront of mental health innovations to offer our patients the best possible outcomes.

About Dr. Bruno

Founder and Medical Director, Dr. Bryan Bruno is a highly respected Psychiatrist. With over 30 years of experience, Dr. Bruno has made significant contributions to the treatment of severe Depression. He is an Assistant Clinical Professor of Psychiatry at the New York University School of Medicine. His expertise ensures that patients at MidCity TMS receive the latest and most effective treatments available.

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Hear from Our Patients

All testimonials are anonymous to protect the privacy of our patients.
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It has helped my mood a lot. I am able to plan things a little more than before and complete them. I was not planning for a while and, in many cases, if I did I just did not go or complete them (projects in my apartment etc.). Things I used to enjoy and stopped doing, I’m slowly getting back to it.

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I am more adept at not listenting to my inner critic. Also my mood seems to be better in general.

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I definitely have more motivation and drive to get things done in my day-to-day life. I have so much I need to get done all of the time and I feel like I can handle it. I also don’t feel the need to cry for no reason now. My general mood has definitely picked up.

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Tremendous thank you to Dr. Bruno and the staff for providing such a welcoming and comforting atmosphere. It can be a scary undertaking, but you all helped ease my anxiety throughout the entire process. I greatly appreciate your constant patience and understanding when my depression symptoms made it hard or impossible for me to get here. Thank you for talking to me and, more importantly, for listening.

Contact Us

We are ready to help you feel better.
Get in touch with us and find out if TMS NYC Spravato services are the best option for you.

Call us today. We can answer all of your questions.

212-517-1867

280 Madison Ave, Suite 1102,
New York, NY 10016
[email protected]

Open Monday to Friday from 8:00 AM to 8:00 PM

Make an Appointment

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