SPRAVATO® Treatment
in Costa Mesa, CA

Struggling with depression that hasn’t improved with medication can feel exhausting and discouraging. If you’re still facing persistent sadness, low energy, or intrusive thoughts despite trying different treatments, it may be time to consider another option.
BrainHealth Solutions offers FDA-approved Spravato® (esketamine) in a calm setting designed to help you feel safe and supported every step of the way. Our experienced team takes time to answer your questions, explain the process clearly, and monitor you closely during treatment. You don’t have to navigate this alone – there is a path forward with Spravato in Costa Mesa, CA.

What Is Spravato (Esketamine)?

Spravato® (esketamine) is an FDA-approved prescription nasal spray used to treat adults with treatment-resistant depression and, in some cases, major depression with suicidal thoughts. Unlike traditional antidepressants that can take weeks to work, Spravato targets different pathways in the brain and may begin helping some patients sooner. It’s given in a medical office under close supervision to ensure safety and comfort throughout each visit. When combined with an oral antidepressant, Spravato offers a new option for people who haven’t found enough relief with standard medications.

What to Expect During Your Appointment

Comprehensive Evaluation

Your visit begins with a thoughtful evaluation to understand your symptoms, history, and goals. We’ll review past treatment options, including medications and traditional therapies, and determine whether Spravato is appropriate for conditions such as major depressive disorder (MDD). This conversation helps us create a personalized treatment plan designed around your specific needs.

Preparing for Treatment

Before treatment begins, our team will walk you through what to expect and answer any questions you may have. We’ll explain how neurotransmitters in the brain play a role in mood and how Spravato works differently from many standard antidepressants. Our goal is to help you feel informed, comfortable, and confident moving forward.

Administration Under Clinical Supervision

Spravato is given as a nasal spray in our office under careful clinical supervision. After you self-administer the medication, you’ll relax in a quiet, comfortable setting while your care team ensures you are monitored closely for safety and support.

Observation and Recovery

You will remain in the office for at least two hours following treatment. During this time, we continue monitoring your blood pressure and overall well-being. Most patients feel ready to go home afterward with a pre-arranged ride, and we’ll provide clear guidance on what to expect for the rest of the day.

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Recovery After Spravato Treatment

After your Spravato treatment, it’s normal to feel tired, mildly dizzy, or “foggy” for the rest of the day. Because of this, you’ll need someone to drive you home, and we recommend resting and avoiding important decisions until the next morning. Most side effects fade within a few hours, and many patients return to their usual routine the following day. Your provider will continue to check in with you regularly, adjusting your care as needed to support both symptom relief and long-term outcomes. Our goal is not just short-term improvement, but meaningful progress over time.

Candidates for Spravato

Spravato may be appropriate for adults living with treatment-resistant depression, meaning their depressive symptoms have not improved after trying two or more traditional medications. It can also be considered for individuals experiencing severe depression, particularly when symptoms are significantly affecting daily life, work, or relationships. During your evaluation, we carefully review your medical and mental health history to determine if this treatment is a safe fit. Certain conditions, such as uncontrolled hypertension, may require additional assessment or stabilization before moving forward. Our goal is to ensure Spravato is both appropriate and safe for your unique situation.

Cost of Spravato
in Costa Mesa, CA

The cost of Spravato treatment in Costa Mesa ranges from $600 to $1,200 per session without insurance, depending on dosage and clinical monitoring requirements. During the initial phase of treatment, which often involves twice-weekly visits for several weeks, total costs can be higher before tapering to a maintenance schedule. Many insurance plans cover Spravato for qualifying patients, and manufacturer savings programs may significantly reduce out-of-pocket expenses.

Our team will review your benefits and provide a clear estimate so you can make an informed decision with confidence.

Elevate Your Mental Health Care with Spravato

Under the leadership of our board-certified psychiatrist, Dr. Robert Bota, we are committed to helping individuals overcome complex mental health challenges with skill, compassion, and clarity. Our team specializes in treating mood disorders, OCD, PTSD, and related conditions through a blend of brain-based medicine and healthy living strategies designed to support the whole person.
By combining multidisciplinary expertise with innovative treatments like Spravato, we create an effective treatment plan tailored to your unique needs. Every step of your treatment journey is guided by a person-centered approach focused on safety, trust, and measurable progress. Our goal is to help you experience significant improvements while receiving the comprehensive care you deserve.

Frequently Asked Questions (FAQs)

What is the difference between Spravato and ketamine therapy?

Emotional symptoms often include persistent worry or dread, feelings of apprehension, irritability, and an inability to relax. You might also experience a sense of impending danger or panic attacks, even without a clear trigger.

The number of sessions varies per patient, but most begin to notice improvements after a few treatments. Spravato is designed to treat depression while supporting emotional well-being and addressing psychiatric conditions as part of a structured plan. In most cases, patients undergo 8-12 sessions.
Yes, we provide comprehensive medication management to ensure your treatments are safe, effective, and tailored to your needs.
Yes, many patients benefit from combining Spravato with talk therapy, antidepressant medications, transcranial magnetic stimulation (TMS) therapy, or other alternative treatments to support overall mental well-being.
Yes, we accept insurance when available. Coverage may vary depending on your plan, and we can also discuss options if you are using oral antidepressants or other medications.
Absolutely! We welcome patients from Newport Beach, Irvine, Santa Ana, and other nearby areas, making it convenient to access Spravato treatment close to home.

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Testimonials

“Dr. Bota is not just a medicating doctor. He talks to you and takes his time on every visit. A warm psychiatrist that is brilliant in problem solving. He solved my periodic leg movement disorder and my restless leg syndrome is 90% better. 20 stars.”

— Jennifer D.

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