Spravato (Esketamine) Nasal Spray
What is TRD (Treatment-Resistant Depression?)
Spravato is the only FDA approved nasal spray for treating adults with TRD (Treatment-resistant depression) or MDD (Major Depressive Disorder). It helps to reduce symptoms of depression for patients who have previously attempted two or more oral antidepressants and have found them to be unsuccessful.
MD TruCare is a Certified SPRAVATO Treatment Center
Several studies show that 1/3 of the patients with depression don’t get better just with antidepressant medications, and adding Spravato treatment dramatically improves their chances of getting better.
Why MD TruCare for Spravato?
Expertise:
- Board-certified Psychiatrist on site
- Knowledgeable, experienced, and dedicated staff
Scheduling:
- Comprehensive Initial Evaluations
- Easy and efficient scheduling
- Timely Insurance Approvals
Care:
- Clean and Inviting Atmosphere
- Wifi provided during sessions
- Blankets and Candy available upon request
The Effectiveness of Spravato:
Spravato has been proven to aid in depressive symptoms and has demonstrated a rapid improvement.
Treatment is standardized and highly supervised. 50-70% of patients exhibit a significant response to treatment, leading to a decrease in depressive symptoms.
With an innovation way of care, such as Spravato, patients can find another solution.
What to Know about Spravato:
- - Complete a Psychiatric Evaluation to determine whether Spravato is right for you
- - Notify your provider of any pre-existing conditions or health concerns
- - Check in and get vitals taken
- - Get set up in Spravato room
- - Sessions last approx.2 hrs.
- - Ensure you are comfortable during your treatment, if you are experiencing any unease, alert the provider
- - Bring entertainment! (Book, tablet, music, etc.)
- - Have a ride arranged to pick you up from your appointment (after treatment, you are not able to operate machinery for some time)
- - Continue to monitor symptoms (Relief may begin after session or as early as 1-2 weeks)
Conditions Treated By TMS:

MDD (Major Depressive Disorder)
For individuals who have yet to respond to two forms of medication and have tried therapy, we conduct an evaluation to see if TMS is the right fit for the patient. TMS would aid in reduce symptoms of constant sadness and loss of interest.

Anxiety Disorders (Generalized and Social)
With persistent worry and fear, it can disrupt one's everyday life. TMS works to better the well-being of patients to ensure holistic care and to steady their everyday life.

Post-Traumatic Stress Disorders (PTSD)
To ease the condition and recurrence of episodes, TMS helps lower core symptoms that make these more prevalent.

OCD (Obsessive-Compulsive Disorder)
Utilizing TMS treatment can aid in the management of condition symptoms. With these unwanted thoughts and fears, TMS can help.
The Benefits of TMS Therapy
Non-Invasive
During each session, no surgery or medication is required. At the beginning of treatment, the positioning of the magnet will be mapped out for further appointments.
FDA-Approved
TMS Therapy is approved by the U.S. Food and Drug Administration. Unlike medications, TMS poses few to no side effects.
Quick Recovery
After each session, you can resume your daily activities as normal. TMS does not disrupt your day-to-day tasks.
Proven Results
TMS patients have reported significant improvements in mood and mental clarity.
What To Expect During Treatment
Before Your First Session:
- Consultation: Your provider will conduct a thorough evaluation to determine if TMS is right with you.
- Mapping: During the first session, the team will map your brain to identify the precise area to target.
- During this time, the provider will also determine your motor threshold or the proper amount of magnetic energy to use for your treatment.
During Each Session: You will sit in a comfortable chair, awake and alert. A magnetic coil will be placed against your scalp, delivering gentle pulses to the targeted brain area. You will hear a clicking sound and feel a tapping sensation on your scalp.
After Each Session: You can resume your activities immediately. Some patients experience mild headaches or scalp discomfort, but this is temporary.
What To Expect During Treatment
You may be a good candidate if:
- You have not responded to 2 or more antidepressant medications or psychotherapy
- You are looking for a non-invasive, medication-free treatment option
- You are committed to attending regular sessions over 4–6 weeks
You may need to find other options if:
- Have implanted devices (i.e. pacemakers, deep brain stimulators)
- Are pregnant or breastfeeding (safety not fully established)
- Have a history of seizures or certain neurological conditions
- Have active substance abuse issues without a proper treatment plan
*Remember: Stay patient! Results may take time. Track any changes and communicate with your provider*
Frequently Asked Questions
FAQ
Is Spravato FDA Approved? 4
Yes! Spravato is the ONLY FDA-approved nasal spray for treatment-resistant depression.
Is Spravato FDA Approved? 3
Yes! Spravato is the ONLY FDA-approved nasal spray for treatment-resistant depression.
Is Spravato FDA Approved? 2
Yes! Spravato is the ONLY FDA-approved nasal spray for treatment-resistant depression.
Is Spravato FDA Approved?
Yes! Spravato is the ONLY FDA-approved nasal spray for treatment-resistant depression.
We are accepting patients for Spravato! Click here to see how you can begin treatment
Testimonials
Posted on Austin Campbell jr A great placePosted on Naba Mukhtar UPDATE 2: I’ve been coming here (for Spravato, TMS, and psychiatry) for a couple months now, and the staff are wonderful all around! Shoutout to David (the person who’s been administering the vast almost all of my sessions) especially; he’s been very patient, accommodating, and helpful! I have very severe depression, and have been stuck in a particularly bad episode for a long while now, so I really appreciate everyone’s kindness. Caring service is so crucial when it comes to mental healthcare. UPDATE: they responded very promptly to the concerns in my review, contacting me just hours later to ask about the details! I really appreciate the attentiveness, and in retrospect I think I came in at a particularly busy time. And they even managed to find a way to squeeze me in for an appointment very soon! I really appreciate the attentiveness and have updated my review accordingly. I came in today as a new patient and so I had to go through the usual process of paperwork and scheduling, and the receptionist was a lovely South Asian woman who worked diligently to help everyone the best she could. But the place was very clearly understaffed and so the poor woman was very overworked, juggling multiple patients and phone calls, and so the process took much longer than it should have. If the folks in charge are reading this, PLEASE hire more receptionists. And if you can’t do that, then at least give this lady a substantial raise because she was doing the work of two receptionists at once, if not more.Posted on Lisa Mosser Forgot to tell Caitlyn thank you for today. Thank you!!! This was my very first psychiatrist visit. Shes was very attentive & was comfortable with her.I have high hopes & in my heart I feel she is my HOPE to finally get the help I need for mental.problems that I have suffered with my entire life!Posted on Frank Rodriguez Been coming to this doctor for 2 years and I refuse to change her. Service is outrageously good and always sees me on time. Office staff is just as spectacular.Posted on Osman Mohammed I’ve been visiting MD TrueCare Clinic in Grapevine, Texas, for my care, and I can’t say enough about Dr. Ibrahim and Esther She’s truly exceptional — very knowledgeable, patient, and attentive. Dr. Ibrahim takes the time to listen carefully, explains everything in detail, and genuinely cares about each patient’s health. I feel very well cared for and confident in my treatment plan. The staff is also friendly and professional, and appointments always run smoothly. I’m extremely thankful for Dr. Ibrahim and the outstanding care she provides. Highly recommend this clinic to anyone looking for a compassionate and skilled doctor!Posted on Paul Holder I’ve seen my psychiatrist, Dr. Kircher, as well as Dr. Khawaja, and David his assistant, for TMS. All have been great. Front desk and others are very nice too.
SPRAVATO Monitoring
SPRAVATO Room
Why choose MD TruCare from Spravato treatment
- Board-certified Psychiatrist on site
- Knowledgeable, experienced, and dedicated Spravato team
- Easy scheduling
- Comprehensive Initial Evaluations
- Close monitoring and supervision during treatments
- A clean and inviting atmosphere
- Timely insurance approvals
“We’ve always prided ourselves in offering the most advanced treatments to our patients"
“Insurance coverage of SPRAVATO/esketamine now allows this life-saving treatment to be accessible to patients that need it”
"With one-third of those suffering from depression unable to respond to antidepressant medications, being able to provide relief to patients that are otherwise treatment resistant is promising.”
Imran S Khawaja, MD, FAASM, MD TruCare
Why choose MD TruCare from Spravato treatment
- Board-certified Psychiatrist on site
- Knowledgeable, experienced, and dedicated Spravato team
- Easy scheduling
- Comprehensive Initial Evaluations
- Close monitoring and supervision during treatments
- A clean and inviting atmosphere
- Timely insurance approvals
As teaching faculty and researchers, we pride ourselves on offering our patients the most advanced and evidence-based treatments.
Insurance coverage of SPRAVATO (Esketamine) now allows this life-saving treatment to be accessible to our patients who need it.
Several studies show that 1/3 of the patients with depression don't get better just with antidepressant medications, and adding Spravato treatment dramatically improves their chances of getting better.
Imran S Khawaja, MD, FAASM
CEO, MD TruCare
Clinical Professor, Department of Psychiatry, University of Oklahoma
MD TruCare is a Certified SPRAVATO Treatment Center
SPRAVATO™ nasal spray is a different kind of medication taken with an oral antidepressant for adults with treatment-resistant depression – a first in decades approved by the FDA.
If you’ve struggled with depression and tried two or more antidepressants* in your current episode without adequate relief, talk to your provider at MD TruCare to see if you have treatment-resistant depression. This treatment is covered by most insurance.
This treatment is for those with depression who have failed at least two antidepressants. Patients will be required to have someone drive them home and will need to stay in our office for two hours. The initial treatment consists of twice weekly treatments for four weeks and then treatment once weekly. Ongoing treatment is usually required.
Learn more about SPRAVATO at https://www.spravato.com/