Spravato
in Texas, Oregon, and Washington
CopeWell Psychiatry & Wellness offers spravato (esketamine) nasal spray as an innovative treatment for adults with treatment-resistant depression. If conventional antidepressants have not provided adequate relief, this therapy may offer new hope for managing your symptoms. Our team is committed to guiding you through this process in a safe, supportive, and professional environment.
What Is Spravato Therapy?
Spravato is an FDA-approved prescription nasal spray containing esketamine. It is indicated for use with an oral antidepressant for adults with treatment-resistant depression (TRD) or depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation or behavior. Spravato targets the brain’s NMDA receptor, helping to restore neural pathways and rapidly reduce symptoms.
Your Spravato Treatment Session
Your spravato treatment sessions at CopeWell Psychiatry & Wellness are conducted in a safe, controlled clinical setting. Each visit involves self-administering the nasal spray under our supervision, followed by a mandatory two-hour monitoring period to ensure your safety and well-being. Our team is present to support you at every step.

Preparing for Your Appointment
To ensure your safety, we require you to avoid food for at least two hours and liquids for at least 30 minutes before your appointment. You must also arrange for a responsible adult to drive you home, as you will not be able to operate a vehicle for the rest of the day.

Administering the Nasal Spray
Under the guidance of our staff, you will self-administer the spravato nasal spray. Our provider will demonstrate the proper technique and observe you to ensure you receive the correct dosage as prescribed. The administration process itself is quick and straightforward.

Post-Treatment Monitoring
Following administration, you will relax in a private, comfortable room for the two-hour observation period. During this time, our clinical team will monitor your blood pressure and overall response to the medication. Patients often use this quiet time to listen to music, read, or simply rest.

Completing Your Session
Once the monitoring period is over and our provider has assessed that you are ready for discharge, you will be cleared to leave. Your pre-arranged ride will then take you home, where you should plan for a restful remainder of the day.
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Who Is a Candidate?
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Adults diagnosed with treatment-resistant depression who have not responded adequately to at least two different oral antidepressant medications.
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Individuals diagnosed with Major Depressive Disorder (MDD) who are experiencing acute suicidal thoughts or behaviors.
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Patients who are willing and able to continue taking an oral antidepressant as prescribed throughout the spravato treatment course.
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Those who have completed a comprehensive psychiatric evaluation at our Killeen practice, confirming that spravato is an appropriate treatment option.
Potential Benefits of Spravato
For individuals who have not found relief with traditional therapies, spravato offers a new approach to managing depression. Its unique mechanism of action can provide advantages not seen with other treatments.
Rapid Symptom Reduction
Many patients experience a significant improvement in their depressive symptoms within hours to days of their first few treatments. This fast-acting quality can be particularly beneficial for those in severe distress.
Effective for Resistant Depression
Spravato is specifically designed and FDA-approved for treatment-resistant depression. It provides a proven and valuable option when other medications have failed to deliver results.
Novel Neurological Pathway
By targeting the brain’s NMDA receptors, spravato works differently than common antidepressants like SSRIs or SNRIs. This offers a new therapeutic pathway for patients who have not responded to other medications.
Supervised for Your Safety
Because each treatment is administered in our office under professional supervision, your safety is ensured throughout the process. This controlled setting provides peace of mind for you and your loved ones.
Complementary Mental Health Services
- Medication Management provides ongoing monitoring and optimization of psychiatric medications alongside your depression treatment.
- Integrative Psychiatry considers lifestyle, nutrition, sleep, laboratory findings, and other factors that may support your overall treatment plan.
- Genetic Testing may provide additional insight into genetic factors that can influence the metabolism or response of certain psychiatric medications.
- Supportive Psychotherapy may be incorporated into psychiatric care to provide additional support as you work toward improved mental health and functioning.
Cost and Insurance Coverage
in Texas, Oregon, and Washington
The cost of spravato treatment in Killeen, TX, can vary based on your specific insurance plan and prescribed treatment frequency. A single session, which includes the medication and the required two-hour clinical observation, generally ranges from $550 to $850. Our team at CopeWell Psychiatry & Wellness is dedicated to helping you navigate the financial aspect of your care.

Why Choose CopeWell Psychiatry & Wellness
Choosing CopeWell Psychiatry & Wellness for your spravato treatment means entrusting your care to a team that prioritizes your safety, comfort, and long-term well-being. We are a certified treatment center adhering to all required safety protocols in a calm and supportive environment. Our goal is to provide compassionate, patient-centered care that empowers you on your path to recovery.
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Testimonials

“Dr. Udo is an experienced psychiatrist. I was her patient few months ago and she took really good care of me. Very patient and was ready to listen and understand all what I was going through. I would recommend her services any day anytime.”
- C.K.
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