Spravato Treatment
in Olathe, KS
If two or more antidepressants have not lifted your depression, Spravato (esketamine) nasal spray may be the next step. At Archway Psychotherapy in Olathe, Spravato is prescribed and supervised by our psychiatric nurse practitioners and paired with the same therapists you may already see, so medication and talk therapy work as one plan. Sessions take place in our office at 25055 W Valley Pkwy, Suite 102. Call or text (913) 494-8550 to ask whether you qualify.
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What Is Spravato (Esketamine) Treatment?
Spravato is an FDA-approved prescription nasal spray containing esketamine. It is approved for adults with treatment-resistant depression and for depressive symptoms in adults with major depressive disorder who have acute suicidal thoughts or actions, and it is always taken alongside an oral antidepressant. Unlike SSRIs, which act on serotonin and can take four to six weeks to work, esketamine acts on the brain’s glutamate system, which is why some patients notice a change within the first one to two weeks.
Because of its effects, Spravato cannot be picked up at a pharmacy. It is only administered in a certified treatment setting with a health-care professional present. At Archway that means our Olathe office, with Anaya Kole, APRN, PMHNP-BC, FNP-C or Rachel Stauffer, PMHNP-BC overseeing your care. Both bring close to a decade of psychiatric nursing experience, including inpatient psychiatry.
Your Spravato Session at Our Olathe Office
Treatment starts with a psychiatric evaluation to confirm the diagnosis, review the antidepressants you have already tried, and check for conditions that rule Spravato out. If it is a fit, our office helps with the insurance benefits check and prior authorization before your first dose.
- Induction phase: two sessions a week for the first four weeks.
- Maintenance phase: weekly sessions in weeks five through eight, then weekly or every other week based on how you respond.
- Each visit: you self-administer the spray under supervision, then rest in a private room for the required two-hour observation while our team monitors your blood pressure and how you feel. Bring a book or headphones.
- Getting home: you cannot drive until the next day after a full night’s sleep, so plan a ride. Skip food for two hours and liquids for 30 minutes before your appointment to reduce nausea.
Between sessions you keep your regular medication management and therapy appointments with us, in person or by video.
Check Your Insurance Coverage
Who Is a Candidate for Spravato?
Spravato is for adults 18 and older with major depressive disorder who have not had adequate relief from at least two different oral antidepressants taken at an adequate dose and duration. It is also used alongside an oral antidepressant for adults whose depression includes suicidal thoughts.
It is not a fit for everyone. Our providers screen for aneurysmal vascular disease, arteriovenous malformation, a history of intracerebral hemorrhage, uncontrolled high blood pressure, pregnancy and breastfeeding, and allergy to ketamine or esketamine. A history of substance misuse does not automatically rule you out, but it is part of the conversation. The only way to know is a consultation with one of our psychiatric providers.
Potential Benefits of Spravato
In the clinical trials that led to approval, adults with treatment-resistant depression who added Spravato to a new oral antidepressant were significantly more likely to reach remission than those who added placebo, and patients who stayed on Spravato were about half as likely to relapse. Patients often describe the first change as a loosening of the heaviness and hopelessness, which makes the work in therapy possible again.
What makes Spravato at Archway different from a stand-alone infusion clinic is continuity. The same practice that gives the nasal spray also provides your therapy, with clinicians trained in CBT, DBT, ACT and EMDR, so a good response to medication is reinforced by new coping skills rather than left to fade.
Mental Health Services That Pair With Spravato
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Individual Therapy: Engage in one-on-one sessions to develop coping strategies and work through personal challenges.
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Medication Management: Our psychiatric providers work with you to manage medications effectively as part of your overall treatment plan.
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Family Psychotherapy: We offer therapy sessions with family members, with or without the patient present, to build a strong support system.
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CBT, DBT, and ACT: Our therapists are skilled in various evidence-based modalities like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT) to complement your treatment.
Cost of Spravato Treatment
in Olathe, KS
Spravato is covered by most commercial insurance plans and by Medicare for treatment-resistant depression once prior authorization is approved, and our office helps you through that step. Archway is in network with Aetna, Blue Cross Blue Shield, UnitedHealthcare, Cigna, Ambetter, Kansas Medicaid and Medicare, depending on your provider, and we accept HSA and FSA cards. Patients with commercial insurance may also qualify for the manufacturer’s savings program, which can bring the per-session medication cost down substantially.
Your out-of-pocket cost depends on your deductible, co-pay, number of sessions and whether the observation visit is billed separately from the medication, so we do not quote one price online. Call or text (913) 494-8550 and our team will verify your benefits before your first appointment. See our payment and insurance page for the full list of plans.
Why Choose Archway for Spravato in Olathe
- Psychiatric oversight on site. Two board-certified psychiatric nurse practitioners prescribe and supervise every session.
- Therapy and medication under one roof. More than 20 licensed therapists (LSCSW, LCPC, LPC, LCMFT, LMLP) in the same Olathe office, so your Spravato provider and therapist share notes and a plan.
- Locally owned since day one. Founded by Mary Archer, LSCSW, Archway is an independent Johnson County practice, not a national chain, and holds a 5-star Google rating.
- Insurance handled for you. We help with the benefits check and prior authorization before you commit.
- Easy to reach. Off W Valley Parkway near K-7 in Olathe, with in-person and virtual follow-up visits for patients across Overland Park, Lenexa, Shawnee, Gardner and the Kansas City metro.
Spravato FAQs
How quickly does Spravato work?
Some patients notice improvement within the first one to two weeks of the induction phase, compared with four to six weeks for most oral antidepressants. Response varies, and your Archway provider will track your symptoms at every visit.
Do I have to stop my current antidepressant?
No. Spravato is approved for use together with an oral antidepressant. Our psychiatric nurse practitioners review your current medication and may adjust it as part of your plan.
Can I drive myself home after a Spravato session?
No. You must arrange a ride after each session and should not drive or operate machinery until the next day after a restful sleep.
Does Archway offer Spravato for patients outside Olathe?
Yes. Spravato sessions happen at our Olathe office, and patients come from Overland Park, Lenexa, Shawnee, Gardner, Lawrence and across the Kansas City metro. Evaluation and follow-up visits can be done by video.
Is Spravato the same as ketamine infusion?
No. Spravato is an FDA-approved esketamine nasal spray with a defined dosing schedule and insurance coverage. IV ketamine for depression is an off-label infusion that is usually self-pay.