Spravato® Treatment in Miami:

Experience Quick Relief from Treatment-Resistant Depression

With some patients feeling better in 24 hours, Spravato® brings hope to to people who have tried traditional treatments and therapies.
Spravato (esketamine HCl) nasal spray, 28 mg, on a yellow background

How Does Spravato® Work?

Spravato® is a nasal spray that contains esketamine, which originates from a specific part of the ketamine molecule.

Depression causes a drop in communication across different brain regions, leading to symptoms such as persistent negative thoughts, cognitive impairments, and feelings of despair. However, Spravato® targets glutamate, a neurotransmitter that helps brain cells develop new communication pathways.

Spravato® is approved by the Food and Drug Administration (FDA) to treat major depressive disorder (depression).

In 4 weeks, 52.5% of patients achieved full remission, with a higher percentage that had a significant improvement!
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We Accept Most Insurance Plans

Leon Medical Centers insurance accepted at Elevate Psychiatry
Magellan Health insurance accepted at Elevate Psychiatry
Medica insurance accepted at Elevate Psychiatry
Medica insurance accepted at Elevate Psychiatry
Meritain Health insurance accepted at Elevate Psychiatry
MHN insurance accepted at Elevate Psychiatry
Humana insurance accepted at Elevate Psychiatry
AARP insurance accepted at Elevate Psychiatry
HealthSun insurance accepted at Elevate Psychiatry
UnitedHealthcare insurance accepted at Elevate Psychiatry
Harvard Pilgrim insurance accepted at Elevate Psychiatry
UMR insurance accepted at Elevate Psychiatry
Golden Rule insurance accepted at Elevate Psychiatry
UnitedHealthcare Student Resources accepted at Elevate Psychiatry
Florida Blue BCBS insurance accepted at Elevate Psychiatry
TRICARE insurance accepted at Elevate Psychiatry
Cigna insurance accepted at Elevate Psychiatry
Sunshine Health insurance accepted at Elevate Psychiatry
Caris Partners insurance accepted at Elevate Psychiatry
Simply Healthcare insurance accepted at Elevate Psychiatry
CarePlus insurance accepted at Elevate Psychiatry
Preferred Care Partners insurance accepted at Elevate Psychiatry
Carelon Behavioral Health insurance accepted at Elevate Psychiatry
Positive Healthcare insurance accepted at Elevate Psychiatry
AvMed insurance accepted at Elevate Psychiatry
Optum insurance accepted at Elevate Psychiatry
Ambetter insurance accepted at Elevate Psychiatry
MultiPlan insurance accepted at Elevate Psychiatry
Aetna insurance accepted at Elevate Psychiatry
Please be aware that being listed here does not ensure coverage or confirm that the provider available will accept your insurance
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Elevate Psychiatry's Approach to Spravato® Treatment in Miami

All Spravato® sessions must be done in person by a Spravato® REMS-certified provider. You can receive Spravato® treatment in our Coconut Grove and Doral locations.

1

Initial consultation and assessment

We want to know how you feel and what makes you happy, sad, or stressed. We’ll also ask about any treatments you’ve tried before. This helps us understand your experiences and treatment needs.

2

Personalized treatment plan

Everyone is different, which is why we create a customized plan for each patient. We take what we learned in the consultation and discuss Spravato® treatment options with you.

3

Treatment sessions

All Spravato® treatments must be administered in a medical environment under close supervision.

4

Regular check-ins and modifications as needed

To ensure your treatments are effective, we’ll have regularly-scheduled sessions to identify if we need adjustments to your treatment plan.

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What Are Spravato® Side Effects?

The most common side effects of Spravato® treatment include dizziness and a short-term rise in blood pressure. Additionally, it may cause sensations of disassociation or sedation. Typically, side effects are more pronounced during the first two sessions and tend to lessen with subsequent treatments.

Other potential side effects may involve:

  • Nausea
  • Sleepiness
  • Headaches
  • A feeling similar to intoxication
  • Anxiety
  • Elevated mood or excitement

Side effects vary by patient. Discuss with your provider for personalized guidance.

How Do I Prepare for Spravato® Treatment In Miami?

  1. Arrange transportation: Make sure to organize a ride home by asking someone you know or booking a ride-sharing service. You should not drive until the day after your treatment, following a restful night’s sleep.
  2. Manage your diet: Avoid eating for four hours and drinking any liquids for 30 minutes before your session. On treatment days, eat light meals and avoid greasy or heavy foods to reduce the risk of nausea or vomiting.
  3. Handle medications carefully: If you’re using nasal decongestants or nasal corticosteroids, take them at least an hour before your Spravato® session to avoid increased blood pressure and/or sedation during treatment.
  4. Substance restrictions: Abstain from alcohol for 24 hours before your treatment, as it can diminish the effectiveness of the session. If you’re taking Lamictal or benzodiazepines, avoid these within six hours of your treatment.
  5. Ensure relaxation: Spend the evening before your session relaxing and engaging in activities you enjoy. Due to Spravato’s® perception-altering effects, it’s best to avoid stress-inducing media, movies, or music to ensure you’re calm for your treatment.

Our Miami Spravato® Treatment Success Stories

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Manuel Mejias
18 May 2026
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El lugar muy Profesional 💯💯
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Hilary Buonpastore profile picture
Hilary Buonpastore
13 May 2026
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Victoria is very helpful with getting meds correct. She's very loving and caring 💕 I feel good on my meds. I'm very great full to Victoria
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Craig Polesovsky profile picture
Craig Polesovsky
11 May 2026
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Very helpful knows what she's doing easier to talk to put me on the right track would recommend her anytime
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Jackie Rodriguez
29 April 2026
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I saw Dr.Ricardo in Pembroke Pines when I first sat down I didn’t know what to talk about. He made me feel very comfortable and asked me the questions until I was talking about everything I will Definitely follow up with him and his recommendations. He really listened which was very important I didn’t know is what I needed, until he said things to me that made me realize I was really heard. Thank you
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Heidi Walker
28 April 2026
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Much different than the 1st therapist I tried. Jimmy is very relatable and open and understands more of me than I thought he would. I look forward to opening up and to allow myself the help he has to offer
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Elizabeth Amaris
28 April 2026
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La atención es excelente el personal super la siquiatra super agradable te hacen sentir bien gracias
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Mauricio Ruiz
25 April 2026
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Dr Ricardo amazing!
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Hilary Buonpastore
21 April 2026
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Amalia has been helping me get thru some things I've been needing to talk about and work through for a while. Amalia is very helpful and caring I look forward to talking with her every two weeks
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Lily Curry
17 April 2026
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First visit, good experience for now. I hope she will be a good fit for my son. Very patient.
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Graciela Magan
1 April 2026
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Muy Buena
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Our Locations

Our insurance-based psychiatric services are available in Miami through in-person visits, along with virtual care for added flexibility. Contact us to explore the options that work best for you.

Coconut Grove

Address:
3250 Mary St., Suite 300
Miami, FL 33133

Hours of Operation:
Monday & Friday: 9 AM to 6 PM | Tuesday - Thursday: 9 AM to 8 PM

Elevate Psychiatry Doral FL office location

Doral

Address:
8200 NW 41st St., Suite 300
Doral, FL 33166

Hours of Operation:
Monday & Friday: 9 AM to 6 PM | Tuesday - Thursday: 9 AM to 8 PM

Map of Elevate Psychiatry office locations in Miami Florida

Frequently Asked Questions

Who Shouldn’t Take Spravato®?

Spravato® shouldn’t be taken by those who have 

  • A history of brain hemorrhage
  • An abnormal connection between veins and arteries
  • Allergies to esketamine, ketamine, or any of Spravato’s® ingredients

What Does Spravato® Treatment Feel Like?

Patients have reported that Spravato® treatment feels similar to a slight buzz. More specifically, many patients experience:

  • Spacing out
  • Fatigue
  • Body numbness
  • Out-of-body experiences
  • Visual distortions/hallucinations
  • Calmness
  • A feeling of lightness, physically and emotionally

After the 2 hour session you should feel back to your normal self.

What to Do After Spravato® Treatment?

After a Spravato® treatment, it’s best to rest or do calming activities for the rest of the day if possible—at least for the first few sessions. Many patients experience sluggishness and dissociative symptoms that remain for hours after the treatment when they first start.

Can Spravato® be Taken at Home?

No, Spravato® must be taken in REMS-certified practice with a REMS practitioner monitoring you.

How Long Does Spravato® Last?

Spravato®’s effects significantly decrease after two to four hours, but can stay in your system for seven to twelve hours.

How Is Spravato® Administered?

Spravato® is self-administered through a nasal spray, though your practitioner will be there the whole time and direct you if needed.

How Long Does Spravato® Stay in Your System?

Spravato® stays in your system for up to 24 hours. However, its half-life is anywhere between seven and twelve hours.

Do Other Treatment Methods Work with Spravato®?

Yes, other treatments can work with Spravato®. We may suggest other methods like talk therapy or transcranial magnetic stimulation (TMS)—which are also covered by insurance. The most effective depression interventions treat the condition on multiple levels.

Schedule Your Appointment

Your mental health matters. Schedule an in-person or virtual visit with one of our trusted providers through our website. For questions, contact our office directly.

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