The Child and Family Counseling Group is now offering Spravato!


What is Spravato?

It is esketamine (S-enantiomer of racemic ketamine) is a nonselective, noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist. The mechanism by which it exerts its antidepressant effect is unknown. The major circulating metabolite noresketamine demonstrated activity at the same receptor with less affinity. Esketamine SPRAVATO™ is the first nasal spray approved by the Food and Drug Administration (FDA) to treat depression in adults who have not found relief with other antidepressants.

    Is Spravato right for me?

Adults age 18 and over who suffer from moderate-severe depression and have not had success with traditional treatments for depression are eligible for esketamine treatment. Our comprehensive evaluation will include a medical history and basic lab results to ensure esketamine is safe for you.

What is the process to receive esketamine treatment for depression?

Call (703) 352-3822  to schedule an evaluation.

60-minute evaluation with one of our psychiatrists with expertise in treatment-resistant depression to determine if esketamine is the best treatment for you.

Evaluation of basic lab results to ensure esketamine is safe for you.

The initial administration of the esketamine treatment.

Twice weekly ketamine administration for 4 weeks with follow-up treatments as recommended by psychiatrist. A typical case would be 8-12 treatments over 4-6 weeks.

Follow-up care as recommended by our clinical experts.

How much does esketamine cost?

Please contact our administrative team for information on the cost breakdown of Spravato treatment. We are out of network providers for all services rendered. Please note the quoted office visit cost does NOT include the cost of the drug itself. Your insurance may cover the cost of the medication itself, and there are additional resources through Janssen Carepath and Johnson & Johnson. Our team at CFCG will assist you along with insurance and pharmacy coordination along the way. 

How do I prepare for treatment?

Please take a moment to visit the official Spravato website at