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Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression (TRD) and major depressive disorder. Unlike traditional antidepressants, which can take weeks to work and target serotonin, Spravato acts on the glutamate system and has been shown to reduce depressive symptoms rapidly.
It is administered in a certified healthcare setting under medical supervision and used alongside an oral antidepressant.
Living with chronic pain doesn't just hurt physically it rewires the brain. Research shows that pain-free individuals who develop depression are three times more likely to later develop chronic back pain. And the reverse is equally true: the more severe the pain, the more severe the depression. Each condition actively drives the other in a cycle that conventional treatment rarely addresses fully.
At Redefine Healthcare, we're one of the few New Jersey networks where pain management and psychiatric care all work together under one roof. Spravato® is now a key part of that integrated approach, offering a new path forward for patients whose depression hasn't responded to traditional treatment.
Of adults with chronic pain also experience depression or anxiety per a 2025 meta-analysis of 347,468 patients across 50 countries. Scott W, et al. JAMA Network Open, March 2025
Anxiety and depression are 5× more common in people with chronic pain than in those without — and chronic pain patients make up more than half of all U.S. adults with unremitted depression symptoms. Co-occurrence of chronic pain and anxiety/depression. PAIN, March 2024
U.S. adults have treatment-resistant depression — ~31% of all medication-treated MDD patients.Amos TB, et al. Journal of Clinical Psychiatry, 2021
What to Expect from Spravato Treatment
Meet with one of our board-certified psychiatrists to review your history, prior treatments, and determine if Spravato is right for you.
Sessions are held in our certified treatment center. You self-administer the nasal spray under supervision and rest for approximately 2 hours post-dose.
An induction phase is followed by a maintenance phase. Your psychiatrist monitors your response and adjusts your plan.
Spravato® is not for everyone but it may be the right next step if any of the following apply. The best way to know is a consultation with our psychiatric team.
Not sure if you qualify? Our team will evaluate your full history and help you understand all available options.
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