Rhode Island Counseling & Psychiatric Associates
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Now Offering Spravato® (esketamine) Treatments for Depression

Available at Our Lincoln and Cranston Offices!
We are excited to offer Spravato® (esketamine)—a groundbreaking, FDA-approved treatment for adults with treatment-resistant depression (TRD)—administered in-office under the supervision of a licensed medication manager.
If you’ve tried two or more antidepressants without success, Spravato may be the breakthrough you've been looking for.

What is Spravato?
Spravato is a prescription nasal spray made from esketamine, a form of ketamine. It works differently than traditional antidepressants by acting on the glutamate system in the brain, which helps restore neural connections and improve mood more rapidly.
Unlike oral antidepressants, which can take weeks or months to work, many patients report noticeable improvement within hours or days of starting Spravato.
What to Expect During Treatment :
Spravato is administered in a safe, controlled clinical environment at either our Lincoln or Cranston office. Here’s what the process looks like:
  1. Arrival and Check-In
    You'll be greeted by our staff and brought to a private treatment room.
  2. Vitals Monitoring
    Before your session begins, your blood pressure and heart rate will be checked to ensure it's safe to proceed.
  3. Medication Administration
    Under the supervision of a trained medication manager, you’ll self-administer the Spravato nasal spray while being guided through the process.
  4. Observation and Relaxation
    You’ll remain in a calm, quiet room for two hours post-treatment, where we monitor your response and ensure your safety. You are encouraged to relax—many patients read, listen to music, or simply rest.
  5. Post-Treatment Monitoring
    Your blood pressure is checked again, and you’ll be evaluated before you are cleared to leave. You will need someone to drive you home, as you may feel drowsy or dissociated afterward.

Treatment Schedule :
Spravato is typically administered:
  • Twice weekly for the first 4 weeks
  • Then once weekly for 4 weeks
  • Followed by maintenance dosing every 2 to 4 weeks based on your progress and response
This schedule may be customized to fit your individual needs.

Benefits of Spravato :
  • Fast-acting relief from symptoms of depression
  • Effective for treatment-resistant depression
  • Can help reduce suicidal thoughts in critical cases
  • Supervised administration ensures safety and personalized care
  • Offered in a supportive, compassionate setting

How to Get Started :
The first step is to call us to schedule a Spravato consultation. During this visit, we’ll :
  • Review your mental health history
  • Go over your current and past medications
  • Explain the full treatment process and expectations
  • Answer all your questions
  • Work with you to build a customized treatment plan
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Spravato Links  & Resources 

The Official Spravato Website
National Alliance On Mental Illness
Clinical Trials & Research Articles
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Phone : 401 - 259 - 0340
RHODE ISLAND PSYCHIATRIC & COUNSELING ASSOCIATES
Fax : 401 - 213 - 8538
  • Home
  • About
    • Meet Our Providers >
      • Medication Management Providers
      • Psychological Evaluation Providers
      • Therapists
    • Our Offices
    • Accepted Insurance
    • Careers
  • Services
    • Spravato Treatments
    • Treatments
    • Individual Therapy
    • Couples Counseling
    • Group Therapy >
      • Mindfulness Groups
      • Men's Empowerment Group
      • Women's Empowerment Group
    • Medication Management
    • Virtual Appointments
  • News
  • Referrals & Resources
  • Contact