Valley Behavioral Services

Valley Behavioral Services offers Spravato esketamine treatment in Madison, Alabama, for adults with treatment resistant depression. The clinic is REMS certified, which is required to administer the nasal spray. Spravato is used alongside an oral antidepressant for patients who have not responded to at least two antidepressants at adequate dose and duration.

The practice opened in 2006 as the first private psychiatric office in the area. Dr. Ammar Alrefai leads a team of licensed counselors and psychiatric nurse practitioners with more than 45 years of combined experience.

Other services include TMS therapy, psychiatric evaluation, medication management, individual and family therapy, and addiction treatment with Suboxone, Sublocade, and Vivitrol. The clinic treats children, adolescents, and adults, and offers telehealth through Doximity. It serves Madison, Huntsville, Decatur, and north Alabama.

Referrals go to [email protected].