Lucid Behavioral Health

Lucid Behavioral Health offers Spravato in Santa Clara, California, run by Dr. Toral Desai, who is board certified in both adult and child and adolescent psychiatry and trained at the University of Virginia.

The practice draws a sharp line between Spravato and cash pay infusion services. Their position is that esketamine belongs inside an ongoing psychiatric relationship with a physician who already knows your history, not purchased as a standalone treatment. Every patient sees Dr. Desai herself at every visit.

The evaluation comes first and can end in a no. It reviews prior antidepressant trials in detail, clarifies the diagnosis, and screens for bipolar spectrum symptoms, ADHD, trauma, and sleep disorders that can mimic or worsen depression.

Dosing follows the standard schedule of twice weekly for four weeks, then weekly, then spacing out, with two hours of monitoring each time. The office handles prior authorization paperwork. Follow up is monthly once stable.