Breaking Barriers

Breaking Barriers in Dover, Delaware is a REMS-compliant, certified provider of Spravato (esketamine) for adults with treatment-resistant depression and major depressive disorder with acute suicidal ideation. The practice offers initial eligibility evaluations, on-site administration of Spravato per FDA REMS protocol, and two-hour post-dose monitoring including vital signs and safety documentation.

All Spravato treatments are administered and monitored by a board-certified psychiatric nurse practitioner in accordance with FDA safety standards, with audit-ready REMS compliance and patient tracking.

Alongside Spravato, Breaking Barriers offers psychiatric diagnostic evaluations, medication management, controlled substance monitoring, and medication-assisted treatment for substance use disorders. HIPAA-compliant telemedicine appointments are available, and the practice is preparing to add ketamine-based treatment in the future.