Refined Integrative Psychiatry & Wellness
Refined Integrative Psychiatry & Wellness in Ellicott City, Maryland offers Spravato (esketamine), an FDA-approved treatment for treatment-resistant depression. Spravato targets the brain's NMDA receptor system to help restore healthier connectivity between nerve cells, working differently than traditional antidepressants and producing improvement for many patients within 24 to 48 hours.
The nasal spray is self-administered under direct medical supervision in a controlled clinical setting, followed by at least two hours of observation. Before recommending Spravato, providers conduct a comprehensive psychiatric evaluation reviewing mental health history, prior treatments, and current symptoms.
Refined takes an integrative approach, offering Spravato alongside acupuncture, light therapy, T.O.V.A. ADHD testing, GeneSight genetic testing, medication management, and GLP-1 medical weight loss. Insurance benefits are reviewed before treatment begins.
Monday: 8:00 AM – 6:00 PM
Tuesday: 8:00 AM – 6:00 PM
Wednesday: 8:00 AM – 7:00 PM
Thursday: 8:00 AM – 6:00 PM
Friday: 8:00 AM – 6:00 PM
Saturday: 9:00 AM – 5:00 PM
Sunday: Closed
Psychiatric Initial Evaluation- $300; Follow-Up Psychiatric Evaluation- $180; Initial Acupuncture Evaluation- $160; Follow Up Acupuncture- $120; Initial T.O.V.A Test- $150. Spravato cost depends on individual insurance plan; insurance benefits and expected costs reviewed before starting treatment.
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