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.
Spravato® (esketamine)
Treatment details are based on information published by the clinic, checked in August 2026.
Clinic-wide information; ask which treatments are appropriate for you.
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
Accepts insurance
Plan participation and treatment coverage may vary by location and clinician. Confirm your benefits with the clinic.
In-network with Carefirst, Cigna, Aetna, United Healthcare, Optum, Medicare, Medicaid, Tricare, Humana Military, and Johns Hopkins EHP. Many patients can use insurance benefits for Spravato.
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.
Send your details to Refined Integrative Psychiatry & Wellness and they can reach out to you directly.
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