Optimal Psychiatry and Wellness

Optimal Psychiatry and Wellness in Nottingham, Maryland offers Spravato (esketamine), an FDA-approved nasal spray used with an oral antidepressant to treat treatment-resistant depression and major depressive disorder. Administered under the supervision of a certified provider, Spravato can begin relieving depressive symptoms within hours, far faster than traditional antidepressants.

Each session combines medical monitoring with a relaxing environment, including a massage chair, dim lighting, aromatherapy, blankets, and music. After self-administering the nasal spray, patients are observed for about two hours and arrange a ride home, since driving isn't allowed until the next day. Treatment typically begins twice weekly before tapering based on response.

Alongside Spravato, the practice offers Alpha-Stim therapy, ADHD testing, medication management, and diagnostic evaluations. Optimal Psychiatry was recognized as a Best of 2026 mental health clinic in Baltimore County.