Apogee Behavioral Medicine

Apogee Behavioral Medicine in Asheville, North Carolina offers Spravato (esketamine) for adults with treatment-resistant depression and major depressive disorder with suicidal thoughts or actions. Spravato acts on the brain's glutamate system, a different pathway than traditional antidepressants, and can deliver rapid symptom relief within 24 hours when combined with an oral antidepressant.

Administered under medical supervision in a REMS-certified setting, Spravato is self-administered as a nasal spray followed by about two hours of monitoring, with treatment starting twice weekly for four weeks before tapering to maintenance dosing.

As part of a statewide network, the Asheville office also provides TMS, psychiatry, and medication management for adults, geriatric, and pediatric patients. Apogee is in-network with most major insurance providers and offers same-day appointments.