MD Psychiatry & Emotional Health

MD Psychiatry & Emotional Health in Cary, North Carolina offers Spravato (esketamine), an FDA-approved nasal spray administered in-office under medical supervision for adults with treatment-resistant depression or acute suicidal ideation. Spravato acts as an NMDA receptor antagonist affecting the brain's glutamate system and is used alongside an antidepressant, with patients qualifying after failing two or more classes of antidepressants.

Patients remain in the office for at least two hours of monitoring after administration, with transportation arranged since driving is not permitted afterward.

Led by founder and chief medical officer Dr. Haresh Tharwani, the board-certified team treats patients of all ages. Alongside Spravato and TMS, the practice offers medication management, psychotherapy, and care for depression, anxiety, bipolar disorder, ADHD, and substance abuse, accepting most major insurances, Medicare, Tricare, and Medicaid.