Apogee Behavioral Medicine

Apogee Behavioral Medicine in Winston Salem, North Carolina offers Spravato (esketamine) for adults with treatment-resistant depression and major depressive disorder with suicidal thoughts or actions. Rather than targeting serotonin like traditional antidepressants, Spravato acts on the brain's glutamate system, often providing symptom relief within 24 hours when used alongside an oral antidepressant.

Spravato is administered under medical supervision in this REMS-certified setting, with patients self-administering the nasal spray and remaining for about two hours of monitoring. Treatment begins twice weekly for four weeks before tapering to maintenance dosing.

Part of a statewide network of clinics, Apogee also provides TMS, psychiatry, and medication management for adults, geriatric, and pediatric patients. The practice is in-network with most major insurance providers and offers same-day appointments.