Crasmere Psychiatric Services

Crasmere Psychiatric Services in Staten Island, New York is a REMS-certified treatment center offering Spravato (esketamine), an FDA-approved nasal spray for adults with treatment-resistant depression who have not improved after trying at least two oral antidepressants. By acting on the brain's glutamate system rather than serotonin, Spravato promotes new neural connections and can provide improvement within 24 hours for some patients.

Treatment begins with a psychiatric consultation, followed by sessions of three doses spaced five minutes apart, typically twice weekly during the first month, with at least two hours of monitoring after each dose.

Spravato is integrated into a broader, personalized plan that may include therapy and medication management. The board-certified team also treats depression, anxiety, ADHD, and PTSD, and offers telepsychiatry.