The Carolina Center for Behavioral Health

The Carolina Center for Behavioral Health in Greer, South Carolina offers Spravato for adults with treatment-resistant depression. The only FDA-approved nasal spray for TRD, it helps reduce depression symptoms when two or more oral antidepressants have not worked, and can be taken with or without an oral antidepressant.

Treatment begins with a consultation reviewing medical history, goals, and insurance. On treatment days, which are Tuesdays and Thursdays, patients self-administer the nasal spray under the supervision of a healthcare provider, followed by a two-hour monitoring period that includes blood pressure and pulse oximetry checks.

Dosing is twice weekly for the first month, then weekly for the second month, with frequency adjusted afterward. The center coordinates care with each patient's referring doctor and also offers electroconvulsive therapy and other outpatient services.