TMS El Paso

TMS El Paso, led by Alfredo H. Arellano, PMHCNS-BC, at its Joe Battle clinic in El Paso, Texas offers Spravato for adults with treatment-resistant depression and major depressive disorder with suicidal thoughts. The esketamine nasal spray works differently from traditional antidepressants by targeting NMDA receptors, taken alongside an oral antidepressant for patients who have not improved on other medications.

As a REMS-certified Spravato treatment center, the clinic administers the nasal spray under direct observation with at least two hours of monitoring afterward, and patients plan for rides home since driving is not permitted until the following day. The clinic works closely with insurance benefits and manages pre-authorizations.

The practice also offers TMS for depression, anxiety, OCD, and PTSD, along with psychiatric evaluation, psychological testing, and modern psychopharmacology for ages 12 to 100 plus. Providers Alfredo Arellano and Eduardo Mariscal are bilingual and bring extensive experience serving the El Paso, Fort Bliss, and military community.