D2 Human Performance Center

D2 Human Performance Center in Roanoke, Virginia offers Spravato (esketamine), an FDA-approved nasal spray for adults with treatment-resistant depression or major depressive disorder with suicidal thoughts or behaviors. Spravato acts on the brain's glutamate system to restore healthy neural communication, often delivering meaningful relief within hours to days.

Used in combination with an oral antidepressant, Spravato is self-administered under professional supervision in a private, calming setting, followed by about two hours of monitored relaxation. Treatment follows a structured FDA protocol of twice-weekly induction, then weekly sessions, then maintenance as needed.

Before beginning, providers complete a detailed evaluation to ensure Spravato is safe and appropriate. The center also offers rTMS for adults with treatment-resistant depression, generalized anxiety disorder, and PTSD, combining advanced technology with holistic health practices.