Tidewater Psychotherapy Services

Tidewater Psychotherapy Services in Virginia Beach, Virginia offers Spravato, an esketamine nasal spray for adults with treatment-resistant depression and major depressive disorder with acute suicidal ideation. Spravato targets the NMDA receptor in the brain, promoting rapid improvement in depression symptoms by enhancing synaptic connections and restoring neural function, and is intended for adults who have not responded to at least two antidepressants.

Spravato is administered in a certified healthcare facility under medical supervision. Patients self-administer the nasal spray under provider guidance and remain in the facility for at least two hours of monitoring. Treatment begins with twice-weekly sessions during a four-week induction phase, then tapers to once weekly and potentially once every two weeks based on response, and is always used alongside an oral antidepressant.

Care begins with an initial evaluation and insurance authorization, followed by baseline assessments and ongoing follow-up. The practice treats patients of all ages and also offers individual, family, and couples therapy, medication management, and groups in specialty areas including substance use disorders.