Treatment Options
Ketamine Therapy & SPRAVATO® Treatment
Breakthrough Treatment for Depression
Looking for alternative options for treatment-resistant depression?
For individuals who haven't found enough relief from traditional mental health treatments, Professional Psychiatric Services offers two ketamine-based treatment options: IV ketamine infusion therapy and SPRAVATO® (esketamine) nasal spray.
While both treatments work on the brain's glutamate system and may provide an option for people with treatment-resistant depression, they are different treatments with different administration methods and treatment protocols. Your PPS provider can help determine which option may be appropriate for you.

1. IV Ketamine Infusion Therapy
IV ketamine therapy involves administering a carefully controlled dose of ketamine intravenously in a supervised clinical setting.
Ketamine infusions have been studied as an option for individuals experiencing treatment-resistant depression and other mental health conditions. At PPS, IV ketamine treatment is administered under the supervision of our clinical team.
What to expect:
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Ketamine is administered through an IV in a comfortable, supervised setting.
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Each infusion typically lasts approximately 40 minutes.
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Treatment plans are individualized based on your needs and response to treatment.
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Your care team monitors you throughout the treatment session.
2. SPRAVATO® (Esketamine) Nasal Spray
SPRAVATO® (esketamine) is a prescription nasal spray approved by the FDA for adults with treatment-resistant depression.
Unlike IV ketamine, SPRAVATO® is administered as a nasal spray rather than through an IV. Because patients can experience temporary sedation, dissociation, or other effects after treatment, patients are monitored in the healthcare setting following administration.
What to expect:
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SPRAVATO® is administered as a nasal spray in our healthcare setting.
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Your blood pressure is checked before and after treatment.
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You will be monitored by our clinical team following administration.
Who May Benefit from Ketamine-Based Treatment?
Ketamine-based treatments may be considered for people who have not experienced adequate improvement with traditional treatments. Treatment options depend on your diagnosis, symptoms, medical history, current medications, and other individual factors.
IV ketamine therapy may be considered for:
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Treatment-resistant depression
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Depression and other conditions as determined appropriate by your provider
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Patients who have not achieved adequate relief from other treatments
SPRAVATO® is FDA-approved for:
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Treatment-resistant depression in adults
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Depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior, in conjunction with an oral antidepressant
A PPS provider will evaluate your individual circumstances before recommending a treatment.
Is SPRAVATO® the same as ketamine?
No. SPRAVATO® contains esketamine, which is one of the two molecules that make up ketamine. While the medications are related, SPRAVATO® is a distinct prescription medication administered as a nasal spray.
What is the difference between IV ketamine and SPRAVATO®?
The biggest differences are the medication, method of administration, and treatment protocols. IV ketamine is administered intravenously, while SPRAVATO® is administered as a nasal spray under medical supervision.
Is SPRAVATO® FDA-approved?
Yes. SPRAVATO® (esketamine) is FDA-approved for treatment-resistant depression in adults and for depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior, in conjunction with an oral antidepressant.

If you're struggling with depression that hasn't improved with traditional treatments, our team can help you explore your options.
Call PPS to learn more about IV ketamine and SPRAVATO® treatment.