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Spravato® (Esketamine) Treatment for Depression

A New Path Forward for Treatment-Resistant Depression

Spravato®

Treating the Whole Brain with Spravato® at CNS Center

If depression has persisted despite trying multiple medications, you may be a candidate for Spravato® (esketamine) nasal spray. At CNS Center in Chicago, our neurology-led mental health team provides in-office Spravato treatment with careful monitoring and a personalized plan so you can find relief safely and quickly.
Led by board-certified neurologist Dr. Lenny Cohen and our CNS team, CNS Center delivers comprehensive brain care under one roof, including Deep TMS (BrainsWay®) and Spravato®, seven days a week. We accept insurance and work directly with your plan.

What is Spravato®?

Spravato® (esketamine) is an FDA-approved nasal spray for treatment-resistant depression (TRD) in adults and for depressive symptoms with acute suicidal ideation or behavior (in conjunction with an oral antidepressant). Unlike traditional antidepressants that can take weeks, Spravato® acts on the glutamate system and may provide relief more rapidly.

At CNS Center, Spravato® is administered in-clinic by trained clinicians under a REMS-certified protocol, with continuous monitoring to prioritize your safety, comfort, and outcomes.

Spravato® may be appropriate if you’ve experienced:

  • Ongoing depressive symptoms despite 2 or more adequate trials of antidepressants
  • Loss of interest, low mood, fatigue, or impaired functioning that persists
  • Worsening symptoms despite therapy or medication adjustments

Why Choose CNS Center for Spravato® in Chicago?

Neurology-Led, Psychiatrist-Directed Care

  • Our unique model blends neurological insight with psychiatric expertise for deeper evaluation of mood, cognition, sleep, pain, and attention factors that influence depression and recovery.

Comprehensive Treatment Options

  • We offer Spravato®, BrainsWay® Deep TMS (gold standard TMS), medication management, and adjunctive therapies so your plan is tailored to you.

Convenient, In-Office Care 7 Days a Week

  • Comfortable treatment suites, easy street parking, and flexible scheduling mean Spravato visits that fit your life.

We Handle Insurance for You

  • From verification and prior authorization to required documentation, our team manages the process and advocates for coverage.

Faster Access, No Hospital Delays

  • Get evaluated and scheduled promptly without long waitlists.

Medical Approach

The Science of Brain Health We take a biological and neurological approach to mental wellness. By utilizing advanced therapies like TMS Therapy, Hyperbaric Oxygen, and nutritional support, we aim to restore neural pathways and improve brain function, going beyond medication alone.

The Best Option

Who is a Good Candidate for Spravato®?

You may benefit from Spravato® if you:

  • Are an adult diagnosed with major depressive disorder and haven’t responded to at least two antidepressants
  • Need faster-acting support while continuing an oral antidepressant
  • Prefer in-clinic care with medical supervision and structured follow-up

Spravato® may not be right for everyone. During your consultation, we review your medical history and discuss considerations such as blood pressure, pregnancy, and other conditions or medications to ensure safety.

What to Expect During Spravato® Treatment

Consultation & Care Plan

  • Meet with our CNS team to confirm eligibility, review medications, and outline goals.

Your First Session (About 2–2.5 Hours in Clinic)

  • You self-administer Spravato® under clinician supervision in a calm, private suite. We monitor your vitals and comfort throughout.

Structured Treatment Schedule

  • Typical protocol: twice weekly for 4 weeks, then once weekly for 4 weeks, followed by individualized maintenance. You may be able to stop your baseline oral anti-depressant(s).

Recovery & Ride Home

  • Mild, temporary effects (e.g., dissociation, dizziness, blood pressure changes) can occur. You’ll rest onsite until cleared to leave. You’ll need a ride home and should avoid driving until the next day.

Ongoing Optimization

  • We track symptoms, adjust dosing as needed, and when appropriate, combine with Deep TMS or therapy for durable results.

Spravato® at CNS Center

Comfort, safety, results

REMS-certified in-office monitoring

Seven days a week availability

Insurance accepted; we handle authorizations

Chicago location with easy street parking

Integrated options

Spravato® + Deep TMS when clinically indicated

Spravato® Frequently Asked Questions

Is Spravato® covered by insurance?

Many plans cover Spravato® for eligible patients. Our team verifies benefits and completes prior authorizations for you.

How quickly might I feel better?

Some patients report improvement within the first few sessions; results vary. We monitor progress closely and adjust your plan.

Can Spravato® be combined with TMS or therapy?

Yes. We often integrate BrainsWay® Deep TMS and psychotherapy to enhance and sustain outcomes.

Will I be able to drive after treatment?

No, arrange a ride. Most patients resume normal activities the next day.

Start Spravato® in Chicago. On Your Schedule

Don’t let treatment-resistant depression define your life. Get a thorough evaluation and a clear plan fast, safe, and supported at every step.
Located in Chicago with easy street parking
Appointments available sooner than hospitals
We work directly with your insurance

Reach us

Chicago

2219 W Belmont Ave,
Chicago, IL 60618
Book Online

River Forest

7319 W North Avenue,
River Forest, IL 60305
Book Online

We are here for you

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Hello!

Please contact us at the following locations.

Chicago

2219 W Belmont Ave
Chicago, IL 60618

773-692-0040

River Forest

7319 W North Avenue
River Forest, IL 60305

708-634-5873