What to Expect During Spravato® (Esketamine) Treatment at Fuse Mind & Body
- Jijoe Joseph MD,DO,MBA
- Jan 23
- 3 min read
If you’ve tried multiple antidepressants without meaningful improvement, it’s normal to feel both hopeful and cautious about trying something new.
Spravato® (esktamine) therapy offers a different approach.
Unlike traditional medications that work primarily on serotonin, Spravato targets the brain’s glutamate system — helping restore neural connections and promoting faster relief for treatment-resistant depression.
Knowing what to expect ahead of time can make your first session feel more comfortable and predictable. While every person’s experience is unique, there are common effects most patients notice during treatment.
Here’s a clear, honest look at what a typical Spravato session at Fuse Mind & Body involves.

Your Treatment Environment
Spravato is administered in our medical office under the supervision of licensed healthcare providers.
This is not a take-home medication.
Every session is monitored for safety and comfort from start to finish.
You’ll relax in a quiet, private treatment room while our team checks your vitals and supports you throughout the process. Most patients bring headphones, calming music, or simply rest during the session.
Our goal is simple: a safe, calm, professionally supervised environment where you can focus on healing.
How Spravato Is Given
Spravato is delivered through a nasal spray device.
After administration, you’ll remain in the clinic for observation — typically about two hours — while the medication takes effect and gradually wears off.
Most people begin to notice changes in sensation within 15–30 minutes.
These effects are temporary and expected.
Common Experiences During Treatment
Not everyone feels the same things, but these are the most frequently reported effects.
Dissociation or “Detachment”
Many patients describe feeling mentally removed from their surroundings or observing their thoughts from a distance.
This can feel like:
Floating
Watching yourself from the outside
Feeling mentally “lighter” or separated from stress
While it may feel unusual at first, this state is normal — and often therapeutic.
This temporary shift can interrupt negative thought loops and give your brain space to reset. It’s one of the reasons ketamine-based treatments work differently than traditional antidepressants.
Altered Sense of Time or Space
Time may feel slower or faster than usual. Sessions might feel longer or shorter than they actually are.
This resolves naturally as the medication wears off.
Mood Changes or Emotional Release
Some patients feel:
Calm
Relief
Lightness
Emotional clarity
Occasional euphoria
After living with depression, even brief positive shifts can feel meaningful. These moments often create space for deeper therapeutic progress, especially when paired with counseling or psychotherapy.
Visual or Sensory Changes
You may notice:
Subtle visual distortions
Changes in colors or light
Dreamlike sensations
These are temporary and monitored by our team. They fade as the medication leaves your system.
Mild Side Effects
Some people experience:
Nausea
Dizziness
Fatigue
Temporary anxiety
These effects are usually mild and short-lived. Our providers are present the entire time to help manage anything that feels uncomfortable.
How Long Do Effects Last?
The noticeable effects typically last 1–2 hours.
After monitoring, most patients return home the same day feeling stable and clear-headed.
However, the therapeutic benefits often last much longer.
Many people report:
Improvement within hours or days
Reduced depressive symptoms
Clearer thinking
Less emotional heaviness
Benefits can continue between sessions as your brain forms healthier neural pathways.
Why Spravato Is Different
Spravato is:
FDA-approved
Clinically studied
Administered only in medical settings
Covered by most insurance plans
Unlike IV ketamine infusions offered elsewhere, Spravato follows strict medical guidelines and insurance standards, which improves both safety and accessibility.
At Fuse, we also handle:
Insurance verification
Prior authorizations
Billing coordination
So you’re not stuck fighting paperwork while trying to get better.
You focus on recovery. We handle the logistics.
How to Prepare for Your Appointment
A little preparation goes a long way.
Before your visit
Get a good night’s sleep
Avoid alcohol for 24 hours
Eat lightly and avoid food 2 hours before treatment
Arrange a ride home (no driving afterward)
Wear comfortable clothing
During treatment
Relax
Listen to music or rest
Communicate any concerns with our team
After treatment
Take it easy
Hydrate
Rest
Avoid major decisions or strenuous activity that day
Most patients prefer a quiet evening to let the experience settle.
Spravato Works Best as Part of a Bigger Plan
Medication is powerful — but long-term progress usually comes from combining treatment with therapy, lifestyle support, and consistent follow-up.
At Fuse Mind & Body, we look at the whole picture.
Our goal isn’t just symptom relief.
It’s real, lasting change.
Start Your Healing Journey at Fuse Mind & Body
If traditional antidepressants haven’t worked for you, Spravato may offer a new path forward.
Our team provides:
FDA-approved Spravato treatment
Medical supervision every session
Insurance coordination
A comfortable, supportive environment
Personalized care plans
You don’t have to keep cycling through treatments that don’t help.
There is another option.
And you don’t have to navigate it alone.
Contact Fuse Mind & Body today to schedule a consultation and see if Spravato is right for you.
