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What actually happens during a ketamine session? Is it safe? How is it different from IV ketamine?
At Phoenix Pointe Psychiatry, we provide Spravato® (esketamine) treatment, an FDA-approved form of ketamine therapy administered in a safe, medically monitored setting right here in Tempe, Arizona.
This guide will walk you through exactly what to expect.
Ketamine is a medication originally used for anesthesia. In lower doses, it has powerful effects on mood disorders.
Ketamine – A dissociative anesthetic that, in psychiatric doses, can rapidly improve depression symptoms.
Esketamine (Spravato®) – The FDA-approved nasal spray version of ketamine used specifically for treatment-resistant depression.
Treatment-Resistant Depression (TRD) – Depression that hasn’t improved after trying at least two standard antidepressants.
NMDA Receptor – A receptor in the brain involved in mood regulation; ketamine works primarily here.
Dissociation – A temporary altered perception of reality that some patients feel during treatment.
Neuroplasticity – The brain’s ability to form new neural connections. Ketamine enhances this process.
At Phoenix Pointe Psychiatry, your safety and comfort are our top priorities.
You’ll first complete a comprehensive evaluation to confirm eligibility for Spravato treatment.
You arrive at our Tempe office. You self-administer the Spravato nasal spray under medical supervision.
You relax in a comfortable treatment room while we monitor:
Blood pressure
Heart rate
Mental status
Some patients feel:
Mild dissociation
Floating sensation
Emotional processing
Temporary dizziness
These effects typically peak around 40 minutes and gradually resolve.
Because of temporary cognitive effects, you’ll need someone to drive you home.
Most patients begin with:
2 treatments per week for 4 weeks
Then taper to weekly or biweekly maintenance
Many Arizona clinics offer IV ketamine infusions. Here’s how they differ:
| IV Ketamine | Spravato (Esketamine) |
|---|---|
| Off-label use for depression | FDA-approved for TRD |
| Delivered via IV infusion | Nasal spray |
| Often not covered by insurance | Frequently covered by insurance |
| Variable dosing protocols | Standardized REMS safety program |
| Less regulatory oversight | Strict FDA monitoring requirements |
At Phoenix Pointe Psychiatry, we choose Spravato because:
It’s FDA-approved specifically for depression
It’s administered within a structured safety program (REMS)
Insurance coverage makes it more accessible
It’s supported by large-scale clinical trials
While IV ketamine may be appropriate in some cases, Spravato provides a more standardized, research-backed approach.
You may qualify if you:
Have treatment-resistant depression
Have major depressive disorder with suicidal thoughts
Have not responded adequately to SSRIs or SNRIs
Are medically stable
Most patients do not experience true hallucinations. Some feel mild perceptual changes or dissociation that resolve quickly.
Many patients notice improvement within weeks — sometimes even after the first few sessions.
Spravato is administered only in-office under supervision, which minimizes misuse risk.
Unlike IV ketamine, Spravato is often covered by commercial insurance plans.
The experience is temporary, medically supervised, and closely monitored. You remain safe the entire time.
Some patients need maintenance treatments. Others experience sustained remission.
Verify you’ve tried at least two antidepressants.
Avoid alcohol before treatment days.
Arrange reliable transportation home.
Eat lightly before your session.
Keep expectations realistic — it’s not instant for everyone.
Continue therapy alongside treatment for best outcomes.
Track your mood between sessions.
Stay consistent with appointments.
Communicate side effects promptly.
Choose an experienced psychiatric provider.
If you’re considering ketamine therapy in Arizona, provider selection matters.
At Phoenix Pointe Psychiatry in Tempe, we offer:
Comprehensive psychiatric evaluation
Evidence-based Spravato treatment
Comfortable monitored treatment rooms
Insurance-friendly billing
Appointments typically available within two weeks
Our team focuses not just on symptom relief — but long-term recovery and stability.
Ketamine therapy represents one of the most promising advances in modern psychiatry. When administered safely and thoughtfully, it can help patients who have struggled for years find meaningful relief.
If you or someone you love is battling treatment-resistant depression in Arizona, Spravato treatment at Phoenix Pointe Psychiatry may be the next step forward.