Treatments
Spravato© (esketamine)
is an intranasal treatment for treatment resistant depression and suicidal ideas with depression. It is given in the clinic and is very effective. If you have tried 2 or more oral antidepressants and have not improved call today to schedule an initial evaluation with us to see if Spravato is right for you. Spravato is covered by most insurances and people often start to see improvement within the first day to week of treatment.
Genetic Testing
We offer in clinic or home genetic testing to help us determine to best medication choices for you. If you have tried and failed more than one oral antidepressant or antipsychotic and have wondered if you might have a genetic difference in how you metabolize medications, genetic testing is an option for you. We use a simple cotton swab in the mouth, that is sent in for testing. Results come back in about a week and can tell us if you have any differences in your genetic makeup of the enzymes that metabolize most medications.
It will also test for MTHFR genetic mutations which can cause changes in how we process L-methylfolate. Since L-methylfolate is the building block for neurotransmitters responsible for serotonin, norepinephrine and dopamine, MTHFR genetic changes can increase risks of depression, bipolar disorder ADHD and schizophrenia