r/Spravato

Relapse time get better?

Hi, I’m 2 weeks into Spravato treatment. I’m doing my treatments Monday and Thursday. I’ve noticed come Sundays everything relapses hard and the exhaustion and intrusive thoughts just come flooding back. I go up to 84 milligrams tomorrow. Has anyone else seen this? Does it shift and start to hold longer? Thanks.

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u/Ok-Theme-4946 — 19 hours ago

Advice for a good trip

Spravato has given me my life back. Unfortunately, every time I take it I fall into the worst near k hole and feel like I'm suffocating for the duration of the trip and vivid thoughts of death/religion/existence have existential dread for the rest of the day.

I have been working with a therapist about these thoughts and concepts even though I have never been religious nor had religious trauma. And I do appreciate that I come out of the trip with some sentimental meaning about life which may have helped me try new things and work hard to beat depression.

But damn the trip itself is traumatizing to me and draining that I have to do every week.

I have been on 56mg and only once a week per my doctor because the trips have been so awful I can't go only a few days between. I have only had 1 good trip out of ~25 where I ate a full meal right beforehand (I know I know) and 1 dose that didn't do anything. The meal only helped one time.

Any advice?

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u/Apprehensive-Koala99 — 18 hours ago

Did anyone have to go back to two sessions per week?

I could have sworn Spravato was helping me around the end of my induction phase, and things were still going OK for a few weeks into my maintenance phase. But my depression has worsened again, and my provider said I might have to go back to doing it twice per week, though they'd have to contact my insurance to see if that would be covered.

Has this happened to anyone else? I'm trying not to get discouraged.

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u/zepruska — 17 hours ago

Recovering addict with trauma.

I’m 36, and grew up in an unstable alcoholic home.
I always swore I would never turn out like that.
Got bullied so bad at school for being dirt poor, chunky, wearing the same clothes every week, etc. Then came home to get berated and verbally abused by my drunk Dad.

I “robo-tripped” many times when I was 15 off robitussin.
I did it for a long time to escape. I hated going to school and didn’t want to go home.
I OD’d and it was a disaster; hit the 4th plateau and couldn’t talk or move, was hallucinating, etc.
The paramedics were middle aged men who made fun of me the entire ambulance drive to the hospital and I just remember tears streaming until a younger EMT told them to stop.
Never did it again. But am aware of the similarities of ketamine treatment.

I then developed a full blown eating disorder going into senior year of high school and the bullying stopped.
I then began drinking at 18 when my friends I made from senior year of high school went to college and told me to come out and party with them.

I got addicted immediately to alcohol and thought I found the answer to all of my problems in life.
Always worked 2 jobs; full time and a part time side hustle. Got wasted every night after work, and still managed to get up everyday and go to work like it was no big deal.

Alcoholism got worse and worse and I got into benzos and coke.

I now am sober a year and a half. The longest i have ever been sober.

I have been mentally ill since I was about 7-8 years old.
Always thought about “disappearing forever” before I even knew what that was or what it meant.
I have had constant passive thoughts of ending it all everyday, from when I was a kid until now.
Sobriety has had its ups and downs.

I have been institutionalized 4x for attempts and somehow survived. Been on every psychiatric drug known to mankind and still want to self-delete…
I was also sexually assaulted 3 years ago at a party and haven’t been the same ever since.

My current psychiatrist specializes in addiction and recommended me Spravato. My AA sponsor is against it and thinks prayer will save me… I had to flat out tell her that I’m not religious and that I’ve been dealing with SI everyday since I was a kid. Then she said, “well then that’s between you and your doctor”.

I am so desperate. I have tried everything. Failed at 4 attempts. Everyone is scared I will get “addicted”.
I don’t like the feeling of dissociating; having been through alcohol and drug withdrawals was terrifying.
I don’t want to experience that. But I am so desperate at this point and want to try Spravato.

Can anyone with an addiction history give me some insight?

Thanks 🙏

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u/CemeteryConfetti — 1 day ago

Can we talk about Spravato, and its affect on anger? Or, am I the only person who has been clearly walking around really pissed off for a long time before…

People on the road are safer with me being on Spravato now, and also the change in my marriage has been dramatic (and I’m the only one really changing he’s responding to me)Not perfectly of course, but it is so much better. It’s unbelievable. So less anger equals less fighting. I guess I just want know if anyone else has anger issues, and do you feel it helped your anger? For the better, worse or neutral? And I guess I’ll go first -obviously it has helped me be much less angry. I’m still angry at things of course as I’m only human, but not everything is a five alarm fire anymore. Hope all of that babbling makes some sort of sense thank you for reading.😊

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Upcoming Drug Test

I received a really good job offer but the inevitable drug test is coming. Has anyone here had to deal with this? Do I disclose my treatments ahead of time? Do I need a letter from the office? Any advice is appreciated.

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u/MirandaReitz — 1 day ago

Depression gone, but so is executive functioning

To be clear, I don’t think it’s Spravato issue I’m having. I’m just curious if others have similar experiences and if they found something that helped.

I’ve been on weekly Sparavato for six months and it has worked great for my depression. Now I’m having it every two weeks. I also use Brintellix.

I’m not depressed at all anymore or even tired, sleep well, and all but, my procrastination and constant failure to get things done is driving me nuts. This has always been an issue for me, but not this severely. Anyone else?

I’m looking into getting an adhd evaluation since I have other life long indications to that too, but that’s a long and likely futile process where I live.

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u/Blando-Cartesian — 2 days ago

Are there any supplements or vitamins, tips or tricks to enhance treatment efficacy?

For those who've been on Spravato treatments for a while, just wondered if there's anything you've learned that is helpful.

Anything to enhance the experience? Besides the right music and peripheral things?

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u/flugelbynder — 1 day ago

10 sessions in and no progress.

So as the title states, I'm ten sessions in and have had very very little progress. I felt a burst of positivity after my 2nd treatment big enough that I believed I could go back to school and finally accomplish my dream of doing something to help animals. Since then, I haven't felt anything from the treatments.

I've been getting more concerned since finding out that my clinic doesn't budge from the "twice a week for 4 weeks and then once a week for 8 weeks" treatment schedule. After those 12 weeks, you're done. So I'm halfway thru and haven't had any success and last week my phq-9 was the highest it's been since I started and the doctor was on vacation so I couldn't even talk to him about it.

Any advice? Words of encouragement?

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u/lstyer2012 — 1 day ago

what do you do after your Spravato treatment?

Just was approved for Spravato! Please let me know your favorite tasks to do after treatment. I’m thinking maybe yoga or journaling. How zonked are you after?

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u/raysofsad — 2 days ago

Weed usage while doing sprovato

So I am a recreational marijuana consumer. I have been crippled by my mental health for 3 years, and the past 4 weeks i've smoked pretty much every night to deal with it. I just did my second sprovato dose a couple days ago and words cannot describe the significance of it's effects. I haven't felt like this in years, I feel like I'm getting my life back. I still do enjoy weed in social settings and to relax and have fun alone sometimes, i'm making sure to not smoke 24 hours before a treatment and then 24 hours after. This means that I am only allowed to smoke once a week, as my treatments are Monday's and Thursday's. I want to smoke once a week, I feel like thats a healthy amount (especially considering I use a dry herb vaporizer meaning I don't get 95% of the toxins created by traditional smoking). My only worry is whether or not it will dampen the effectiveness of this treatment. My technicians and the people who evaluated me for approval of the treatment all say not to 24 hours before or after and didn't say anything else. Should I abstain completely during these 8 weeks? Do I need to worry about the once per week weed use effecting how well this treatment works for me?

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u/Flat_Mizou360 — 2 days ago
▲ 7 r/Spravato+4 crossposts

Hey, ich leide an schweren Depressionen und wollte wissen, was euch in der Zeit geholfen hat?Vlt Ekt oder Ketamin?

Ich suche nach Hilfe wegen meinen Depressionen. Ich nehme derzeit Psychopharmaka aber sie schlagen nicht doll an. Vielleicht gibt es hier ja Erfahrung zu Ketamin oder Ekt.

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u/IcyConcentrate413 — 1 day ago
▲ 5 r/Spravato+1 crossposts

Do it alone

I’ve been going through all my issues pretty much alone, my family are not the type to help or get involved, so most days no body to talk to, specially anyone that would have any idea of what I’m going through , it just adds to the isolation .

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u/Funny_Opening_174 — 3 days ago

Isolation

The isolation brought on by the depression, I’ve tried a few different things but nothing seems to work , even went back to the gym and in a nearly a years time I talked to people for a total of possibly 10 min , at the end of my rope , tired of trying to..

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u/Funny_Opening_174 — 2 days ago

Tips

Hello!
I completed my first two treatments last week and I feel like both my sets of medications were messed up. Both times, Monday and Thursday, the first nasal sprayer (for lack of a better term) went okay in one nostril (actually felt like a spray) and the other nostril just wouldn’t click after several tries, then shot out like a water gun. The second nasal sprayer for the day did the same. I’m on 56mg, so they were each 28mg sprayers.
——

It’s difficult to not have it almost immediately drain down my throat when this happens. I feel like I’m not getting a great benefit from the medication since it isn’t staying in my nasal cavity long enough to be properly absorbed. It’s just all draining down my throat. I’m not aggressively snorting it, I try to slightly sniff it; get a good balance between it running down my throat and running out or my nose.
——

I guess the point of my post is to ask if anyone else has had defective sprayers and if they had any tips or tricks to avoid having the medication immediately run down their throat. Thanks!

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u/forgotmyserotonin — 2 days ago

do you think spravato is doable for a college student?

i’m looking to start spravato soon but i’ll be back in school this fall and spring. obviously ill have to be mindful of how im scheduling things but on the days i don’t have treatment, will i be able to study and focus or will i be spacey too much of the time to be a successful student? im hoping i can get through the 2 per week phase before classes start but curious if yall think its doable?

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u/Cherryandberry3 — 2 days ago

Might start soon, have some questions

Hello everyone. I’ve been browsing this sub and reading the Spravato website but I still have some questions. My psychiatrist said if the new antidepressant I’m on doesn’t help she’ll refer me to a Spravato clinic (it probably won’t help, nothing has). My questions are mostly about what to expect during the treatment itself. I understand each clinic is probably different but I’m looking for whatever experiences y’all have.

Will I be allowed to bring a support person? I’ve never been high before (never even been drunk) and it’s not something I want to experience on my own. I’d like my partner to be there with me.

What can/should I bring? I’ve seen suggestions of a journal. What about something to read (will I be able to read while high?) or my handheld PC to play a video game? A comfort item maybe like a blanket? Music?

Is being high scary? I’m anxious about new, intense experiences and I want to be as prepared as possible.

Is it always a full two hours like it says on the website or is it more case by case?

Thanks for any insight you can offer!

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u/ElephantRoi — 2 days ago

Spravato while on vacation

Have any of you been successful at finding a place to do a one-off treatment while you're on vacation?

I'm traveling soon for almost 2 weeks, which will put three weeks between my (typically weekly) treatments. My provider said they think I'll be okay--not in a dismissive way, but in a genuine, "you've been doing well for a while now" kind of way--but I'm still feeling kind of nervous because I've never had this long of a gap between treatments.

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u/Oomphatic — 2 days ago

I'm a month in, should I have seen something?

I keep hearing how this was the wonder drug. I spent almost a year to try it. I've been doing 56mg 2x a week for a month, and honestly hasn't really improved me at all. I don't know if there is more I should be doing, or if I should wait longer. Should I have seen effects by now?

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u/SuchWhereas5755 — 3 days ago