Spravato (Esketamine) Treatment in Brea, CA
An FDA-approved nasal spray for adults with depression that hasn't improved enough with other treatment. Given in person, in a certified office, with monitoring after every dose.
In person at the Brea office only: 2812 E Imperial Hwy, Brea, CA 92821
Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression, and for depressive symptoms in adults with major depressive disorder with acute suicidal thoughts or actions. You take each dose yourself under supervision in a certified healthcare setting, then stay for monitoring for at least two hours. At Peaceful Presence, Spravato is offered in person at the Brea office.
- FDA-approved for adults with certain types of depression
- Taken in the office under supervision, never at home
- Monitoring for at least two hours after each dose
- In person at the Brea office only
What Spravato is
Spravato is a nasal spray form of esketamine. It works differently from most antidepressants. For treatment-resistant depression, it is used together with an oral antidepressant.
Because Spravato can cause sedation, dissociation (feeling disconnected or unusual), and higher blood pressure for a short time after a dose, the FDA allows it only in certified healthcare settings under a safety program called REMS. There are no take-home doses.
Who Spravato may be right for
Spravato is not a first treatment. It is one option for adults when other treatment hasn't helped enough.
Adults with treatment-resistant depression
If you've tried antidepressants and your depression hasn't improved enough, Spravato may be an option to discuss.
Adults who can plan around the visits
Each session includes at least two hours of monitoring, and you cannot drive until the next day after a restful sleep, so you need a ride home.
How I approach Spravato
Before Spravato, I complete a full psychiatric evaluation and review your past treatments, blood pressure, health history, and any reasons it may not be safe for you.
On treatment days, you take the spray yourself under supervision. We check your blood pressure and how you feel, and you rest in the office until it is safe for you to leave. We track your progress and adjust your overall plan together.
If you are in crisis, call or text 988, the Suicide & Crisis Lifeline, or call 911.
What to expect
- 01
A free 15-minute call
No pressure and no commitment. Tell me what's going on, ask your questions, and we'll see together if this is the right next step.
- 02
An evaluation for Spravato
A full review of your history, past treatments, and health. Our office checks your insurance benefits and any prior authorization.
- 03
Treatment sessions in Brea
You take the nasal spray under supervision, then rest in the office for at least two hours with blood pressure checks.
- 04
A ride home and follow-up
Someone else drives you home. No driving or operating machinery until the next day after a restful sleep. We meet regularly to review how you feel.
Questions, answered.
Talk through whether Spravato fits you.
It starts with a free 15-minute call. No pressure, no commitment.
Charles Scribner, PMHNP-BC · 2812 E Imperial Hwy, Brea, CA 92821 · In person in Brea
This page is general education, not medical advice. Whether a treatment is right for you depends on a full evaluation.