FAQ

Ketamine's mechanism of action is still under investigatoin. At this time research suggests Ketamine works by: 1) acting on the NMDA receptor, causing a surge in glutamate production. Glutamate helps with memory, learning, stress reactivity and memory formation. 2) increasing BDNF which causes neuronal growth, synapse formation and neuroplasticity (often referred to as 'miracle grow' for the brain). These, in combination with decreased neuroinflammatory markers, can result in an improvement in the symptoms of depression. Spravato is ketamine administered in the form of a nasal spray.

The massive benefit of Spravato ketamine is that this form of treatment is FDA approved for Treatment Resistant Depression (two or more prior therapies for depression have been attempted and unsuccessful). As such, it is covered by most insurance carriers. Other forms of ketamine treatment (IV, Intramuscular, Sublingual) are "Off-Label" or not FDA approved - meaning insurance typically will not cover them (they may accept a superbill in some cases). You can only get Spravato at certified Spravato treatment centers. Elevate clinic, in partnership with Snohomish Psychology Associates, is a certified treatment center. To start the process of becomming approved through your insurance company for Spravato - see this link to their Savings Program - Spravato With Me. Currently Elevate Clinic is accepting Regence and Premera Insurance.

Elevate Clinic utilizes Spravato nasal spray for a very specific reason. Nasal ketamine compared to other routes of administration is safe, FDA approved for treatment resistant depression and covered by major insurance carriers. See this comprehensive article to better understand the benefits of ketamine in nasal spray form.

Between 35.6% and 46.1% of participants with Spravato go into remission. 70% of patients have at least a 50% reduction in symptoms with Spravato. Studies show 62% of patients have better social functioning, 53% of patients have a better quality of life, 41% of patients have a better ability to work, 30% of patients are better equipped to meet their own basic needs, and 34% of patients saw general improvements in their overall health with Spravato. Ketamine is a highly effective treatment that provides repreive from the symptoms of mood disorders. It is important to remember ketamine is not a cure. Ongoing integration of your ketamine sessions (insights, goals for change etc) with a mental health professional will prolong the treatment benefits of ketamine. Weaving other modalities in with your Ketamine treatment such as meditation, anti-inflammatory diet, regular exercise, exposure to nature, bodywork, journaling can also extend treatment benefits. We will talk about ongoing maintanence dosing, which can provide significant long term relief over time.