MY TOP 10 TIPS & TRICKS FOR SUCCESS WITH SPRAVATO + advice! | Nice People
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- Опубликовано: 19 фев 2023
- Here’s all of my tips, tricks, and advice for success with Spravato! I also attempt to answer some of the most commonly asked questions, as well as walk you through what to expect at your appointment. Comment below if you have any other questions for me!
My Spravato Experiences Playlist: • My Spravato Experience
Chapter timestamps:
ABOUT ME - 01:34
WHAT IS SPRAVATO LIKE? - 03:11
WHAT SPRAVATO IS AND WHY IT WORKS - 04:43
MY TIPS AND TRICKS - 05:59
PREPARATION - 07:05
TIP #1: CREATE A PLAYLIST - 07:15
MY TREATMENT PLAYLIST - • Spravato Playlist (Gui...
DAY OF: 08:16
TIP #2: EAT 2 HOURS BEFORE - 08:24
TIP #3: BRING A SNACK - 09:06
TIP #4: WEAR COMFORTABLE CLOTHING - 09:34
TIP #5: PREPARE YOUR MIND/BODY - 10:21
TIP #6: FILL OUT A PHQ-9 - 10:59
PHQ-9: www.apa.org/depression-guidel...
TIP #7: GO TO THE BATHROOM - 11:40
SPRAVATO: HOW TO - 12:07
TREATMENT #1 WALKTHROUGH - 13:19
TIP #8: TRUST AND BE OPEN - 17:05
TREATMENT #2 - 19:14
SOME NOTES ABOUT #2 - 20:33
TIP #9: GET GROUNDED BEFORE EXPERIMENTING - 22:08
TIP #10: STAY POSITIVE - 23:08
THINGS TO KEEP IN MIND - 24:00
#spravato #spravatotips #spravatotreatmenttips #whatisspravatolike #spravatodissociation #spravatodepression #depressiontreatment #treatmentresistantdepression #esketamine #ketaminetherapy #dissociativedisorder #spravatodissociativedisorder #nicepeople #nicepeoplespravato #spravatonicepeople #spravatoexperience
BIG believer in Ketamine treatments. I have had 6 sessions and each time it was more and more insightful. It's been enjoyable in the process. It heals the synapses in the brain and permanently heals to give you a new base to build upon. It is literally like starting over and not being stressed out about the process.
It’s pretty great, isn’t it? I’m so happy to hear you’re getting good results. :)
After my first treatment my husband and son said I seemed more lively. Like death wasn’t following me anymore. I did feel more different, like I wasn’t so down low and pessimistic about everything.
Looking forward to my next dose.
starting spravato on tuesday this week.
How was it?
New doctor's always think im joking when ive said ive tried every conventional SSRI medication for my BPD/PTSD/depression until they look at my medical records and see the list of meds. At one point they had me on 13 different medications, out of the 13 meds 11 where for mental health. None worked. Just made me more depressed and put on 40lbs which made me more depressed. Figured i was better off without meds and just wing it with cannabis and lots of gym time along with isolation. Going to talk to my VA doctor about this at my appointment tomorrow.
I suffered from chronic depression and anxiety from birth. (36 years now) Tried everything, this changed my life. Changed my way of thinking about things positively. My anxiety is as good as gone. I'm taking for almost 2 years now. I went from 30 points to 0 on what you call PHQ9. I'm from Belgium so Spravato is almost fully covered universally.
Wow that’s so wonderful to hear! Spravato changed my life, too. 😊
I wish I lived in Belgium.
I’m so happy for you
I love your videos, and am pretty confident in saying you yourself, taking the time to make these videos is changing lives. I was terrified of spravato and too afraid of treatment. After approval I backed out bc I couldn’t get past the severe anxiety the “what ifs” were causing me. But I knew I had to do something. YOUR videos gave me the courage I needed to just do it…and it’s changed my life. I may never of taken the leap if not for you. So here we are , effectively strangers, and thanks to you, I’m healing and feeling alive for the first time in over 20 years. How do you even thank someone for that. What a blessing.
Oh my gosh Dana...I am SO HAPPY FOR YOU!!! I'm so grateful you took the time to share this with me . 💓 My goal from the outset was to make these videos in the hopes that they'd find people just like you. Makes me feel like I'm doing something right!
2:43pm PST I'm feeling just like you mentioned in your comment. I have been approved for Spravato, but I've been so terrified because not only have I suffered from anxiety, depression, PTSD, and disacociative disorder for over 35 years, I've been hesitant on doing this because of anxiety and the what-ifs. Thank you for helping with my decision to do it! God bless and greatful for the video and this post I'm replying to❤
I just started Spravato last week and nothing like I thought it would be and watching Heather's videos have been extremely helpful! I was curious if you've started and how it's going for you? I hope it's going well for you and you're even feeling a little better if not much better! Yay Spravato🎉
Just started my treatments, I have had 2, starting my second week, your video is so on point for the experience! I am hopeful for my depression to get better, I have really enjoyed your tips, my first treatment, I listened to one of my favorite playlists and a lot of it was rap, not a great idea! lol my daughter sent me a binaural beats to listen to specifically made for a ketamine treatment and it was much better during my second treatment! Thanks again!
The binaural music deff made a difference for me during my first experience ❤
I love the idea of listening to rap during treatment, haha!
I just got my approval to start Spravado, and I'm glad I found your videos. I subscribed and will be watching your journey. I've been incredibly hopeless over the past few years. I lost my brother, then my mom, then my nephew, then my youngest brother. I'm a licensed professional counselor, and it's difficult to help others find hope when I'm so hopeless. You've given me the gift of believing something is going to help. I'm so happy for you and look forward to your other videos. My treatment starts on December 18. I'll try to update as I go along too.
Terribly sorry for your loss. I commend you for your strength getting to this point. Wishing you the best of luck with your journey.
@@RyanDaMannn thank you 💓
Thanks for your videos. Had my first treatment today (56mg) and will go up to 84mg in my next appt. Watched your week 1 video earlier today beforehand, and was glad to hear some firsthand experience of the process and feelings. Suffered from multiple diagnoses for the last 30+ years, and tried 20+ different meds and intensive therapy over the years. Really hoping this helps me stabilize and allow me to rebuild my life. Thanks again for sharing your story!
I'm living with depression 12 long years but no meds still.
@@ievaanitagrunsberga2881 I would say that if you can't access, or don't want to try meds, finding a good therapist and going regularly can also have a big, positive impact. Everyone's experience is different of course, but for me, therapy was a massive component in retraining my thought patterns, giving me more tools to handle stressful situations, and getting my self-worth back to where it should be.
I hope you can ride the waves of your depression and find some relief somehow. It's been a 30+ year struggle for me, and a lot of hard work along the way, but it's worth it. Take care!
maybe try sth of the new meds@@ievaanitagrunsberga2881
I am going for my consultation next week. I’ve been dealing with depression and anxiety since befpre I even knew what those things were. As a child I just remember feeling bad inside and being nervous and edgy a lot of the time. I couldn’t relate to other kids, and mostly stayed to myself. I didn’t know why, I was just sad most of the time, and never really felt happy. As an adult I’ve been on a number of different antidepressants, I’ve had therapy, and the best that I ever feel is just okay. I’d just like to able to laugh without it feeling forced, and to have the chance to feel happy.
I’m so, so thankful I found this. I have my first treatment tomorrow. I so need to get out of this pit I’m in!
I have only done the ketamine infusions thus far that I was extremely lucky to get covered for a short period of time. Your tips and tricks are helpful to either way you experience it (infusions of ketamine or esketamine via Spravato). This is such a helpful video for anyone about to embark on the journey. I'll be starting Spravato soon and hope it will be as groovy of an experience as the infusion. I know it probably wont be (intensity wise) but a girl can hope! I came to LOVE to slight bit of dissociation and separation from my intensely depressed and chronic pain ridden body.
The place that I go to they set you in a room by yourself with LED lights on the baseboard and shut the light off above you. They can check in on you if you need help though. I just put on meditation music on my tablet and set it on the nightstand next to me. So far I've loved their experience.
I'm in my 9th Treatment today .
In the beginning, I felt some relief, after 3rd treatment, I have been crying a lot & feeling Sad.
I'm hoping for better results
Thank you for making this video. My doctor has been trying to get me to try spravato for several years now. I am feeling nervous and apprehensive, but I decided it was finally worth trying. My biggest concern is my fear of the possible dissociation. The thought of that scares me. Knowing that it didn't happen to you is a little reassuring. I found all this information very helpful and feel more prepared and less apprehensive to start my treatment.
Awesome! I meet with my prescriber this afternoon for the losenges. You deserve more subscribers.
Omg that’s AWESOME, Phil!!!! I’m so happy for you!! PLEASE keep me updated on how it goes for you!
@@nicepeopletalk 100mg sublingual today. I know it is not the most potent delivery. Just felt relaxed. Nothing out of the ordinary to report. Upping dosage next week.
@@TheRockRoomPhilZuckerman Hey - feeling relaxed is a good thing! It must have put your mind at ease a little?
@@nicepeopletalk Yes, it was a positive experience.
@@nicepeopletalk I hope you are doing well!!
I started at 84 mg lasted 4 hrs
So happy for you ❤
Thank you for sharing 🙏🏼❤️🙏🏼
I really appreciate all the tips you are sharing about your experience 😊
Thank you so much! For weeks I've been scouring the internet for a recommended playlist. Session 3 will be better!
Thanks a lot for everything
Thank you so much for this video. I NEED this to change my life too.❤
I LOVE your video!!!! I'm four treatments in and I feel so much better. Your description of the experience is right on target and your suggestions are fabulous. Thank you for this! I'm going to check out your week by week videos. THANK YOU
My first treatment is tomorrow and this video gave me a lot of hope so thank you for this❤
Thanks so much for this. I’m really nervous about starting, but this helped me feel better about the decision.
I'm so happy to hear that!
Thank you for your videos. I'm going to try it very soon.
Hi Heather, is mirtazipine working for you? I'm struggling with it. Just curious. Thank you so much.
Hi!
Mirtazapine does seem to help me fall asleep. But beyond that, I can’t really say it works as an antidepressant for me because I have treatment-resistant depression. I’d definitely talk to your doctor and see if they can offer anything to help you feel better!
@@nicepeopletalk Thank you for replying. It helps me sleep too but I am finding out that I have TRD. I've tried a half dozen different medications and no relief.
So proud of you for sharing and that you’re healing!
Thank you! I'm happy to see that you're doing so a well. 😁 Perhaps we can chat about it in the future!
Ooh like an interview or podcast collaboration would be fun and beneficial to people I bet.
@@aidendaunter agreed!
Thank you thank you thank your!!
You and your video are amazing. I feel hopeful now. I go to my eval in the morning. I subscribed, saved, liked and downloaded this video❤❤❤❤❤❤❤❤
Haha funny video and informative. Love it! And ur eye makeup. I can't imagine what it would be like to be pain free. I think it would be like heaven. I can't wait.
Love your videos! I have been very anxious as I’m starting treatments this week but I have hope!
Has Spravato helped you any so far? I know that you haven't had many sessions at all but have you noticed anything yet? Don't feel discouraged at all if you haven't noticed anything yet because it usually takes longer than that. Best wishes!
THANK YOU!! for posting these videos. I've almost watched all of yours and am so thankful for you! I had my first treatment yesterday and the nurse I had was really zero help. If I hadn't watched your videos before doing spravato I feel like I wouldn't have had such a good experience.
You’re welcome! I’m so glad they helped you. 😊
Thank you for all the info. I was just told about this from my psych. I have bipolar depression, ptsd. So I'm excited and nervous about it. It's quite a commitment to follow all the sessions and deal with transportation. Your video was super informative, thanks again.
You’re most welcome! Thank you for watching. It’s potentially life changing stuff!
Thank you so much for doing these amazing videos, you have no idea how much you are helping others suffering from this. Thanks to you, I will be trying spravato very soon. I really look forward to trying your tips and great results. Sending you hugs.
I'm so glad you've found the videos to be helpful! I'm excited for you to start treatment, too. I'd love it if you kept me updated with how it's going and know that I'm always here if you have questions!
@@nicepeopletalk Hey! So this is my 4th week on Spravato, I have been noticing some powerful positive improvements. However, I seem to have one good session and another bad one. For example, on Tuesday, I would feel very tired and groggy and unmotivated after the treatment for the entire day, on Thursday I would feel more concentrated and less tired, motivated and my mood is actually pretty good until I get my next treatment the following Tuesday. I have not been able to have any experiences like the ones you had, I’m super bummed about that. All I experience is the weird dark abstract morphing shapes that have no meaning to me. Tomorrow is my 8th treatment and hopefully I will get to feel more stable. I see that you kept getting better and better after the first month, im so hoping that I will get to feel that way too. It’s been a rollercoaster for me so far. Hugs!
Hello!
First of all, I’m glad to hear that you’re already noticing improvement!
Secondly, are you by chance *trying* to have a particular experience during treatment? If so, just try to fall asleep instead! I’ve found that when I go into it trying to have an experience that it’s extremely difficult.
Keep me posted!
@@nicepeopletalk yes! As soon as I take my 3rd dose I try so hard to think about my grandma (she died a year ago). I’m desperate to have any sort of experience about her, but nothing. I also tried to fall asleep, but I can’t sleep through it either lol. Let me tell you about my first time trying this…. It knocked me out, but I was still aware, I couldn’t feel my body, I couldn’t feel myself breathing so I thought, I guess I died… But I was so peaceful that I said ok, if I’m dead and I get to feel like this, then this is great I don’t mind it. I was in a timeless state of deep relaxation, what you refer as the sweet spot I’m guessing. I’m hopeful because you started to see big improvements starting 8th session and got even better after that. So your videos give me hope, thanks so much for being there, you have been such a big help.
Thanks for the tips, Heather. I have my consultation about Spravato on March 3rd, and hopefully I will start my treatments right afterwards. I badly need this to work, I've been in severe depression for the past 10 months. Looking forward to your new videos.
Well you have every reason to hope it’ll work for you! 😊
@@nicepeopletalk Thank you, Heather!
@@AudriusAlkauskas You're most welcome!
Just heard about this… I’m intrigued
It's pretty great 😁
I’m just about to start treatments. Still haven’t figured out the transportation home aspect but hopefully that will work out. Excited to see if my lifelong anxiety and depression can finally be addressed.
I was happy to figure out that even medicaid offers FREE non-emergency medical transportation for up to 60 one way trips per year! It was surprisingly easy to schedule, too! Mine is through MTM Link. I'm currently awake at ~2:00am before my very first treatment at 8:45am and I need to get some rest so I can eat breakfast before going. Thank you all very much for the helpful insight into Spravato and wish me luck!
You are correct!! I used the free transportation to get to/from my TMS appointments. Good luck today!!!
How are the treatments going? I have an appointment for the consult on the 8th. I have had TRD for over 20 years and really hope this can help. Seeing everyone’s stories on here is making me very hopeful.
@@gorak3716 they are going OK for me. Not a dramatic change though. I was a little let down because I had high expectations. I still find it helpful though.
I like how you said you had fun while doing it too, like how come the common treatment for depression is so depressing lol, what wrong with feeling good well trying to feel better?
I have my first treatment tomorrow ❤
Thank you for the effort you put into your videos! I have a question, how much does Spravato spray cost in Washington?
You’re most welcome! Thank you for watching. 😊
I actually have no idea how much Spravato costs because my insurance covers it 100%.
@@nicepeopletalk That's great! And did they cover the monthly doses as well after a while?
@@nicepeopletalk In Lebanon, a 3-month treatment costs around $8,000. Pathetic!
I live in Washington, it's covered by most state insurance, the injection is only $150 a dose and not covered, and iv drips run $400-$600 a treatment also not covered.
It saved my life...
How long did you have treatments?
@@shanegord5139 almost two years
I definitely felt a much different experience with my second treatment. I did have the anxiety and that feeling of lost detachment and the feeling of not being to come back. I felt my heart race and thought I was going to die.
Has anyone else had this feeling also?
I just got enrolled in the REMS evaluation. I have to get my cardiologist to approve first
Thank you for sharing this! My question to you (or anyone else here!) how many treatments do ppl usually take? Do ppl have spravato treatments for years? I understand it’s not a “cure”, but how long does a person go?
She talks about it in her first week video if you go back to her playlist.
BI-weekly is SEMI-monthly. (Think of a SEMI-circle as HALF a circle, or HALF of a month. A BI-cycle has TWO wheels, or TWO weeks. Hope that helps!) BI-monthly is every 'other' month..., just like BI-weekly is every 'other' week. And SEMI-annually is twice in a year. BI-annually is every 'other' year. Makes sense now, right?
OMG YOU'RE RIGHT! 😂I also know the difference and which one I meant to use. No clue how I messed that one up!
Hi , I want to take you for clips on your experience with spravto. I hope that it helps me like it helped you 😊.
Also you’re much easier on the eyes. So happy for you !
I wish I saw this before my first treatment, which was today. I had some inkling of what it may feel like but I didn’t like it. It felt like I smoked way too much pot and I wanted the high to stop. I managed through it by telling myself it would end but it’s made me anxious to do it again.
It will get better, Pippa! I totally understand being nervous about it, though.
1st Spravato dose today was scary, dark thoughts, intense anxiety, crying. I felt so bad I prayed, didn’t know what else to do. There should be informed consent that you could feel this way. PA said it’d be like being drunk & high. Not true for me. No pre-session prep advice or what to do re: transpo. I’m a lawyer & took train to work after. When PA came to check on me 40min in I told her I felt very scared. She said that’ll go away & left. When I told her how awful it was after she backpedaled & said yeah that’s normal & could take as long as antidepressants to work. If 2nd dose like this, I’m done
Sounds like you need a therapist in the room with you. Ketamine is hellish for some people.
I'm finished with my first part of the treatment program (2 times per week) and had a frightening experience the first time...I studied about others and their experiences on RUclips. This person was very helpful for me. She is funny and I enjoyed her explanations about the treatments and her suggestions were very helpful stuff for me, especially relaxing and going with the flow. Now, I've had good experiences and positive results. I'm looking forward to the permanent results that will happen. Not just a temporary fix...I have waited too long for an answer for PTSD and depression. Now, I feel I deserve it after for almost 80 years! Don't give up and ask for help at the facility you're attending. Don't settle for the bare minimum. It's too expensive for that!!!
The starving part is no joke!
Do you have any suggestions on getting your insurance to cover it? Mine won’t at this time. I did get a medical necessity exception but ultimately it is subject to my out of pocket coverage (which I think is 6-7k). At $800 per session that’s another rent payment. For the first month. For many, myself included, that’s beyond my means and financial stress probably won’t help the treatment.
Hello, friend! I'm sorry to hear that your insurance is being such an insurance company and not wanting to cover a life changing and saving treatment. Unfortunately, I don't know much about convincing them to cover it because my provider takes are of all of that for me. I'd suggest first finding out why they're not wanting to cover it (have you not met certain requirements yet?). Second, I'd look for a provider who will argue on your behalf to have them cover it. That's what mine has to do!
I just had my first treatment today! It was not scary at all. The doctor told me to journal what my intentions were before the treatment and what I learned. I don’t think I learned anything, but had a pleasant experience. Any ideas?
What’s difference between eskeramine in office vs take home racemic s/r ketamine for home prescribed daily ?
You can only have microdosing in a clinical environment.
Not sure about that, a provider I spoke to said they give you your first dose and you were watched for 2 hrs. Then they give you the medication to take home and do it on your own.
I have chronc mental and phsical anciety as part of my depression, can it help both, ive done 56 and 84 no chsnges in mood or anxiety levels
It helped mine tremendously! Give it time. :)
@@nicepeopletalk yeh my anxiety pains muscle tension fatigue is all sky high now and my antidepressants and sleeping pills don't do much really. Done 56 84 84 84 still awful got another one tmoro at 84, not felt any improvement whatsoever . Got another 3 before a review cheers
"You're seeing these things in your mind, not your eyes." Yeaaaah, based on one session I think I get this lol. It's like my imagination just got let off the leash. Only visual weirdness was double vision/vertigo.
I'm sure you understand what I mean, haha! I get the double vision as well...almost like being really drunk but without the spinning sensation.
@@nicepeopletalk for sure. Looking back I still can't precisely describe how I feel then or today lol. It's like a sense of calm but also anxiety and disorientation
Yeah I can't really see well when I'm on it and my vision sort of blurs and crosses. I keep my eyes closed and the lights off, but next time I'm trying an eye mask to see if that helps.
Where are you doing this treatment? I’m CALIFORNIA and my doctor just suggest that I should do it, but I’m not sure.
I’m in Washington
Hi, I am in the process of taking this drug. One thing I'm worried about is I have a lot of trouble using nasal sprays! I have never been able to use them 😕. It just seems to drip back out, and it makes me sneeze a lot! It feels terrible, like I have got water up my nose for jumping into a pool. I am a chronic case and I really need this to work out for me! BTW I really like this video 📹!
Hi Matthew!
I totally understand your worries about it being a nasal spray - they can really be the pits, and it sounds like you really do have trouble taking them.
First, I would recommend talking to your provider about it to see what they recommend.
Second, it's really not a lot of nasal spray at all. I'm sure that if you could just tilt your head back and pinch your nose shut after each spray until your sneezing fit is over, it should be fine.
Third, it does kinda burn a little bit...nothing like getting water up your nose, but you certainly know you've sprayed something up there!
One thing you might consider trying is practicing with this stuff called Xlear (X-Clear). It's a saline nasal spray with a few different formulas, but you'd want the one you can use as much as you want. There's WAY more spray in each dose of Xlear than there is with Spravato. So, if you can get accustomed to it or even just practice and figure out how to best manage your sneezing fits while taking it, you should be good!
I'll post a link to Xlear to help you find it. If you're in the US, you can find it at virtually any pharmacy (Walgreens, CVS, Rite-Aid, grocery stores) and amazon.
I hope this helps and let me know if you have any other questions!
🙃
Here's an Amazon link to the formula you'd want (for reference). www.amazon.com/Xlear-Nasal-Spray-Sinus-Relief/dp/B000M4W2E6/ref=asc_df_B000M4W2E6/?tag=hyprod-20&linkCode=df0&hvadid=309802573355&hvpos=&hvnetw=g&hvrand=12339327408238981285&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9033304&hvtargid=pla-423769149002&psc=1
You'll know it's the right one if the directions on the back of the bottle say:
"Use preventatively AS OFTEN AS NEEDED to cleanse nasal passages and sinuses."
Oh yeah - it's going to clean the heck out of your nasal passages, so be prepared for that!
@@nicepeopletalk yeah okay, thanks 😊. That sounds like a great idea! I'm living in Australia. Did you get covered by your private insurance company? Thanks for getting back to me so quickly! I have a dog that I love so much aswell, she is my best friend! Kind regards Matthew
@@matthewkeim6840 Dogs are the best ☺ Due to being disabled, I have a dual Federal/State insurance plan (Medicare and Medicaid). Shockingly, they actually cover the cost of my Spravato treatment! It makes a lot of sense though seeing as how the leading disability worldwide IS Depression, so effectively treating it is the way to go.
@@nicepeopletalk yeah Heather I'm on a disability pension aswell. I haven't been able to work for 5 years now! I get embarrassed when people ask me what I do for a job! I'm covered 2 ! There would be no way I could ever afford to get this treatment without it!! I know this drug is going to work for me, I just know. I suffer from real bad dreams aswell! And I used to use marijuana at night to get to sleep and not have any nightmares! But I gave it up 7 years ago. I was drinking 2 much aswell but as soon as I knew I was going to have this treatment I have stopped.
Have you ever had experiences during a session that leave you feeling more depressed? It’s not always like this for me, it’s happened this past week because I got really bad news over the weekend. Is it counterproductive to frame this as a regression? Or is it to be expected? The first 4 sessions were breakthrus but 5th wasn’t and between 5 and 6 I felt quite depressed again. Is this normal?
I have heard of this happening! I wouldn't worry about it, though you should definitely let your provider know.
I always had a few days of feeling a bit more depressed every time we reduced the frequency of my treatments, but it always leveled out again.
Please let us know the clinic that you used for your Spravato treatment. The right place is critical
Pl Help: I am also sufferering from treatment resistant depression for 15 yrs and on bed since past 5 yrs. All medicines failed. Then I started IV Ketamine and since past 2 months, I have taken 9 infusions. But my symptoms improved only 20% and there is no further improvement. Should I take esketamine along with IV for better results?
I hope you were able to talk with your doctor about your questions. Only they would know.
I was told about this from a psych
But I doubt it can help me… just because my depression stems from my depressing life
Due to anxiety/ health issues/ no friends alive/ dad died in front of me/ can’t work
Anyone would be depressed with all this and more
Sadly sprays and meds don’t get rid of any of that
Unless it just makes me numb and not care anymore? Idk
Maybe this has already been asked, but do people need to KEEP getting Spravato treatments after the first round (8 sessions over a month is what I’m about to start) in order to keep the progress and relief from depression going? My doctor sort of burst my hopeful bubble when he warned that results might only last a few weeks!
My doctor said there is a maintenance dose after the 8 weeks
Maintenance DOSES sorry didn’t want you to think it’s just one
It's my understanding that it really just depends on how you respond to the treatment. But I'm not a doctor!
One more question, Heather. Are you able to work again after Spravato? Maybe you could work before? I hope that's not too personal a question.
I’ve been disabled since 2017 for reasons not having to do with my depression. I believe I’ll be able to work and have a normal life again in the future, though!
@@nicepeopletalk I hope so, too!
@@nicepeopletalkOne more question: did you also have anxiety with your depression?
@@AudriusAlkauskas Oh BIG TIME. On a scale of 1-10, my anxiety was always at an 8/10...every single minute of the day. I've had anxiety and panic attacks since very early childhood as well.
I've only had anxiety a couple of times since starting Spravato, and both times I was blown away that I used to live feeling like that constantly. It's the worst!
@@nicepeopletalk Oh, anxiety is debilitating. Glad to hear that your anxiety was helped as well! Thanks for your answer, Heather.
Are you on an oral antidepressant along with the spravato treatments? I just had my first treatment a couple of days ago, but stopped taking my oral antidepressant about a month ago because of bad side effects. Starting to regret that now, because after looking online - you're supposed to stay on an OA while doing spravato!
YES! You need to be on an antidepressant! Please let your provider know!
@@nicepeopletalk Thank you so much! Got on Cymbalta, so far so good. Also, a quick question about your SAD - does that seem to be mostly gone now that you're taking Spravato? I'm in MN so mines terrible with all of the gloomy days -_-
@@Alyssa-lk8np you’re most welcome! And yes - my SAD has drastically reduced thanks to Spravato. I’ve only just now started feeling a hint of it and it’s nearly March! It’s still NOWHERE near as bad as it has been before Spravato. 👍🏻
Hi. I am italian and i speak only italian. Can you use an translate? Sto facendo spravato da un mese ma non sto ricevendo risultati. Ho paura. Funzionerà nei prossimi mesi? Sono hikikomori da undici anni e ho la depressione maggiore resistente al trattamento
Ciao Luca,
Grazie per avermelo chiesto! Sto cercando di capire come fare ora. Se sai come si fa, per favore dimmelo!
Mi dispiace sentire che stai soffrendo da così tanto tempo. Soffro di depressione resistente al trattamento da oltre 25 anni e ho iniziato a notare miglioramenti dopo il trattamento n. La rapidità con cui fa effetto varia da persona a persona... alcuni lo avvertono dopo pochi trattamenti, ma la maggior parte impiega 1 mese o più per notare un cambiamento significativo.
Non c'è modo di sapere quanto velocemente o quanto ti aiuterà, ma ti garantisco che è il trattamento più promettente che ci sia stato finora.
*scusa, ho notato un leggero miglioramento dopo il trattamento n. 3, NON il n. 1.
@@nicepeopletalk grazie. Avevo letto che il 27% dei pazienti ha la remissione dopo due mesi. Spero bene perché soffro tantissimo e non ho mai vissuto la vita. Sono stato sempre in casa a soffrire. Per quanto tempo ancora tu devi prendere spravato? Credi che guarirai totalmente? Che sintomi hai? Io ho mal di testa, stanchezza, amnesia, mancanza di concentrazione, fatica a parlare.
@@nicepeopletalk leggo tante testimonianze di gente che prende antidepressivi da 20 o 30 anni. Forse la depressione non si può curare. Ho davvero una paura assurda
I'm sorry to sound like I'm negating everything you recommended but my experience so far (6 sessions) doesn't seem like it needs and tips or tricks except go to the bathroom before and relax during. Could just be me, but after getting over the initial reservations/concerns the treatment was pretty straight forward and seemed like an assisted meditation session. Could be different for others, but I'd say best advice is to go in without any "plans". Best of luck to anyone trying or about to try treatment (I'm still hoping for better results than TMS) but have also been told the combination can help compound the results
A question for all American members; I’m just asking out of curiosity: how much is an average medical insurance plan in USD?
Where I’m from, Sweden, we have universal healthcare (as well as universal/free schools and universities at all levels; personally, I went to law school, and, when I think about it, we actually get paid to go to school starting in primary school up and through university level/post-grad - a couple of hundred dollars a month in the form of a kind of financial “student support”) so there is an annual cap on healthcare at approximately $150 and approximately $200 for meds. However, we have a pretty hard tax pressure which is how all of this is financed so basically, it’s just another way how the costs are financed/distributed.
All my love to all of you out there, struggling with depression. ❤️
… I can only wish that you give ketamine a shot!
👊
Oh gosh....I don't think there's an "average" cost for health insurance in the States. If you're very low income, you might qualify for free, basic health insurance through the state in which you reside. For everyone else, I've heard of people paying anywhere from $150-$900/mo for their health insurance plan, and that's NOT including the out-of-pocket costs and deductibles. Most Americans can't afford health insurance, and I believe the last figure I heard is that 41% of Americans have medical debt. It's ridiculous!
P.S. - I've been thinking about moving to Sweden for years. :)
I don’t know if you remember that I actually wrote a comment to you about visiting Stockholm in the summer (with free housing in downtown central Stockholm - if you’d like) and, if I may say so myself, a very nice dude that could guide you and show you all the beautiful places like the archipelago. And as mentioned, the access to pure pharmaceutical grade “K” is limitless and actually not that expensive. And if you’re actually have been thinking about moving to Sweden; maybe this could be a sort of trial/combined vacation. I’ve seen all your videos and.. I feel *extremely confident* that we would get along really well. And your boyfriend is obviously also welcome and, hey, I am actually *dead serious* about what I am saying here. At least consider it. ✌️
PS. I hope the improvements of your treatment is still holding. I have reached the conclusion that I think regular microdosing is the optimal way to use it for depression. But I do think that you haven’t seen the true potential yet. And I would feel honored to give you the best experience of your life - which I think would be truly possible.
I was wondering are off all antidepressants now?
Nope. I still take an antidepressant (Wellbutrin). Oddly enough, you have to continue taking an antidepressant while doing Spravato despite having treatment-resistant depression. I don’t know why that is.
However, my PHQ-9 score is now 3/27. By that measure, I no longer have depression!
I began Spravato while on immediate release Wellbutrin. I noticed a difference the first treatment! Then the second! It was like the clouds were lifting and life felt worth living again. My provider (not the doc in charge of administering my Spravato) changed my Wellbutrin to sustained release which she’d been told repeatedly that I cannot take since I have an ileostomy and my body doesn’t absorb the same way. I had no idea since I didn’t check behind her. I trusted our previous convos and reassurance that she understood. Long story bearable my body was not absorbing the Wellbutrin and lo and behold I stopped responding to Spravato. I went through withdrawal for a month. Still taking Spravato and advancing to the second phase of once a week. I complained of brain zap side effects (classic sign of antidepressant withdrawal), SI resurfacing and no health care provider bothered to look into things. I figured it out myself after going further into despair and they had to ask my insurance company to allow the first 4 week induction phase to be started again. I’m no longer responding the same way despite being back on the proper formulation of Wellbutrin for my body. It’s sad and scary to have lost response.
I have been on Spravato for almost two years at 84mg. I use ear plugs and black out glasses to tune out the world. I have only ever seen colors and shapes.I do not like it when there is someone in the room doing monitoring-they make too much noise-even with ear plugs in. Same with other patients-they need to be quiet. That ruins my experience and I get mad. I am switching to every other week starting last week. I am kind of afraid that I will not feel as good as I do at weekly treatments but I do not feel physically well after treatments any more. Does anyone else feel this way?
WOW - you’ve been doing it for a long time! That’s valuable information to me because I’ve been wondering how long you can do it for. I’m not sure how useful my advice or experience would be to you since we’ve been doing it for different periods of time, but I can say that I had small, temporary dips in my mood each time I decreased the frequency. It was never anything drastic…barely perceptible, really. But most importantly, it was always temporary (~1-2 weeks). Have you noticed anything since decreasing?
@@nicepeopletalk This will be first week of going to every other other week. But I am a little afraid of the mood swings. I guess I will find out in the next week. Ican let you know next week.
@@nicepeopletalk I just saw your new video about a half our ago! Great tips!
Thank you! I’m glad you liked it. :) I’d love to know if you have any tips!
@@bloodysad That would be great if you would! I’ll be keeping my fingers crossed for you. 😊
Does it work for anxiety or depression only?
It also helps with PTSD and some other illnesses
I’ve had 15 treatments and am still not well
I'm sorry to hear that, John. Don't get discouraged yet! Everyone responds differently and at their own pace.
Is it just me or spravato is hella expensive and regulated? I would like to try if it would be cheap otc. 🤷♂️
“I’m old and donuts make me sleepy.” I’m 33. I felt that 😂 I don’t have my appointment yet but I’m looking forward to it. I never had a good reaction to cannabis. Pot always gave me anxiety. No matter what strain. Is Spravato anything like pot?
You’ll be happy to know that Spravato is NOTHING like pot. I would take my least-pleasant Spravato experience over ANY of my bad pot experiences every time! Spravato feels better/more peaceful and I don’t have anywhere near the kind of anxiety that too much pot can give me.
@@nicepeopletalk what about intrusive thoughts? I constantly have horrible thoughts and images going into my brain of awful things happening to my son. I absolutely cannot get it to stop and it’s truly ruining me. I need that to end. Oh! Do you know if Spravato helps with OCD or nervous tics? Sorry if I’m bombarding you lol
You’re not bombarding me - I just wish I had more answers for you! Spravato helped my anxiety tremendously, and therefore my intrusive thoughts as well. I’m so sorry to hear that you struggle with such terrible ones about your son. 😢
@@nicepeopletalk it’s okay. Everyone struggles. Just part of being human ❤️ thank you so much for all the information! I appreciate it so much!
Many people get depression/anxiety after using cannabis. I personally know one girl, who had mild depression, then tried Marijuana and became very depressed and now uses AD. Don't ever use drugs! It is not a joke that doctors don't allow marijuana, just in very few cases and it is not even depression!
I've been doing spravato 2 years in December, I sit in a recliner and do everything myself, sometimes another patient is on the other side of a screen, no tech. What state are you in?
Ah!! You’re the exact kind of patient we’d love to hear from!
I’m in Washington, btw. Where are you?
Can spravato help me with depression like you??
Hippo campus! 😆
I’m glad you caught that 😉
Timothy Ski Chalet 😂
Omg I’m going to hear that every time I think of him 🤣 🤣
Spravato makes you feel groggy, with chronic brain fog.
Great commentary....a bit slow....so, speed up the verbiage to at least 1.50 folks.
Glad someone with a brain and some "years maturity" is doing well prepared videos on this...I'm searching now for an economic version to try. Can't afford Manhattan pricing....not even close.
I hope you find something soon!
Thank you for this tip. My neurodivergent brain was struggling 😩Now at 1.5x I can better process this 😊
honey, you don't even look like you were depressed for so many years!!! what happened? miracle? does spravato make such a big change???
It did for me!
Best ket treatment is the one that comes in a little baggy
Basic tips- no help!
Spravato works best when used by people who have a satisfactory life style. I.E. Have good friends, a good job, and a sex partner.
If your life sucks and have experiences that depress you. We can assume that "Nice People" has these. If she did not, an attempt to "turn off" depression by just taking a pill would not work.
Please stop constantly zooming. ..
I just wanted to send some ❤ love ❤ your way for this series of videos; what you’re doing is extremely important and helpful! I am personally a huge believer in ketamine after 15 years of depression and countless attempts with different medications and therapy, without any success until coming across ketamine. My profession is law but I am actually seriously considering to devote my life to working with ketamine therapy now! I knew about the substance since way back, but when Provato showed up on the market, my research intensified and led to, what I would like to call, self-medication with it. This is definitely something that I cannot recommend people to just throw themselves into - show respect for ketamine! It’s not a toy. But; with the right set of knowledge and scientific approach, alternatively the help from professionals; I am confident that this is the closest to the holy Grail of a cure for depression that we have come to find in modern time.
Even though I’m an atheist; God bless you. ❤ From the bottom of my heart!
Best wishes, and promise to take care of yourself, from Sweden. 🇸🇪
👊
I eat and drink immediately before treatment. Get an RX for zofran
does anyone suggest greenbrook?
My dear, ! Ketamine has been around for years and its legal in many countries over the counter. The US or its doctors are charging a fortune for a drug that is extremely cheap.....Just step over into other countries and ketamine is so easy to get and to use at a fraction of the price...
While I agree that pharmaceuticals unjustifiably cost Americans a fortune, it also costs a great deal (if not more) to travel to a different country to receive medical treatment. Also, Spravato (esketamine) isn't quite Ketamine, so there's that.
I get where you're coming from, though!
I don't want take antidepressants any more, i want take only spravato, can i?
You can, but other antidepressants work on other neurotransmitters. Spravato does not replace norepinephrine, seratonin, or dopamine drugs. Sure, a small number of people may *only* need glutamate therapy-so only Spravato/esketamine would be singularly effective on its own. Depression usually is not that simple because deficiencies in one neurotransmitter could lead to deficiencies in another, so it’s about achieving multivariable “balance” for the patient.
@@rossimarti ⬆ nailed it!