A Guide to What to Expect During Esketamine Treatment

If you’re struggling with mental health issues like treatment-resistant depression, esketamine treatment may be something you want to consider. But, understanding what to expect can help ease any concerns and prepare you for beginning the treatment process. At Delray Brain Science, we treat patient education as a priority. This way, we can ensure that all of our patients experience effective treatment. Here, we’ll walk you through the esketamine treatment process, from the initial consultation to follow-up care.

Initial Consultation and Assessment

The first step in esketamine treatment is an initial consultation with a mental health professional at Delray Brain Science. During this meeting, your clinician will conduct a comprehensive assessment to determine if esketamine is the right treatment for you. This assessment includes:

Medical History Review: Your clinician will review your medical and psychiatric history, including any previous treatments and their outcomes.

Current Symptoms Evaluation: You will discuss your current symptoms, their severity, and how they impact your daily life.

Treatment Goals: Together, you and your clinician will set realistic treatment goals and discuss what you hope to achieve with esketamine therapy.

Preparation for Esketamine Treatment

Once it has been decided upon by yourself and your clinitican that esketamine treatment is appropriate, you will be provided with instructions on how to prepare for your sessions. Preparation may include:

  • If you are currently taking medications, your clinician might adjust the dosage or timing to reduce potential interactions.
  • It is suggested to have a family member or friend accompany you to the clinic for support and transportation home.
  • You may need to avoid eating or drinking for a few hours before your treatment sessions.

During an Esketamine Treatment Session

Esketamine is administered as a nasal spray in a clinical setting under the supervision of a trained healthcare provider. Here’s what you can expect during the treatment session:

Arrival and Check-In: When you arrive, you will check in and complete any necessary paperwork. A nurse will take your vital signs to ensure you are ready for the session.

Administration of Esketamine: You will be seated in a comfortable, private room. The clinician will then help you administer the nasal spray, ensuring you understand the process by having you ask any questions you have beforehand.

Observation Period: After administration, you will remain in the clinic for about two hours. During this time, you will be monitored for any immediate side effects and to ensure your safety. Many patients experience a sense of dissociation or lightheadedness, which is normal and typically subsides during the observation period.

Post-Treatment Monitoring: After the observation period, your vital signs will be checked again, and your clinician will assess your overall response to the treatment. You will need someone to drive you home, as you may feel drowsy or disoriented.

After Your First Treatment Session – Follow-Up Care and Next Steps

Esketamine treatment usually involves multiple sessions over several weeks. Your treatment plan may include:

Regular Appointments: Initial treatments are typically administered twice a week for the first month, then tapering off to once a week or as needed based on your progress and response.

Continuous Monitoring: Throughout the treatment, your clinician will monitor your progress, adjusting the dosage and frequency as necessary to optimize results.

Psychotherapy Integration: Combining esketamine treatment with ongoing psychotherapy can enhance the overall effectiveness. Your clinician will discuss integrating therapy sessions to support your mental health journey.

Think Esketamine Treatment May be Right for You?

Esketamine treatment offers hope for individuals who are living with treatment-resistant depression by providing a fast acting and effective option where traditional therapies have failed. At Delray Brain Science, we are dedicated to providing compassionate, complete care throughout your treatment journey. If you have any questions or would like to learn more about esketamine treatment, please contact us.