Spravato therapy for treatment-resistant depression in Hurst, TX.
If antidepressants haven’t worked for you, Spravato may offer the relief you’ve been looking for. Dr. Indukuri is a certified Spravato provider with over 30 years of psychiatric experience.
Since 1990
30+ years treating mental health in North Texas.
4.9 / 5 on Google
208+ verified patient reviews.
Board-certified
Child, adolescent, and adult psychiatry.
1–2 week wait
Most new patients seen within two weeks.
Is Spravato right for you?
Spravato is specifically approved for adults with treatment-resistant depression — meaning depression that hasn’t improved after trying at least two different antidepressants. If that sounds like you, you’re not alone, and you’re not out of options.
You may be a good candidate if you’ve tried two or more antidepressants without meaningful improvement, your depression is affecting your work or relationships, you’ve been told you have treatment-resistant depression, or you’re ready to try something different under careful medical supervision.
What Spravato actually is
Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression. It works differently than traditional antidepressants — targeting a different system in the brain — which is why it can help people who haven’t responded to other medications.
Unlike antidepressants you take at home, Spravato is administered in our office under medical supervision. You stay with us for about two hours after each treatment so we can monitor how you’re doing.
How treatment works here
Careful evaluation, in-office treatment, ongoing care from Dr. Indukuri himself.
Evaluation
A thorough psychiatric evaluation with Dr. Indukuri to confirm Spravato is the right fit.
Treatment sessions
Self-administered nasal spray under supervision, then 2 hours of monitoring before going home.
Ongoing care
Twice weekly for the first month, then tapered. Dr. Indukuri stays involved throughout.
Honest about safety
Spravato has been extensively studied and is safe for the right patients under medical supervision. Common side effects include temporary dizziness, dissociation, nausea, and sedation — which is why we monitor you for two hours after each dose.
Because of these effects, Spravato is only available at certified treatment centers like ours. You can’t pick it up at a pharmacy. Dr. Indukuri will go through the full safety profile with you during your evaluation and answer any questions you have. No rush.
Insurance and cost
Spravato is covered by most major insurance plans, including Medicare. We’ll help you verify your coverage before we start treatment, so there are no surprises. For patients without insurance coverage, we can discuss self-pay and manufacturer assistance programs.
Spravato FAQ
How is Spravato different from ketamine infusions?
Spravato is an FDA-approved, standardized, insurance-covered form of esketamine administered as a nasal spray. IV ketamine infusions are not FDA-approved for depression, aren’t typically covered by insurance, and vary in dose and protocol.
How quickly does it work?
Many patients notice improvement within the first few weeks — sometimes within the first few sessions. Much faster than traditional antidepressants.
Do I have to stop my other medications?
Usually, no. Spravato is typically used alongside an oral antidepressant, not as a replacement.
How long is each visit?
Plan on being at the office for about 2.5 hours — the treatment itself is quick, but the monitoring period is the reason it has to be done in-office.
Can I drive myself home afterward?
No. You’ll need a ride home after each session.
Is it addictive?
In the doses used for Spravato treatment, under medical supervision, the risk of addiction is low. Dr. Indukuri will discuss this with you in detail.
How many sessions will I need?
The typical protocol is twice a week for the first month, then weekly, then tapered further based on your response.
What if Spravato doesn't work for me?
Then we move on to other options. No single treatment works for every patient.
If antidepressants haven't worked, it's time for a different conversation.
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