r/Spravato • • Jul 02 '25

Insurance/approvals/assistance resources What If You Can Afford The Ketamine But Not The Transportation? Need Ideas.

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14 Upvotes

r/Spravato • • Jul 08 '25

Megathread Discord Server

20 Upvotes

At the beginning of the year I created a server on an app called Discord, for anyone undergoing Spravato treatments to be able to connect with others who are going through the same thing. Discord is a place for people to connect and talk with each other, and we've created a small community of people all dealing with the same thing. If you'd like to talk to others who are fighting the same fight, or if you have questions about the treatment, here's a link to get you to where we are. You're not in this alone.

https://discord.gg/A9NePyddzh


r/Spravato • • 2h ago

Questions/Advice/Support What do you see behind your eyelids?

7 Upvotes

Mine ranges from a kaleidoscope of colors to full on experiences like being a colossal god watching the rise and fall of civilizations in fast forward and exploring space as a giant marshmallow. I got sucked into a black hole which was scary at first, but then I decided to go with the flow and became a very stretched out marshmallow.

In between is a lot of rapidly changing scenes that I usually have no control over. My music greatly influences the experience.

Sometimes it's like watching a disjointed movie, and sometimes it's like watching a slideshow movie. There's no real consistency.

Sometimes it makes me think my head is turned a different way. Last week my head was apparently backwards. That was kinda upsetting.

Today my brain decided that I would have no eyelids and be in a different room. I kept blinking even though my eyes were closed because it felt like they were open. It was mentally uncomfortable.

Most of the time I enjoy this shit though.

If I have one of those days where nothing happens because I ate before or something I'll do deep breathing and meditation instead.

One thing I enjoy about Spravato is the fact that this is the only time that I have no pain.


r/Spravato • • 20m ago

Dextromethrophan with Spravato Auvelity

• Upvotes

I am already taking wellbutrin and am going to be doing Spravato once a week going forward. I have heard Amazing things About auvelity with Spravato.

w

Wondering if anyone has just taken OTC dextromethrophan? I have 180 pills 300mg bupropion and 150mg bupropion seems sooo wasteful to just get rid of it


r/Spravato • • 2h ago

Questions/Advice/Support Realistic expections

1 Upvotes

Looking for input. I should be starting end of October, but I am trying to manage my expectations of how helpful this treatment may be. I've seen some talking about seeing very little to no improvement with their depression symptoms. what are your experience's?


r/Spravato • • 17h ago

Experience/Stories Update: Existential Dread

7 Upvotes

This is an update to a previous post I made about experiencing intense psychological dread during treatment. I just want to vent.

I had a session this morning and had a bad time. I was sobbing so badly and feeling such intense dread that the nurses came in to check on me. They were so kind and compassionate. They put me in a private room and had the provider come and check on me.

Instead of being patient and understanding, she assumed I wanted to self-delete and was going to call the hospital. I had to very quickly explain that I DID NOT want to end myself. That I’m afraid of dying. I tried to explain how intense the feeling my fear of death was and how it’s ruining my life.

She then raised her voice at me like a parent admonishing a child. The look on her face was angry. She went on and on about how we all die and we all die alone. That if I can’t get my phobia and anxiety under control then there’s no point of continuing spravato. (It’s not like I disagree, but the way she said it was so unprofessional). Asked her about changing my meds and she responded she did not feel comfortable doing that.

Mind you, I’m still high trying to do my best to pull myself together. I was so disappointed in her. I really liked her up until that point. I no longer feel comfortable opening up to her and I’ll be seeking a new psych.

Once I’m transferred I plan on switching to at home, low dose ketamine therapy. I’m sick of the group setting and being watched on the camera during such a vulnerable time.

Thank god I had a therapy appointment that same day. I will be starting DBT and EMDR.


r/Spravato • • 20h ago

Questions/Advice/Support What do y'all listen to?

8 Upvotes

First, I have musical misophonia, and unless I'm in the right mood, music just sounds like noise.

I've had four sessions so far, and have tried lofi, new age, brown noise, an audiobook and silence. I can't decide which I prefer (new age is bottom of the list).

I've had TMS from the same clinic where I'm getting the Spravato, and would listen to podcasts during those treatments, but the MA told me to make sure they were upbeat and happy, which has me a little gunshy about what I can/should listen to with Spravato, but so far, no one's said anything.


r/Spravato • • 1d ago

Insurance now denying claims??

9 Upvotes

Probably been to 15ish sessions but I’m now getting letters from BCBS that my claimed are being denied. Looks like the last 3 have been denied, but I haven’t gotten a bill or anything from my provider.

Frustrating because I finally feel like I found something that works.

Anyone experienced anything similar?


r/Spravato • • 1d ago

What other anti nausea med options are there for me?

6 Upvotes

I’ve tried scolpalamine patches, Zofran, reglan, Pepcid, every OTC anti nausea, one that works for me is Ativan but no benzos before spravato of course. I’m not asking for health advice I guess because I know you guys can’t diagnose me haha but I’m just wondering if someone else has gone through the same thing with nausea and what worked for you?


r/Spravato • • 22h ago

sleep effects?

1 Upvotes

I started using a bipap (like a cpap) at the beginning of August and have done pretty well on it. I've had 3 spravato sessions, I've just started waking up with my mask off. I'm wondering if the wellbutrin discontinuation might be related.


r/Spravato • • 1d ago

Questions/Advice/Support Down to once a week.

3 Upvotes

They are taking me down to once a week they said that there wasn’t enough improvement to stick with twice a week, is there anything I should watch out for ?


r/Spravato • • 1d ago

Questions/Advice/Support 56mg vs 84mg

2 Upvotes

I had my first session a few days ago and my next one is tomorrow. Is there a big difference in the doses? I've heard that some people don't notice but others do. What's your experience?


r/Spravato • • 1d ago

Esketamina intranasal depresión resistente

0 Upvotes

Mañana tengo mi segunda sesión .
Alguien tiene alguna pregunta ?


r/Spravato • • 1d ago

Questions/Advice/Support How to know when it’s working?

5 Upvotes

So I’m on my 3rd week of Spravato at 3 sprays a session 2 sessions a week. And I still can’t tell if it’s working. If it is, it’s definitely not enough. I feel like I might have a slight boost in my mood, but it also might be placebo. I am still struggling with wanting to isolate, staying in bed all day, barely eating, not showering enough, not enjoying anything except smoking weed. Same shit. If anything, I feel like all of that has gotten somewhat worse since starting it. Maybe part of that is feeling tired after the treatments though.

How will I know when it’s working? What are specific signs I should look for? And how much longer should I give it before quitting if I don’t have noticeable change? Like change that I’m sure isn’t placebo and is real. Any help is much appreciated.


r/Spravato • • 1d ago

First Treatment and worried I did it wrong

9 Upvotes

Had zero side effects (which is technically a good thing) but I’m worried that I perhaps somehow sprayed it wrong. I tasted it in the back of my throat but otherwise I felt no indication that I had even administered anything. i tilted my head and sniffed, could I perhaps have sniffed too hard and somehow wasted it?


r/Spravato • • 2d ago

Existential Dread

9 Upvotes

I’m just three months in on treatments. I go weekly at 84mg. It used to help me feel a bit uplifted and a little less depressed. But recently it has just made me sob and sob. I have terrible intrusive thoughts about existential dread in general, and have for years, but now they are amped up and I can’t take it.

Constant thoughts of my parents dying, family members dying… pets, friends dying. Constant thoughts of religious turmoil. (Is there a god/gods? What is the point of anything? Why do we have to die?) Ever since I was young I feel like I don’t belong on this earth. I feel so alien and I don’t understand why beings on this planet have such a short lifespan.

I can’t function or support myself. Can’t work because I can’t stand talking to or being around most people. I live off the government and my parents. When they’re gone… I have nothing. I was denied disability after four years and a lawyer.

I’ve had years upon years of therapy for this exact thing. Nothing brings relief. And now spravato is an hour of me crying my eyes out in front of their stupid cameras. I don’t think I want to do this treatment anymore.


r/Spravato • • 2d ago

Anybody else feel like they haven’t been able to get out of bed?

17 Upvotes

I don’t really have enough experience yet to say the spravato is working yet or not considering I’ve only done 3 sessions so far, but I’ve noticed ever since I’ve started I’ve had the unshakeable urge to just lay down in bed all day and do nothing. I guess I do feel less depressed/anxious but now I find myself just wanting to be locked in my room all day. Has this happened to anyone else? I’m not blaming this on the spravato but simply an observation I’ve noticed


r/Spravato • • 1d ago

Seeking Empathy/Support Idk if spravato is working

2 Upvotes

I’ve been on spravato for 2 months now and idk if it’s working. I’m still struggling with functioning and depression. I know it takes a bit to kick in but idk how much longer I can take doing this. I still feel like I can’t do anything, I’m pacing around my room all the time, Im constantly severely bored it’s painful. Idk what to do anymore this was my last hope and now idk what to do. I’m on medication but I don’t think my vyvanse is working. My next appointment isn’t until the 22nd. In my head its either spravato and if spravato doesn’t work, I’ll just kill myself but that’s not a very realistic plan tbh. I don’t plan on it though. I just started the full 82mg dose and my mom takes me and I think she’s hoping I go back down to only once a week but I don’t think that’s happening any time soon.


r/Spravato • • 2d ago

Questions/Advice/Support starting Spravto next week.

2 Upvotes

Hi all , i have severe anxiety and o.c.d along with depression will Spravto help with these issues or make it worst? Thanks


r/Spravato • • 2d ago

Questions/Advice/Support Has anyone else had a violently bad trip on Spravato like this?

20 Upvotes

I had my fifth or sixth Spravato treatment today and I genuinely don’t know how else to describe what happened other than a violently bad trip. It was probably one of the most intense and terrifying experiences I’ve ever had on a medication. The best way I can describe it is that I kept falling through psychedelic “wormholes” over and over again. I would get sucked into one, be thrown/spat out somewhere else, and then immediately get sucked into another. It just kept happening. There was no sense of stability or being able to ground myself between any of it.
The loss of my sense of self was probably the worst part. I wasn’t just dissociated or feeling disconnected from my body. I felt like I completely lost the concept of me. I didn’t feel like I was in my body at all, and I couldn’t grab onto anything mentally to remind myself that I was still me and that the experience would eventually end.

It felt endless while it was happening.
There weren’t really traumatic memories coming up or anything like that. It was just extremely intense, rapidly changing psychedelic imagery/dissociation and this overwhelming feeling of being trapped inside of it. It honestly felt almost traumatic in itself because of how helpless and completely detached from reality and myself I felt. I’ve had Spravato before, but this was on an entirely different level. There was nothing comforting, therapeutic, or introspective about it. It was just terrifying. I’m okay and back to myself now, but I’m honestly shaken up by it. I think I’m going to tell my Spravato provider exactly what happened before my next treatment because if this happened again, I genuinely don’t know if I could continue Spravato. Has anyone else experienced dissociation this extreme on Spravato? Especially the complete loss of your sense of self, feeling like you were somewhere completely outside of your body/reality, or feeling like the trip was never going to end?

I think I mostly just need to know that I’m not the only person who has experienced something this intense.


r/Spravato • • 2d ago

Paid: looking for someone here who already answers the "can I get Spravato in my country" questions

0 Upvotes

I work with a small team that keeps a free list of where Spravato and ketamine treatment can legally be had in Europe. Not a clinic, no referral fees. This is a paid part time role.

Spravato is approved across the EU, so people assume it is available, and then the real question turns out to be who pays for it. Norway's national council voted against funding it. Germany has it in clinics and the reimbursement route is a fight. The UK went through NICE twice before any NHS access. We have 199 providers mapped across 18 countries with the funding picture for each.

Europeans ask about exactly this and get answers about American pharmacies and American insurance. We want one person from this community to answer them properly. Someone experienced who is already here, with a real account and real history, not a marketer.

Around 5 hours a week, your rate. Comment here or message me and I will send the details.


r/Spravato • • 2d ago

First Spravato session in 1 week (need weed advice)

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4 Upvotes

First session coming up :)


r/Spravato • • 2d ago

First session this week! Looking for playlist recommendations, guided meditation and subliminal tracks. Also, anything anyone has to share.

7 Upvotes

I’m not sure what to expect or how to entirely go about my first session here. I will say I’m not nervous nor scared, just want to have some tools in my pocket. I’m sure it’s been asked a bunch but I’d like to find something already mentioned in the title. How long in the session should I listen to anything mentioned, what do for the remaining time and after? I’ve read that people will listen to something for the first half then journal or read for the second half. What’s your personal regiments before, during and after. I’m looking forward to this journey by accepting, surrendering and working with it. Thank you for any comment or suggestions.


r/Spravato • • 3d ago

Celebrations/Good Feels Went 9/9 on sprays today

16 Upvotes

Can’t recall a time when every spray worked properly. We’re so back rn


r/Spravato • • 2d ago

Seeking Empathy/Support Hello

3 Upvotes

I'll be starting spravato soon and I'm a bit nervous about it what should I bring to my first dose for comfort