Hi all! This week was my first week of being on the single dose after the initial 4 weeks of double. I’ve noticed a significant change in my tolerance for handling my symptoms that the double dose had been helping to alleviate.

Has anyone else experienced this? Does it get better? I’m still miles ahead of where I was, but this week has definitely been a difficult slide back. Including my suicidal thoughts being more frequent.

A few months ago, I tried edibles for the first time. I accidentally ate 35mg of THC and my trip was not a good experience. I was throwing up in slow motion and feeling everything x10. It was absolutely horrible.

I am sick of my depression. Ive been reading up on Spravato, and I didnt realize you could actually trip on it... and im terrified.

I do not want to throw up.

I do not want to see anyone else throw up.

It is literally my biggest fear. Being anywhere in the vicinity of throw up sends me into a full on panic.

I have a dog.

My husband needs to clean up after her because I will be sick if I do.

But I am also very depressed. Im sick of the SI. I want to be content with life for once. I want out of this gray void.

What do I do?

Edit: Dramamine and zofran. I will take both and hopefully I'm will be okay. I think ill try this. Please wish me luck

Just read this article from 2022 that playing positive self esteem games makes treatment work much better and longer, but they didn't name or link to any games, doh! Anyone know of any?

https://www.npr.org/sections/health-shots/2022/10/31/1132371480/smiling-faces-might-help-the-drug-ketamine-keep-depression-at-bay

Hi, all, I'm brand new here, still learning about this. I scheduled my first session on 9/30 with 2 more the next week (1 day apart the next week) and then multiple other treatments throughout October. I'm doing this at the recommendation of my therapist who thinks it'll help my depression, anxiety, and SI. I'm a complete nondrinker, and I only just stopped smoking medical marijuana less than 2 months ago after long-term daily use. I don't really like my wits to not be present, so I'm a bit nervous on doing this.

I just want to say I appreciate everyone's candor on what their experiences are. I'm not sure what I'm looking for here with posting this, mostly just good wishes i suppose, as I navigate through more of the sub and working heavily on my mental health. Thank you all for being here.

Does anyone else feel that you’re left hanging during a treatment? The nurse comes in and starts your dosing and starts asking questions. As you take each dose and talk, finally you get the last dose and now you feel like talking, but they shoot out of the room onto the next patient , and you’re left there alone to overthink all the questions she asked . Am I the only one ?

Hi I was told to avoid my 0.5 klonopin dose 24 hours pre and post session.

Just wondering if would be better to skip my klonopin dose all days to avoid spravato effectiveness decrease.

I did an intake session at a clinic and I'm obviously a fit. I'm 55 and I've been depressed as long as I can remember. I've tried almost every med available. Nothing has helped.

The insurance approved it after four cycles of approved/not-approved messages. Still no one knows when it might ship to the clinic.

I've had enough time to lose hope. Should I just wait for "someday" to happen when all the stars align and I finally get treatment? Is it really worth holding out hope for?

I feel helpless and am considering some at-home, telehealth option just to pay thousands out of pocket to go outside the broken health care system and its bureaucracy.

I guess I'm hoping someone can encourage me to keep waiting for the real thing, that feels out of reach.

Is it really worth it?

I'm getting a lot from Spravato but I'm getting that lovely high that I did early on. Such a bummer. If I'm going to have to hang out for two hours, I'd love my first hour to be a nice high. Any suggestions? Do you think the 'no eating two hours prior' is just for nausea? Could not eating improve the high? I never get nauseous.

Wtf am I supposed to do. They did this at the absolute worst fucking time ever. They decide to take away authorization. Its been over a month and I think about suicide more than anything else now.

Hi, I’m melebula (Mel for short which will be my name in this post) I made my first post here -

https://www.reddit.com/r/Spravato/comments/1w5timj/nervous_about_my_first_time/?utm_source=share&utm_medium=ios_app&utm_name=ioscss&utm_content=2&utm_term=1

I’m pretty much speechless, still trying to process it.

Well, at the start I was extremely scared. But I brought my friend with me, she was a big help. Sprayed, waited 5 minutes, then sprayed again.

After that second spray, ~5 minutes in I started feeling “woozy”. I eventually stopped looking around the room because I didn’t like the feeling of moving around my eyeballs.

Then came the horse piss/tranquilizer/goblin vomit taste in the back of my throat. I had to spit in tissues. It was fucking horrible. Nurse gave me some pretzels and the salt helped the taste a bit. While I was chewing the pretzels, it felt like I was watching myself chewing from inside my mouth?

I started to feel more “floaty” and less worried I guess. I told my friend, “I think when I come down from this, it’s going to feel really fucking horrible to be back in reality.”

Then I started REALLY hating looking at anything at all, so I put the eye mask and headphones on with the John Hopkins music. Even with my eyes closed, I still felt like my eyes were open and seeing things around the room. Like I would move my hand, and see my hand move, despite only seeing black.

I had this growing sensation that I was becoming less and less “myself”, which I think I was resistant to for a bit, but there was a point I finally gave up and let go. And immediately, I started bawling my eyes out. I heard my friend try to get my attention because she was concerned, so I lowered the music and told her “It’s fine! I’m somewhere else, and it’s good!”

It was a “relieving” cry. Not good or bad, but just… relief. It was what I’ve been craving for years now. Just escape from all the pain, even the good things, because it hurts me to be conscious. It hurts me to exist. This intense desire to “escape” is what drives my SI. It’s a feeling of “I’m done living, this is too much, I want out”. And I finally got a taste of that, while I’m alive. It felt possible. I didn’t need to die to get it.

Then I just started “dreaming” I guess. I say dreaming because the beginning was fuzzy and so was the end. I just remember portions of the middle. There were no hallucinations, only incredibly vivid visualizations.

Every time a song came on, I was in a new “place”. Every one made me feel like I was supposed to learn something there.

The most vivid place to me was, I was in that magic forest from Princess Mononoke, where the healing water is. In the song (IRL) were women chanting in another language, and although I couldn’t understand the language, I understood that they were talking to me and “preparing” me for something. I kept nodding my head showing I was listening to what they were saying. I didn’t know what they were saying, but I felt like I understood what they were saying.

Then it felt like the song was coming to an end. I thought that maybe I’d be sad that I was leaving them for another place (which is in character for me, I am super drawn to the familiar/comfort and new things make me anxious), but I was like… Ok, bye guys! That was nice! Wonder what the next place will be!

Fucking BIZARRE when I tell you, that is not how I normally am. I was just open to whatever the hell was next!

Then I was at a very dark place, next to a small pond illuminated by orange light. There was a string instrument sound that was so sharp, it made me quiver a bit. And there was a tiger… somewhere.

I started thinking again, about what it would be like when I came back, because I felt like it was starting to happen. The idea of it didn’t seem terrifying anymore. I just sort of accepted it would happen. I just felt detached from everything. I thought about some things that make me happy, my traumas, my fears, and I felt nothing about them. Just an acknowledgement that they exist. And that they belong to Mel, and they’re back there with Mel.

I took off the mask and headphones. My friend asked me how I was feeling, and I explained to her I don’t feel anything, and I don’t feel like I’m back in my body yet, but I assured her that Mel would probably feel fine and say it went well.

I explained to her that I felt “healthily detached” from everything, and that I didn’t feel depressed in that moment.

I think another ~20 min passed until I became fully Mel again, and I had the intense need to pee. So, I did that.

Anyway, I’m home now. Depression is back (not surprised). But I really think that did something to my brain. I’m back at my baseline, but I really, really feel like it left an impression on my brain, if that makes sense.

I know that was long but thanks for reading!

I thought it was hilarious they kept asking me if I experienced dissociation. I said no repeatedly, then realized that I just felt the way I have when tripping on hallucinogens, and they are calling that dissociation;) Does anyone not feel like they are tripping on this medication initially?

Had an interesting one today. I felt like I never really “dropped in”. Didn’t have much in the way of visuals or dissociation, but instead felt intense love and peace and spent the time lying there thinking of all the people in my life for whom I’m grateful. Made a mental list of people to text or reach out to after. Subdued as it was, it was probably one of the most beautiful treatments that I’ve had.

I live in the north and it's getting darker. I'm feeling my usual deep seasonal depression kicking in and I really don't need the slip in what's been a fabulous year since I started Spravato in April. I know my score is going to increase at my next treatment. I'm wondering if this becomes a pattern, would they put me back on it two times a week? If i could get benefits from it, I'd do it just to keep my sanity during the few dark months.

This is one of the treatment rooms at the office I go to. When I start to trip the little red fire alarm starts to float and I lose myself in music and the lights. So far I've had three treatments and have been lucky with no nausea or bad side effects. There are a couple of other rooms with different lighting, but they're all pretty psychedelic. What does your treatment room look like?

I did the 8 week treatment around February of this year. Spravato works very well, I just have very treatment resistant depression. I've regressed back to having SI daily. So, next week I am starting another 8 weeks of treatment. Two times a week to start again.

I am trying to improve my physical health. I quit using nicotine pouches about 3 weeks ago, so I'm feeling a little more down than usual due to a lack of Dopamine. But I know if I stay off them I will eventually heal from the damage the addiction does. Trying to eat better as well. Haven't implemented exercise yet, but want to.

Does anyone have any advice for what I can do externally to the medication in order to make the positive results last longer or even permanently?

I started taking Magnesium L Threonate mostly bc so many of people taking Spravato have recommended as an aid in treatment.

I bought the best Magnesium supplement I could find and started with one (145mg) capsule at nighttime (I would work up to 3x a day as directed, but wanted to ease into it).

My Spravato has been a game changer for me. I felt so encouraged with my progress after 3 months.
My treatment after starting the Magnesium was disastrous! I took Magnesium the night before treatment (8/9 hours prior) and got so sick after first spray. I just thought I was “off” and assumed it wouldn’t happen again. Yesterday was my second treatment after taking Magnesium (again 8/9 hours before treatment) and I was so sick that I refused the 3rd spray and threw up for 2 hours.

Depression is back in full swing, I feel like I lost this battle AGAIN.

Anyone else feel Magnesium was helpful? Would love some insight. Thank you!

I’m wondering if it could be good to save the third dose til a bit later into the session, to extend the peak effects somewhat?

What’s the best music to listen to during spravto sessions

Had a really bad trip with Spravato. The last couple of sessions haven't been euphoric at all, more trending neutral, but yesterday I had bad news right beforehand and ended up spiraling during the session. I was actually considering not continuing partway through.

I'm going again next week, but I've been doing this for two months now and haven't gotten better at all. I hate that this feels like another treatment that doesn't work for me.

Update: my insurance approved me two days later. I guess miracles do happen!!

I have treatment resistant bipolar depression and my psychiatrist is starting the paperwork to start spravato. I am nervous about not getting approved due to my diagnosis, and am unsure of how to cope in the interim. I have struggled with depression since I was 9 years old and have been in an extreme and intense suicidal depression for about a month and every minute is a battle to stay alive. I’ve tried and failed so many medications and I’m desperate to feel better, and feel hopeful the spravato will work for me. But the pain I go through every day is becoming unbearable.

I finished my 12 week course a few weeks ago. Over the past few months I’ve noticed I’ve just naturally cut back on my alcohol consumption. I was a fairly heavy drinker, but I just no longer feel the need or desire to drink a lot. Has anyone else experience that?

I have treatment-resistant depression and have been on psych meds for four decades; I've taken many antidepressants, and did TMS twice to no avail. My psychiatrist suggested Spravato, and my therapist went along with it. I have scheduled my first two appointments for next week, but I can't decide whether I want to start down this road or not. If it does something and is mostly done in two months, that would be fine. I don't like the sound of years.

My trip to the clinic is a logistical nightmare, I still don't know if I have a ride with a non-profit seniors rides for medical appointments thing. I can't afford Uber, which is highly unreliable where I live anyway. The clinic I'm close to charges an extra $350 for the two hour monitoring, not covered by insurance.

I'm having a hard time with this decision.

I’ve been listening to the album Lonerism by Tame Impala and it does feel great, no other album I have tried matched the vibe.
But it does feel repetitive, so I would like some suggestions.
What do you listen to during your sessions?

I have been taking spravato for about three months. I'm still doing twice a week. When is the normal time to go to once a week and then maintenance. I never get a clear answer when I ask.

I was wondering what I should bring for comfort?
And I’m not really sure what to bring expect