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Spravato (Esketamine) in San Diego, California

Compare 11 Spravato (Esketamine) clinics in San Diego, California that offer care for treatment-resistant depression and major depressive disorder. Review services, ratings, and contact details to find the right provider near you.
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Clinics

11 clinics shown

  • A Better Way Psychiatry & TMS

    TMS therapy and psychiatric medication management are provided at A Better Way Psychiatry & TMS, located in the Scripps Ranch area of San Diego. The practice treats adults with depression, including those whose symptoms have not responded adequately to antidepressant medications. Board-certified psychiatrists oversee both TMS protocols and ongoing medication adjustments. The clinic accepts most major insurance plans for covered services.

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  • A Better Way Psychiatry & TMS

    TMS therapy and psychiatric medication management are provided at A Better Way Psychiatry & TMS in La Jolla, serving adults with treatment-resistant depression and related mood disorders. The practice, located on La Jolla Village Drive, combines neuromodulation with traditional psychiatric care under physician supervision. Sessions are structured around individual treatment protocols, with TMS typically administered in daily courses over several weeks.

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  • Advanced Psychiatry Associates

    Advanced Psychiatry Associates operates an outpatient psychiatric practice in Hillcrest on Fourth Avenue, providing medication management and psychotherapy for adults with mood, anxiety, and other mental health conditions. The practice is staffed by psychiatrists and therapists who conduct evaluations and ongoing treatment in a traditional office setting. Specific procedural treatments such as TMS or ketamine are not mentioned in available listings; patients seeking those modalities should inquire directly about current service offerings.

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  • Aloha Integrative Health

    Aloha Integrative Health operates a mental health practice in San Diego's Sorrento Valley area, providing psychotherapy and psychiatric services to adults. The clinic is located on Executive Drive near the I-805 corridor. Specific treatment modalities such as TMS, esketamine, or ketamine therapy are not detailed in available listings; prospective patients should verify whether these procedural treatments are offered when scheduling consultations.

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  • Ankur Bindal, MD

    Dr. Ankur Bindal operates a psychiatric practice on Sorrento Valley Road in San Diego's Sorrento Valley business district. The practice provides psychiatric evaluations and medication management for adults with mood, anxiety, and related mental health conditions. Specific treatment modalities beyond standard psychiatric care—such as TMS, esketamine, or ketamine therapy—are not detailed in available listings; patients should inquire directly to confirm whether procedural treatments are offered at this location.

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  • Dr. Manish V. Sheth

    Dr. Manish V. Sheth operates a psychiatric practice in San Diego's Sorrento Valley area, providing outpatient mental health services for adults. The practice focuses on psychiatric evaluations and medication management. Specific treatment modalities such as TMS, esketamine, or ketamine therapy are not detailed in available information; prospective patients should contact the office to confirm which services are offered beyond standard psychiatric care.

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  • Mental Health Center of San Diego

    The Mental Health Center of San Diego operates a psychiatric practice in Pacific Beach, providing outpatient mental health services including psychiatry and psychotherapy. The clinic, located on Grand Avenue, treats adults through medication management and counseling approaches. Specific procedural treatments such as TMS or esketamine are not listed in available data; patients seeking those interventions should contact the practice to confirm current offerings.

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  • Paxina Health

    Paxina Health operates a mental health clinic in San Diego's Carmel Valley area, located on High Bluff Drive near the I-5 corridor. The practice provides outpatient psychiatric services for adults, though specific treatment modalities such as TMS, esketamine, or ketamine therapy are not detailed in available listings. Patients seeking information about particular procedural treatments or specialty protocols should contact the clinic directly to confirm current service offerings.

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  • Psychiatric Centers-San Diego: Koenig Scott

    Dr. Scott Koenig practices outpatient psychiatry in San Diego's Mission Valley area, located on Hotel Circle North near Interstate 8. The practice provides psychiatric evaluations and medication management for adults with mood disorders, anxiety, and related conditions. Specific procedural treatments such as TMS or esketamine are not detailed in available information; patients should contact the office to confirm current service offerings beyond standard psychiatric care.

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  • UC San Diego Health Psychiatry

    UC San Diego Health operates an outpatient psychiatry clinic in La Jolla, located on Villa La Jolla Drive near the university campus. The practice provides psychiatric evaluations and medication management for adults with mood, anxiety, and other mental health conditions. Specific procedural treatments such as TMS or esketamine are not detailed in available information; patients should contact the clinic to confirm which services beyond standard psychiatric care are offered at this location.

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About Spravato (Esketamine)

Spravato is the brand name for esketamine, an FDA-approved nasal spray for treatment-resistant depression and major depressive disorder with suicidal ideation. It's derived from ketamine and works on the brain's glutamate system — a different mechanism than traditional antidepressants like SSRIs.

Treatment is administered only at REMS-certified clinics under direct medical supervision. Patients self-administer the spray under a clinician's guidance, then remain at the clinic for at least two hours of monitoring after each dose. The induction phase typically involves twice-weekly sessions for four weeks, followed by weekly or biweekly maintenance dosing depending on response.

Many patients report meaningful symptom improvement within the first one to two weeks — substantially faster than the 4 to 8 weeks typical of oral antidepressants. Spravato is taken alongside an oral antidepressant, not as a replacement.

The most common side effects are dissociation, dizziness, sedation, and elevated blood pressure during and shortly after dosing. These typically resolve within the two-hour monitoring window. Patients cannot drive on the day of treatment.

Most commercial insurance and Medicare cover Spravato for treatment-resistant depression with prior authorization. Clinics offering Spravato in our directory hold active REMS certification and are staffed to provide the required in-clinic monitoring period.