Quick summary Spravato (esketamine) is an in-clinic nasal spray treatment for treatment-resistant depression that can work rapidly for some people - sometimes producing changes within hours to days. It is given under supervision in the clinic with a required observation period afterward, and patients cannot drive the same day . Insurance coverage varies by plan; Redbud verifies eligibility and patient responsibility individually. If you’re in Fredericksburg and considering Spravato, a free 20-minute clinician call at Redbud is the best place to start. What is Spravato (esketamine) and how does it work? Spravato is an esketamine nasal spray administered in clinic under supervision. Unlike traditional oral antidepressants, Spravato can produce rapid antidepressant effects for some people with treatment-resistant depression . At Redbud, Spravato is offered as one of several high-value treatment options alongside psychotherapy, medication management, and TMS so your clinician can create an individualized plan. Who is a candidate? Spravato is typically considered for adults with treatment-resistant depression - people who haven’t sufficiently improved with standard medications and psychotherapy. Candidate evaluation includes clinical history, current medications, and medical safety screening (blood pressure considerations and other medical issues). Because Spravato is given in a clinic and requires monitoring, clinics screen carefully to make sure it’s a safe and appropriate option for each person. Redbud’s clinician-led approach focuses on shared decision-making to determine whether Spravato fits your goals and medical profile. What happens during a Spravato visit? Evaluation & plan. You’ll start with an evaluation to confirm Spravato is appropriate for you and to explain risks/benefits. Redbud offers a free 20-minute clinician call to determine fit. In-clinic dosing. Spravato is administered as a supervised nasal spray in the clinic. The staff monitors you during and after dosing. Observation & safety checks. You remain in the clinic for a post-dose observation period; blood pressure and safety are monitored because short-term effects (dissociation, blood-pressure changes, dizziness, nausea, sleepiness) can occur. Clinics commonly monitor vitals and provide support if side effects occur. No driving the same day. Because of the medication’s acute effects, plan for someone to drive you home - driving is not permitted the day of treatment. Benefits & downsides - clinical tradeoffs Potential benefits Rapid onset: Some patients notice meaningful changes within hours to days, which can be lifesaving for those in severe distress. Supervised administration: In-clinic dosing and monitoring increase safety and allow clinicians to support management of acute side effects. Potential downsides / what to expect Side effects: Common short-term effects include dissociation, dizziness, nausea, sleepiness, and transient blood-pressure increases; clinics carefully monitor and manage these. Logistics: You’ll need a ride home and multiple in-clinic visits depending on the treatment schedule. Cost variability: Insurance coverage and patient responsibility vary widely by plan; clinics (including Redbud) verify individual coverage and out-of-pocket costs before you decide. Because medication costs can be large and variable, Redbud’s guidance is to confirm costs individually rather than quoting a single self-pay per-visit rate.
Quick answer There’s no single “best” TMS option - it comes down to what matters most for you : time and speed of treatment, cost and insurance, tolerability and logistics, and clinical candidacy. Standard (conventional) TMS is the best fit when insurance coverage matters, you can commit to a multi-week schedule, and you want an evidence-based, well-tolerated course. Accelerated TMS (5-day) is ideal when you need results faster or can’t attend daily treatments for many weeks, but expect self-pay costs and more intensive treatment days. One-Day TMS is an ultra-compressed option for select candidates — attractive for people with severe time constraints — but it’s typically self-pay and appropriate only after careful safety and candidacy screening. Redbud offers all three approaches in Fredericksburg and will help you choose during a free 20-minute clinician consult. What each option actually involves Standard (Conventional) TMS Schedule: ~5 days/week for ~6–8 weeks → roughly 30–36 sessions . Insurance: Often covered when clinical criteria are met; Redbud runs benefits checks and handles prior authorization. Typical billing: Initial mapping + first treatment then per-session charge (Redbud publishes sample pricing and course estimates). Example pricing is provided so patients can see expected out-of-pocket costs. Accelerated TMS (commonly a 5-day protocol) Schedule: Multiple short sessions per day over 5 days (sometimes a 1-day option exists as a separate ultra-compressed protocol). Same basic technology as standard TMS. Why choose it: Fast — good for people limited by time, travel, or life obligations. Downsides: Typically self-pay (insurance rarely covers compressed schedules); intensive days can be tiring; not everyone is a candidate and safety/fit must be evaluated. Price examples (Redbud): 5-day ≈ $5,000 ; 1-day ≈ $2,500 (subject to change — see clinic for current rates). One-Day TMS Schedule & intent: An even more compressed single-day approach intended for select patients who need very rapid intervention. Evidence and candidacy are more limited - it’s offered only when clinically appropriate and typically self-pay. (Redbud lists 1-day as a variant of accelerated options.)
Quick Overview: Is TMS Right for You? Transcranial Magnetic Stimulation (TMS) is a non-drug, non-invasive treatment for depression (including cases that haven’t fully responded to medication or therapy). Many patients improve with TMS, and it’s generally well tolerated - typical early side effects are mild scalp sensitivity or headaches. Standard TMS usually requires daily sessions over several weeks, while accelerated TMS compresses treatments into a short 5-day or even 1-day protocol for people who need faster results or have travel/time limits. What Redbud offers in Fredericksburg At Redbud Behavioral Health - a small, clinician-led practice in Fredericksburg -TMS is offered alongside psychotherapy, medication management, and Spravato (esketamine), so clinicians can tailor a multi-modal plan when appropriate. Redbud emphasizes a personal, evidence-based approach and direct access to your clinician. Redbud’s practice specifically highlights both conventional (insurance-eligible) TMS and Accelerated TMS (5-day or 1-day) as core differentiators. Conventional TMS vs. Accelerated TMS — the essentials Conventional TMS Typically delivered ~5 days/week for ~6–8 weeks (≈30–36 sessions). Often covered by insurance when strict clinical criteria are met, Redbud handles benefits checks and prior authorization when possible. Mapping + first treatment is required as part of the protocol. Accelerated TMS (aTMS) Condenses many short sessions into a short course (5-day protocol or a 1-day option for select cases). Attractive for patients who need faster results or can’t commit to 6–8 weeks of daily visits. Usually, self-pay (insurance rarely covers accelerated schedules). Candidates are screened for safety and fit. What to expect during treatment Initial visit/mapping: TMS requires an initial mapping and first treatment session to set parameters. Typical pricing and mapping details are published for transparency. Daily sessions: With standard TMS, you'll return most weekdays for repeated sessions; accelerated protocols involve multiple short sessions per day during a compressed timeframe. Side effects & safety: Generally well-tolerated. Rare seizure risk is screened for at intake; other early effects are usually mild. Redbud emphasizes safety screening and candidacy reviews.
