Still Struggling With Depression? There's Hope Beyond Traditional Treatment.

Discover Spravato treatment with experienced providers right here in Ashland.

FEEL LIKE YOURSELF AGAIN

You've Tried Antidepressants. You've Done Therapy. You're Still Struggling.

Maybe you've been on multiple medications. Maybe therapy helps, but not enough. You're functioning—going through the motions—but you're not really living. The heaviness is still there. The lack of joy. The exhaustion. And the worst part? Feeling like you've run out of options.


You deserve better than just "managing" depression. You deserve to feel like yourself again.

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It Starts With the Right Support

A Different Kind of Treatment for Depression

Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression. It works differently than traditional antidepressants and is administered in our office under medical supervision. At Aim Behavioral Health, Spravato is part of a comprehensive treatment approach. Every patient receives a thorough psychiatric evaluation to determine whether Spravato is appropriate, along with ongoing medication management and support throughout treatment. Our experienced clinicians guide you through each step—from evaluation to treatment and follow-up—so you’re never left wondering what comes next.

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Let’s get started together!

Your Path to Feeling Better Is Simpler Than You Think

  • Step 1: Schedule Your Consultation
  • Meet with one of our experienced clinicians to discuss your history, symptoms, and treatment goals. We'll determine if Spravato is right for you and answer all your questions.


  • Step 2: Begin Treatment
  • Spravato is administered in our comfortable office setting. Sessions typically start at twice weekly, with our medical team monitoring you throughout. We'll also address any other mental health concerns with comprehensive psychiatric care.


  • Step 3: Experience Progress
  • As treatment continues, we'll adjust your plan based on your response and work together toward lasting relief from depression.
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prioritizing your mental health

Imagine Waking Up and Actually Looking Forward to Your Day

Imagine the weight finally lifting. Feeling joy again—real joy—not just the absence of pain. Being present in your
own life instead of just going through the motions.


That's what relief from depression can look like. And that's what we're here to help you achieve

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Support Is Here to Guide You

You Don't Have to Do This Alone

Our dedicated team is fully prepared to assist you in exploring whether Spravato treatment is the right option for you. We understand the importance of finding the right path to recovery, and we’re here to support you every step of the way. Take the first step toward reclaiming your well-being and feeling like yourself again. Additionally, we accept most insurance plans, making the process more accessible. We will also help you navigate your insurance coverage, ensuring you have a clear understanding of your benefits as you embark on this journey.

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 Every Step of the Way

Experienced Care You Can Trust

  • Aim Behavioral Health has been serving the Ashland community since 2014


  • Team of experienced providers trained and certified in Spravato treatment


  • A comprehensive approach addressing all aspects of your mental health


  • Collaborative care that puts you at the center
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We're Here For You

Is Spravato Right for Me?

Spravato may be an option if you:


  • Have tried two or more antidepressants without enough relief

  • Continue to struggle with depression despite therapy


  • Are able to attend monitored, in-office treatment sessions


  • Can arrange a driver to take you home after each session


During treatment days, patients cannot drive themselves home and should plan to rest for the remainder of the day. Our team will review all requirements with you before starting treatment.

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Frequently Asked Questions About Spravato

Comprehensive Answers for Your Guidance

  • What is Spravato?

    Spravato® (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression and major depressive disorder (MDD). It may be used alone or with an oral antidepressant.


    Unlike traditional antidepressants that primarily affect serotonin, Spravato works on the brain’s glutamate system (NMDA receptors) and may help improve symptoms more rapidly in some patients.

  • Who is a good candidate for Spravato?

    Spravato may be appropriate for adults whose depression has not improved after at least two antidepressants or who require more rapid symptom relief. A comprehensive psychiatric evaluation is required to determine eligibility.

  • Is Spravato the same as ketamine?

    Spravato contains esketamine, a form of ketamine that is FDA-approved specifically for depression and administered under strict medical guidelines. It differs from IV ketamine infusions offered at some clinics.

  • How is Spravato administered?

    Spravato is self-administered as a nasal spray in our Ashland, KY office under supervision. Blood pressure is checked before treatment, and patients remain for approximately two hours afterward for monitoring.


    You are required to arrange transportation home. Driving is not permitted until the next day after a full night’s sleep.

  • How often is treatment given?

    Treatment typically begins twice weekly for four weeks. After the initial phase, sessions are spaced weekly or every other week based on response and symptom stability.

  • How quickly does Spravato work?

    Some patients notice improvement within the first few treatments, while others may require several weeks. Individual response varies.

  • What are the most common side effects?

    Common side effects include dissociation (feeling disconnected), dizziness, nausea, drowsiness, increased blood pressure, headache, and a temporary unpleasant taste.


    These effects usually occur shortly after dosing and resolve the same day. Spravato is not commonly associated with weight gain or sexual side effects.

  • Are there additional risks?

    Spravato can temporarily impair attention, judgment, and reaction time on the day of treatment.


    There is potential risk of misuse, particularly in individuals with a history of substance use disorder. In rare cases, worsening depression or suicidal thoughts may occur, especially early in treatment.

  • How should I prepare?

    Arrange a responsible adult to drive you home.


    Avoid eating for 2 hours before treatment and drinking liquids for 30 minutes beforehand to reduce nausea risk.


    Plan to remain in the office for about two hours after each session.

  • Who should not receive Spravato?

    Spravato is not approved for individuals under 18.


    It should not be used in patients with:


    • Aneurysmal vascular disease
    • Arteriovenous malformations
    • History of intracerebral hemorrhage
    • Allergy to esketamine or ketamine

    It is not recommended during pregnancy. A full medical evaluation is required before treatment.

  • Will insurance cover Spravato?

    Many commercial plans, Medicare, and Kentucky Medicaid cover Spravato for approved indications. Prior authorization is usually required.


    Our team verifies coverage and manages the authorization process before treatment begins.

  • Do I need a referral?

    A referral is not required. We coordinate with your current providers when appropriate.

  • How do I get started?

    Schedule a consultation to determine whether Spravato treatment in Ashland, KY is appropriate for you.


    Call 606-618-0282 or submit a request through our Contact page.

Behavioral Health