Spravato Treatment
in Washougal, WA
Pacific Phoenix Psychiatry and TMS provides innovative solutions like Spravato™ for those in Washougal, WA, struggling with severe depression. Our compassionate team provides a supportive environment for this transformative, FDA-approved treatment, helping you find a path toward relief and recovery.
What Is Spravato™ in Washougal, WA?
Rapid Symptom Relief
Unlike many traditional antidepressants that can take weeks to become effective, Spravato™ can provide symptom relief much more quickly. Some patients report feeling better within hours of their first treatment, offering fast-acting hope when it’s needed most.
For Treatment-Resistant Depression
Treatment-resistant depression (TRD) affects nearly one-third of adults with major depressive disorder. Spravato™ was specifically developed to provide a new option for these individuals, offering a breakthrough when other treatments have failed to provide adequate relief.
Supervised and Safe Administration
Spravato is a potent medication requiring professional oversight. At our certified treatment center, it is administered under the direct supervision of our clinical team. We monitor you throughout the session to ensure your safety and manage any potential side effects.
TMS Therapy
For patients exploring options for treatment-resistant depression, Transcranial Magnetic Stimulation (TMS) is another advanced, non-invasive therapy available at our practice. It uses magnetic fields to stimulate nerve cells in the brain involved in mood regulation.
IM Ketamine Therapy
Alongside Spravato™ (esketamine), we provide IM Ketamine Therapy. While both utilize the therapeutic properties of ketamine, the administration methods differ. Our team can help determine which approach is best suited to your specific clinical needs.
Comprehensive Medication Management
Spravato™ is part of a comprehensive treatment plan that includes an ongoing oral antidepressant. Our experts provide thorough medication management to ensure all components of your care work together effectively for your mental wellness.
Military and Veteran Services
We are proud to offer dedicated military and veteran services. Our team is experienced in addressing the unique mental health challenges faced by service members and veterans, providing access to advanced treatments like Spravato™, TMS, and trauma-focused therapy.
Meet Your Compassionate Care Team
Our practice is led by board-certified psychiatrist Elia Gonzalez-Rodriguez, MD, and includes a dedicated team of providers like Vaishali Shah, MD, Darcy Trenkle, MD, and Angela Kline, PA. We are committed to providing judgment-free, warm, and friendly support. Our team honors the trust you place in us by delivering care that exceeds expectations.

Our Spravato™ Process
Initial Consultation and Evaluation
Your journey begins with a comprehensive evaluation with one of our providers. We will review your medical history and past treatments to determine if Spravato™ is a suitable and safe option for you.
Creating Your Treatment Schedule
If you are a candidate, we will develop a personalized treatment schedule. The initial phase typically involves two treatment sessions per week for the first month, with frequency adjusted over time based on your response.
Your In-Office Treatment Session
On treatment day, you will self-administer the Spravato™ nasal spray under the guidance of our staff. The process is simple and takes place in a private, serene treatment room.
Monitored Relaxation Period
Following administration, you will rest comfortably in our office for approximately two hours. Our team will monitor you during this time to ensure your well-being and manage any potential side effects.
Planning Your Safe Ride Home
For your safety, you cannot drive or operate heavy machinery for the rest of the day after treatment. You must arrange for a friend, family member, or ride service to take you home.

Who Benefits from Spravato™?
Pacific Phoenix Psychiatry and TMS provides innovative solutions like Spravato™ for those in Washougal, WA, struggling with severe depression. Our compassionate team provides a supportive environment for this transformative, FDA-approved treatment, helping you find a path toward relief and recovery.
Conditions We Treat
- Depression Treatment
- Anxiety Treatment
- PTSD Treatment
- OCD Treatment
- Treatment-Resistant Depression

What Better Can Look Like
Dr.Trenkle was not only super friendly and approachable but she made me feel comfortable coming to her and expressing my needs. She helped me map out a plan to help reach my mental health goals and gave me multiple courses of action. She explained things in detail making sure I understood and asked me what I wanted and what my goals were instead of just telling me what she decided like others ive seen through out my life.

Such a great experience at Pacific Phoenix. I always felt supported by the staff. The nurse and staff were great at answering all my questions. My favorite thing about my experience was always feeling like I was being heard and cared for.

This was my first appointment with Dr. Trenkle, I was a bit nervous and not sure what to expect, but in the end was very satisfied with my experience. The office and atmosphere is very calming from first walking in the door, very clean and the staff was friendly. Her all around aurora gave calming and attentive. Definitely looking forward to future visits with her.

I had an incredibly positive experience with Tate Landers at Pacific Phoenix Psychiatry and TMS. From the very beginning, he created a calm, welcoming environment where I felt genuinely heard and understood. He took his time with me, listened carefully to my concerns, and asked thoughtful questions that showed he truly wanted to understand what I was going through, not just check boxes or rush to conclusions.

Dr. Trenkle and her team (specifically Isabella) are the BEST! The office environment doesn't feel sterile like your typical doctor's office, and everyone is professional and friendly. This was my first time seeing a psychiatrist and I have seen positive results. I've recommended this office to friends, especially those looking for female practitioners.

Every person that I came into contact with at Pacific Phoenix was incredibly kind and helped me feel at ease. Treatment was a breeze and I feel so much better now! Special shout out must be given to Tielor. Tielor was the tech for most of my appointments and we had such a good time just chatting away. I felt comfortable and like I was visiting with a friend, which made the daily appointments easier.

I was in need of help with meds and decided to call and see what their availability was like. The receptionist Alyssa was so kind and let me know their soonest availability and walked me through the process of the paperwork. She was incredibly helpful during a very vulnerable time. The provider Brooke really listened to me and what was happening in my life and came up with a solid care plan for me.

Cost of Spravato™ in Washougal, WA
Pacific Phoenix Psychiatry and TMS provides innovative solutions like Spravato™ for those in Washougal, WA, struggling with severe depression. Our compassionate team provides a supportive environment for this transformative, FDA-approved treatment, helping you find a path toward relief and recovery.
FAQ About Spravato™ in Washougal, WA
How is Spravato™ different from other antidepressants?
Spravato™ works on a different neurotransmitter system (glutamate) than most oral antidepressants and often produces results much faster. It is specifically designed for individuals who have not responded to at least two other antidepressant treatments.
What happens during a Spravato™ treatment session?
You’ll administer the nasal spray yourself in a private room. Afterward, you will relax for a two-hour observation period while our team monitors you for comfort and safety. Many patients use this time to listen to music or rest quietly.
Can I drive home after my Spravato™ appointment?
No. For your safety, you are required to arrange for transportation home. You will not be permitted to drive, operate machinery, or perform tasks requiring full alertness for the remainder of the day.
Is Spravato™ covered by insurance?
Many insurance plans cover Spravato™ for treatment-resistant depression, but coverage can vary. Our staff at Pacific Phoenix Psychiatry and TMS can assist you in verifying your benefits and understanding any potential out-of-pocket costs before beginning treatment.