Spravato Treatment
in Gresham, OR
Pacific Phoenix Psychiatry and TMS offers access to innovative Spravato™ in Gresham, OR, providing new hope for individuals with challenging mental health conditions. This FDA-approved nasal spray is a groundbreaking option for adults who have not found relief from traditional antidepressant medications. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward wellness.
What Is Spravato™ in Gresham, OR?
Transcranial Magnetic Stimulation (TMS)
TMS is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. We offer Traditional TMS and Accelerated TMS protocols to suit individual patient needs.
Medication Management
Our psychiatric providers specialize in creating and managing personalized medication plans. We carefully monitor effectiveness and make adjustments as needed to optimize your mental health outcomes.
IM Ketamine Therapy
Intramuscular (IM) ketamine is another innovative option for treating severe depression and other mood disorders. Administered in our clinic, it can provide rapid relief by promoting new neural connections.
Psychiatric Care
We provide comprehensive psychiatric care that addresses your total health. Our services include thorough evaluations, diagnosis, and ongoing treatment for a wide range of mental health conditions.
GeneSight Testing
GeneSight testing analyzes how your genes may affect your outcomes with certain medications. This genetic insight helps our providers make more informed decisions for your medication management plan.
PTSD Treatment
We offer specialized care for Post-Traumatic Stress Disorder, including trauma-focused therapy and medication management. Our team is dedicated to helping patients, including military veterans, manage their symptoms and heal.
Anxiety Treatment
Our approach to anxiety treatment involves developing personalized strategies to help you manage symptoms and regain control. We may use a combination of effective treatments, such as Cognitive Behavioral Therapy (CBT) and targeted medication management.
Meet Our Compassionate Care Team
Our team of dedicated mental health professionals is committed to providing a judgment-free and supportive environment. Led by board-certified psychiatrist Elia Gonzalez-Rodriguez, MD, our providers, including Vaishali Shah, MD, Darcy Trenkle, MD, and Angela Kline, PA-C, work collaboratively to ensure you receive care that is both comprehensive and empathetic.

Our Spravato™ Process
Comprehensive Initial Assessment
Your journey begins with a thorough evaluation with one of our providers. We will review your medical history, symptoms, and past treatments to determine if Spravato™ is a suitable and safe option for you.
Personalized Treatment Planning
If Spravato™ is right for you, we will create a personalized treatment schedule. This plan outlines the frequency and duration of your sessions, which are typically twice a week for the first month.
Supervised In-Office Administration
You will self-administer the Spravato™ nasal spray under the direct supervision of our clinical staff in our comfortable Gresham office. Our team will be there to support you throughout the administration process.
Post-Treatment Observation
For your safety, you will relax in our office for a mandatory observation period of at least two hours after your dose. This allows our team to monitor your response and be available for any immediate needs.
Ongoing Progress Monitoring
We work closely with you to track your progress and manage your overall treatment plan. This includes regular follow-up appointments and adjustments to your care as needed to support your long-term well-being.

Who Benefits from Spravato™?
Pacific Phoenix Psychiatry and TMS offers access to innovative Spravato™ in Gresham, OR, providing new hope for individuals with challenging mental health conditions. This FDA-approved nasal spray is a groundbreaking option for adults who have not found relief from traditional antidepressant medications. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward wellness.
Conditions We Treat
- Diagnosed with Treatment-Resistant Depression
- Have MDD with Acute Suicidal Thoughts
- Found At Least Two Other Antidepressants Ineffective
- Are Seeking a Rapid-Acting Option
- Can Commit to In-Office Monitoring

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 Gresham, OR
Pacific Phoenix Psychiatry and TMS offers access to innovative Spravato™ in Gresham, OR, providing new hope for individuals with challenging mental health conditions. This FDA-approved nasal spray is a groundbreaking option for adults who have not found relief from traditional antidepressant medications. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward wellness.
FAQ About Spravato™ in Gresham, OR
What is the potential cost of Spravato™ treatment?
The cost of Spravato™ can vary based on your insurance coverage and treatment plan. Many insurance plans, including Medicare, may cover a significant portion of the cost. We will verify your benefits and provide a detailed estimate. For those paying out-of-pocket, please contact our office for specific pricing information.
How is Spravato™ different from other antidepressants?
Spravato™ works differently from most oral antidepressants. While traditional medications often target serotonin, norepinephrine, or dopamine, Spravato™ (esketamine) is an NMDA receptor antagonist. This different mechanism of action is believed to be why it can produce rapid antidepressant effects.
Do I need a driver after my Spravato™ session?
Yes, you must arrange for transportation home after each treatment. Due to the potential for sedation and dissociation, you cannot drive, operate heavy machinery, or make important decisions until the day after your session, following a restful sleep.
Who is a candidate for Spravato™?
Spravato™ is FDA-approved for adults with treatment-resistant depression (TRD) who have not responded to at least two other antidepressant medications. It is also approved for adults with major depressive disorder (MDD) who are experiencing acute suicidal thoughts or behaviors. A comprehensive evaluation at our Gresham clinic is required to determine if you are a candidate.