Spravato Treatment
in Puyallup, WA
Pacific Phoenix Psychiatry and TMS provides hope for adults with treatment-resistant depression with Spravato™ in Puyallup, WA. For those who have not found relief with traditional oral antidepressants, this FDA-approved esketamine nasal spray offers a path forward. Our dedicated team administers this innovative therapy in a safe, monitored clinical environment, supporting you throughout your journey to wellness.
What Is Spravato™ in Puyallup, WA?
Who Is a Candidate for Spravato™?
Spravato™ is designed for adults with treatment-resistant depression (TRD) who have tried at least two oral antidepressants without adequate relief. A thorough psychiatric evaluation at Pacific Phoenix Psychiatry and TMS is required to review your medical history, confirm a TRD diagnosis, and ensure this treatment is an appropriate and safe choice for you. It is always used in combination with a daily oral antidepressant.
Spravato™ Cost and Insurance Coverage
The cost for Spravato™ treatment in the Puyallup, WA area typically ranges from $550 to $950 per session, depending on your insurance coverage and specific treatment plan. Many major insurance providers cover Spravato™ for TRD. Our administrative team can help you verify your benefits and understand any out-of-pocket costs to make treatment as accessible as possible.
Treatment-Resistant Depression (TRD)
When major depressive disorder does not respond to multiple standard antidepressant medications, it is known as treatment-resistant depression (TRD). At our practice, we offer innovative treatments like Spravato™, IM Ketamine Therapy, and Transcranial Magnetic Stimulation (TMS) to provide new hope for managing persistent symptoms.
Anxiety Disorders
Anxiety disorders involve persistent, excessive fear that can be debilitating. Our comprehensive approach to conditions like generalized anxiety disorder and panic disorder often combines expert Medication Management with therapeutic modalities tailored to your specific symptoms, helping you regain control.
Post-Traumatic Stress Disorder (PTSD)
PTSD can develop after experiencing a traumatic event, causing symptoms like flashbacks and severe anxiety that disrupt daily life. We provide compassionate PTSD Treatment, including trauma-focused therapy and specialized Military and Veteran Services to address the unique challenges faced by this community.
Obsessive-Compulsive Disorder (OCD)
OCD is characterized by a distressing cycle of unwanted, intrusive thoughts (obsessions) and repetitive behaviors (compulsions). In addition to therapy and medication, our practice offers advanced OCD Treatment options like Transcranial Magnetic Stimulation (TMS), a non-invasive procedure that can help regulate neural activity associated with OCD.
Personalized Medication Management
Finding the right antidepressant can be challenging, as genetics influence how your body responds to medication. We utilize GeneSight Testing to analyze how your genes may affect your response to certain drugs. This data helps guide our Medication Management strategies, allowing for a more personalized and effective treatment plan.
Our Dedicated Psychiatric Team
Led by board-certified psychiatrist Elia Gonzalez-Rodriguez, MD, the team at Pacific Phoenix Psychiatry and TMS is committed to providing judgment-free, empathetic mental health care. We believe in building a trusting partnership with each patient, combining extensive experience in psychiatric medicine with a passion for innovative treatments like Spravato™ to help you on your path to recovery.

Our Spravato™ Process
Comprehensive Initial Assessment
Your journey begins with a detailed psychiatric evaluation with one of our providers. We will review your health history and past treatments to confirm if Spravato™ is a suitable and safe option for your condition.
Creating Your Treatment Plan
If you are a candidate, we will design a personalized treatment schedule. This plan outlines the frequency of your initial induction phase sessions and the subsequent maintenance phase, ensuring it aligns with your clinical needs.
Supervised Treatment Sessions
At each appointment, you will self-administer the Spravato™ nasal spray under the direct supervision of our clinical staff in a comfortable setting. Your safety and comfort are our top priorities.
On-Site Observation Period
After administration, you will rest in our office for a mandatory two-hour observation period while our team monitors you. You must arrange for transportation home, as you will not be permitted to drive or operate machinery for the rest of the day.
Ongoing Progress Monitoring
We continuously track your response to treatment and overall progress through regular check-ins. This allows us to make any necessary adjustments to your care plan to ensure the best possible outcome.

Who Benefits from Spravato™?
Pacific Phoenix Psychiatry and TMS provides hope for adults with treatment-resistant depression with Spravato™ in Puyallup, WA. For those who have not found relief with traditional oral antidepressants, this FDA-approved esketamine nasal spray offers a path forward. Our dedicated team administers this innovative therapy in a safe, monitored clinical environment, supporting you throughout your journey to wellness.
Conditions We Treat
- Treatment-Resistant Depression
- Anxiety Disorders
- Post-Traumatic Stress Disorder (PTSD)
- Obsessive-Compulsive Disorder (OCD)
- Personalized Medication Management

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 Puyallup, WA
Pacific Phoenix Psychiatry and TMS provides hope for adults with treatment-resistant depression with Spravato™ in Puyallup, WA. For those who have not found relief with traditional oral antidepressants, this FDA-approved esketamine nasal spray offers a path forward. Our dedicated team administers this innovative therapy in a safe, monitored clinical environment, supporting you throughout your journey to wellness.
FAQ About Spravato™ in Puyallup, WA
How quickly does Spravato™ work?
While results vary, some patients report improvement in depressive symptoms within hours to days of their first few treatments. The most significant benefits are typically observed after completing the initial series of sessions over several weeks.
Can I drive myself home after a Spravato™ session?
No. For your safety, you cannot drive, operate heavy machinery, or make important decisions for the rest of the day after treatment. You must arrange for a friend, family member, or ride-share service to take you home.
What does the post-treatment observation involve?
The two-hour observation is a crucial safety measure. You will relax in a comfortable chair in our office while our staff monitors your blood pressure and overall well-being. You will be cleared to leave once our team confirms you are stable and ready.
Is Spravato™ the same as ketamine therapy?
Spravato™ contains esketamine, which is a component of the ketamine molecule. However, it is a distinct, FDA-approved nasal spray specifically for treatment-resistant depression (TRD) used with an oral antidepressant. Our practice also offers IM Ketamine Therapy, which uses a different compound and administration method.