Spravato Treatment
in Ridgefield, WA
At Pacific Phoenix Psychiatry and TMS, we are proud to offer Spravato™ for residents of Ridgefield, WA, as a forward-thinking option for mental wellness. Our compassionate team understands that the path to feeling better is different for everyone. For those who have tried other antidepressant medications without success, Spravato™ may offer a new sense of hope. We provide this innovative treatment in a safe, monitored environment, ensuring you receive dedicated care.
What Is Spravato™ in Ridgefield, WA?
Spravato™ (Esketamine) for TRD
Spravato™ is an FDA-approved prescription esketamine nasal spray for adults with treatment-resistant depression (TRD). If you have not found relief from at least two different oral antidepressants, Spravato™ may be an option. It works differently than traditional antidepressants by targeting the brain’s NMDA receptors, offering a new pathway to symptom relief.
Transcranial Magnetic Stimulation (TMS)
We offer advanced TMS Therapy, a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. This treatment is an excellent option for those seeking an alternative to medication. Our services include Traditional TMS and an Accelerated TMS Protocol.
Medication Management
Our psychiatric care includes expert medication management to ensure your treatment plan is effective and well-tolerated. Led by our experienced providers, we work with you to find the right antidepressant medications, make adjustments as needed, and monitor your progress. This personalized approach helps optimize your path to mental wellness.
IM Ketamine Therapy
Intramuscular (IM) ketamine therapy is another innovative treatment we provide for certain mental health conditions. Administered via injection in a controlled clinical setting, IM ketamine can provide rapid relief for individuals with severe depression. Our team ensures your safety and comfort throughout the process.
PTSD Treatment
We provide specialized PTSD treatment to help individuals process traumatic events and reduce their symptoms. Our approach includes trauma-focused therapy and other evidence-based methods tailored to your unique experiences. We offer a supportive environment for healing, including dedicated military and veteran services.
Anxiety Treatment
Our anxiety treatment programs are designed to help you regain control over your life. We utilize methods such as Cognitive Behavioral Therapy (CBT) and medication management to address symptoms of generalized anxiety, panic disorders, and social anxiety. We create a personalized plan to help you manage worry and fear effectively.
GeneSight Testing
GeneSight testing analyzes how your genes may affect your response to certain medications. This genetic test can help our providers make more informed decisions about which medications may be better suited for you. It provides a personalized tool to help guide your medication management plan.
Meet Our Compassionate Care Team
Our team is led by board-certified psychiatrist Elia Gonzalez-Rodriguez, MD. She and our entire staff at Pacific Phoenix Psychiatry and TMS are dedicated to providing judgment-free, warm, and friendly support. We honor the trust you place in us by delivering exceptional care that is tailored to your total health and well-being.

Our Spravato™ Process
Comprehensive Initial Assessment
Your journey begins with a thorough psychiatric evaluation with one of our providers. We will review your medical history, past treatments, and current symptoms to determine if Spravato™ is an appropriate option for you.
Personalized Treatment Planning
If you are a candidate for Spravato™, we will develop a personalized treatment plan. This includes scheduling your sessions and coordinating care, as Spravato™ is taken along with an oral antidepressant.
Your Supervised Treatment Session
On the day of your treatment, you will self-administer the Spravato™ nasal spray under the supervision of our medical staff. We ensure you are comfortable and in a relaxing environment for the duration of your appointment.
Professional In-Office Monitoring
Because of its potential side effects, you will be monitored in our office for at least two hours after administration. Our team will check your blood pressure and ensure you are feeling well before you are cleared to leave with your pre-arranged transportation.
Ongoing Care and Follow-Up
Your treatment plan will involve an initial series of sessions, followed by a maintenance phase. We will have regular follow-up appointments to monitor your progress, manage any side effects, and make any necessary adjustments to your overall care plan.

Who Benefits from Spravato™?
At Pacific Phoenix Psychiatry and TMS, we are proud to offer Spravato™ for residents of Ridgefield, WA, as a forward-thinking option for mental wellness. Our compassionate team understands that the path to feeling better is different for everyone. For those who have tried other antidepressant medications without success, Spravato™ may offer a new sense of hope. We provide this innovative treatment in a safe, monitored environment, ensuring you receive dedicated care.
Conditions We Treat
- Treatment-Resistant Depression (TRD)
- Major Depressive Disorder (MDD)
- Post-Traumatic Stress Disorder (PTSD)
- Anxiety Disorders
- Obsessive-Compulsive Disorder (OCD)

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 Ridgefield, WA
At Pacific Phoenix Psychiatry and TMS, we are proud to offer Spravato™ for residents of Ridgefield, WA, as a forward-thinking option for mental wellness. Our compassionate team understands that the path to feeling better is different for everyone. For those who have tried other antidepressant medications without success, Spravato™ may offer a new sense of hope. We provide this innovative treatment in a safe, monitored environment, ensuring you receive dedicated care.
FAQ About Spravato™ in Ridgefield, WA
How is Spravato™ different from other antidepressants?
Spravato™ (esketamine) works by targeting the NMDA receptor in the brain, which is a different mechanism than most common oral antidepressants that primarily affect serotonin or norepinephrine. This unique action is why it can be effective for individuals with treatment-resistant depression.
How long does a Spravato™ treatment session take?
Each treatment appointment lasts approximately two hours. This includes the time to administer the nasal spray and the required post-treatment observation period where our team will monitor you for any potential side effects.
Can I drive myself home after a Spravato™ treatment?
No, you cannot drive, operate machinery, or make important decisions for the rest of the day after your treatment. You must arrange for transportation home from our clinic after every session.
Is Spravato™ covered by insurance?
Many insurance plans, including Medicare, offer coverage for Spravato™ for treatment-resistant depression. Our staff at Pacific Phoenix Psychiatry and TMS can assist you in verifying your benefits and understanding any potential out-of-pocket costs before you begin treatment.