Spravato Treatment
in Steilacoom, WA
Pacific Phoenix Psychiatry and TMS offers innovative Spravato™ in Steilacoom, WA, for adults with treatment-resistant depression. For individuals who have not found relief with traditional antidepressant medications, this FDA-approved nasal spray offers a new path forward. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward better mental health.
What Is Spravato™ in Steilacoom, WA?
Novel Mechanism of Action
Unlike many antidepressants that focus on serotonin or norepinephrine, Spravato™ works on the NMDA receptor pathway in the brain. This different mechanism is a key reason it may be effective when other treatments have not provided adequate relief.
For Treatment-Resistant Depression
This therapy is specifically indicated for patients with treatment-resistant depression. This clinical term applies to individuals who have tried at least two different oral antidepressant medications during their current depressive episode without success.
Professionally Supervised Treatment
Spravato™ is a nasal spray that you self-administer in our office under the supervision of our medical team. For safety, patients are monitored for two hours after treatment and must arrange for transportation home.
Adjunctive Therapy Protocol
It is important to note that Spravato™ is not a standalone treatment. It is prescribed as an adjunctive therapy, meaning it must be used in conjunction with a daily oral antidepressant medication.
Potential for Rapid Improvement
While results vary for each person, some patients may experience a reduction in depressive symptoms more quickly than with traditional oral medications alone. Our team will work with you to monitor your response to the treatment.
Structured Dosing Schedule
Treatment follows a specific schedule, beginning with an induction phase of twice-weekly sessions for the first month. This is typically followed by a maintenance phase with less frequent sessions as determined by your provider.
Safety and Monitoring (REMS)
Due to its unique properties, Spravato™ is only available through a restricted program called a Risk Evaluation and Mitigation Strategy (REMS). This ensures that the benefits of the treatment outweigh its potential risks by requiring certified providers and settings.
Our Dedicated Psychiatry Team
At Pacific Phoenix Psychiatry and TMS, our clinical team is led by board-certified psychiatrist Elia Gonzalez-Rodriguez, MD, and includes experienced providers like Vaishali Shah, MD, Darcy Trenkle, MD, and Angela Kline, PA. We are committed to a patient-first philosophy, offering judgment-free and comprehensive psychiatric care. When you begin Spravato™, you can be confident you are supported by a knowledgeable and compassionate team.

Our Spravato™ Process
Comprehensive Initial Evaluation
Your journey begins with a thorough psychiatric assessment to confirm a diagnosis of treatment-resistant depression. We will review your treatment history and overall health to determine if you are a suitable candidate for Spravato™.
Creating Your Treatment Plan
If Spravato™ is right for you, we will create a personalized treatment plan. This outlines your dosing schedule for both the initial and maintenance phases of therapy.
Administering Your Treatment
During your appointments, you will self-administer the Spravato™ nasal spray under our team’s guidance. We provide a calm, comfortable space for you to relax during your session.
Post-Treatment Observation
After administration, you will rest in our office for a mandatory two-hour observation period. Our staff will monitor you to ensure your well-being before you are cleared to leave with your pre-arranged ride.
Ongoing Progress Monitoring
We schedule regular follow-up appointments to track your progress and make necessary adjustments to your mental health care plan. This integrates Spravato™ with our other services, such as ongoing Medication Management and TMS Therapy, for a comprehensive approach to your well-being.

Who Benefits from Spravato™?
Pacific Phoenix Psychiatry and TMS offers innovative Spravato™ in Steilacoom, WA, for adults with treatment-resistant depression. For individuals who have not found relief with traditional antidepressant medications, this FDA-approved nasal spray offers a new path forward. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward better mental health.
Conditions We Treat
- Treatment-Resistant Depression
- TMS Therapy
- Anxiety Treatment
- PTSD Treatment
- OCD Treatment

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 Steilacoom, WA
Pacific Phoenix Psychiatry and TMS offers innovative Spravato™ in Steilacoom, WA, for adults with treatment-resistant depression. For individuals who have not found relief with traditional antidepressant medications, this FDA-approved nasal spray offers a new path forward. Our compassionate team provides this treatment in a safe, monitored environment, guiding you through every step of your journey toward better mental health.
FAQ About Spravato™ in Steilacoom, WA
How is Spravato™ different from other antidepressants?
Spravato™ has a unique mechanism of action, targeting the brain’s NMDA receptors, unlike most oral antidepressants that work on serotonin or other neurotransmitters. It is administered as a nasal spray in a certified medical office and is specifically for patients who have not responded to at least two other antidepressants.
How long does a Spravato™ treatment session take?
Each session requires you to be at our office for about two hours. This includes the time to administer the nasal spray and a mandatory observation period where our medical team monitors your response.
Will I be able to drive myself home after treatment?
No, you cannot drive, operate heavy machinery, or make important decisions for the rest of the day after your treatment. You must arrange for a friend or family member to drive you home from your appointment.
Is Spravato™ covered by insurance?
Many insurance plans cover Spravato™ for treatment-resistant depression because it is an FDA-approved medication. We recommend contacting your insurance provider to understand your specific coverage, and our staff can assist with navigating the pre-authorization process.