Who Is Spravato® For? Understanding Treatment-Resistant Depression

Not all depression responds to standard medications. For some people, even after trying multiple antidepressants, symptoms remain. This is known as treatment-resistant depression (TRD), and it affects millions of adults worldwide. If you’ve been asking who is Spravato® for, this article explains the criteria, what TRD means, and why Spravato may be an option.

What Is Treatment-Resistant Depression?

Depression is considered “treatment-resistant” when at least two different antidepressants have been tried at the right dose and duration without significant improvement. People with TRD often continue to experience:

  • Persistent sadness or hopelessness

  • Loss of interest in daily activities

  • Fatigue or lack of motivation

  • Difficulty concentrating

  • Disrupted sleep patterns

TRD can be particularly challenging because it reduces quality of life and can leave patients feeling as though nothing will help. That’s why FDA-approved options like Spravato® are important.

Who May Be Eligible for Spravato®?

Spravato® is indicated for adults with treatment-resistant depression. It may be appropriate if you:

  • Have been diagnosed with major depressive disorder (MDD).

  • Have tried at least two oral antidepressants without sufficient improvement.

  • Continue to experience symptoms despite ongoing treatment.

  • Are under the care of a provider who can determine if Spravato is suitable.

Spravato is always prescribed alongside an oral antidepressant and administered only in a certified medical clinic under supervision.

Who May Not Be a Candidate?

Spravato is not right for everyone. It may not be recommended for people with certain medical conditions, uncontrolled blood pressure, or a history of substance misuse. Pregnant or breastfeeding individuals should also consult closely with their doctor. Only a licensed healthcare provider can determine eligibility.

Why This Matters

Knowing who Spravato is for helps set clear expectations. Spravato is not a first-line treatment — but it is an important, FDA-approved option for people living with TRD who have struggled to find relief. For those patients, it may provide a much-needed alternative and renewed hope for recovery.

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What Is Spravato®?

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What to Expect During a Spravato® Treatment Session