Spravato® (Esketamine) Treatment on Long Island

Spravato® (esketamine) is the first FDA-approved nasal-spray esketamine treatment for treatment-resistant depression and major depressive disorder with acute suicidal ideation. Zen Integrative Care is a certified Spravato treatment center serving patients throughout Long Island, Nassau County, Suffolk County, Queens, and the NYC metro area. Under the direction of Seda A. Port, NP, we deliver Spravato in a calm, comfortable, REMS-compliant environment with full insurance coordination.

What Is Spravato?

Spravato is the S-enantiomer of ketamine, formulated as a nasal spray and FDA-approved in 2019. It is administered in-office under medical supervision and is covered by most major commercial insurance plans, making it one of the most accessible breakthrough psychiatric treatments available today.

Who Is a Spravato Candidate?

• Adults with treatment-resistant depression who have failed two or more antidepressant trials
• Adults with major depressive disorder with acute suicidal ideation
• Patients with stable cardiovascular health who can be monitored for two hours post-dose

The Spravato Treatment Schedule

Spravato is delivered in two phases:

Induction Phase (Weeks 1–4)

Twice-weekly sessions for the first four weeks.

Maintenance Phase

Weekly sessions for weeks 5–8, then every one to two weeks thereafter based on clinical response.

What to Expect at Your Spravato Visit

1. Check-in & vitals — Blood pressure and brief screening
2. Self-administration — You self-administer the nasal spray under direct supervision
3. Two-hour monitored recovery — Required by REMS protocol; we provide a comfortable recliner, blankets, and a quiet environment
4. Discharge — A pre-arranged driver takes you home; no driving for 24 hours

Insurance & Cost

Spravato is covered by most major commercial insurance plans. Our team handles prior authorizations, coordinates with the manufacturer’s patient support program, and works to minimize your out-of-pocket cost.

What to Expect: Our Step-by-Step Process

1. Confidential Inquiry

Reach out by phone or our secure online form. A care coordinator will answer your questions, explain options, and help you decide whether an in-person or telehealth visit is the right starting point.

2. Comprehensive Psychiatric Evaluation

Your first clinical visit is an unrushed, in-depth evaluation with Seda A. Port, NP. We review your mental health history, prior treatments, current symptoms, medical conditions, and personal goals. By the end of the visit, you’ll leave with a working diagnosis and a tailored treatment plan.

3. Personalized Treatment Plan

Depending on your needs, your plan may include medication management, IV ketamine, Spravato, therapy referrals, or a combination. We never use a one-size-fits-all template.

4. Ongoing Monitoring & Refinement

Mental health is dynamic. We schedule structured follow-ups to track progress with validated rating scales (PHQ-9, GAD-7, PCL-5) and adjust treatment as needed.

5. Long-Term Wellness

Once stabilized, many patients shift to maintenance visits — quarterly check-ins, occasional ketamine boosters, or telehealth medication refills — so you can stay focused on living your life.

Real Results from Real Long Island Patients

“After years of trying different antidepressants without relief, ketamine therapy at Zen Integrative Care gave me my life back. Within two weeks I felt lighter than I had in a decade.” — Patient, Nassau County

“Seda took the time to actually listen. The treatment plan she built around my anxiety was the first that ever really worked.” — Patient, Suffolk County

“The Spravato program here is run with so much care — every visit I felt completely safe and supported.” — Patient, Long Island

Individual results vary. Testimonials reflect personal experiences and should not be interpreted as guaranteed outcomes.

Spravato vs. IV Ketamine — Which Is Right for You?

Both work through similar mechanisms but differ in important ways. Spravato is FDA-approved and typically insurance-covered; IV ketamine offers more precise dose control and a slightly broader evidence base for off-label uses (anxiety, PTSD, OCD, pain). We help every patient weigh the trade-offs.

FAQ — Spravato Treatment on Long Island

Is Spravato safe?

Yes — when administered in a REMS-certified setting with required monitoring. Side effects are typically mild and short-lived: dissociation, mild blood pressure elevation, transient nausea.

How quickly will I feel better?

Many patients report meaningful improvement within the first one to two weeks of induction.

Do I need to stop my antidepressants?

No — Spravato is FDA-approved for use with an oral antidepressant.

Contact Zen Integrative Care

Reach out today to schedule a confidential consultation with Seda A. Port, NP. Our team will guide you through every step — verifying insurance, scheduling your first visit, and answering any questions about treatment.

• Phone: (516) 246-9588
• Online: Request an appointment
• Service area: Nassau County, Suffolk County, Queens, and all of Long Island. Telehealth available throughout New York State.

Mental Health on Long Island — Why Local Matters

Long Island has a population of nearly three million people across Nassau and Suffolk counties, and demand for high-quality psychiatric care has grown sharply over the past decade. Wait times at many traditional psychiatry practices stretch into months, and access to advanced treatments like ketamine and Spravato is concentrated in only a handful of specialty clinics. Zen Integrative Care was built specifically to fill this gap — offering the full continuum of modern psychiatric services in one Long Island location, with same-week appointments and transparent pricing.

We see patients from every corner of Nassau and Suffolk — from the South Shore communities of Long Beach, Rockville Centre, and Babylon, to the North Shore villages of Manhasset, Roslyn, Port Washington, and Huntington, all the way out to Stony Brook, Patchogue, and the East End. Our patients include working professionals, parents, college students, retirees, veterans, and first responders — anyone who deserves modern, integrative mental health care close to home.

The Science Behind Modern Psychiatric Care

Modern psychiatry has been transformed over the last two decades by an explosion of neuroscience research. We now understand that conditions like depression, anxiety, PTSD, and chronic pain involve measurable changes in brain structure and function — particularly in regions responsible for mood regulation, threat processing, and stress response. The hippocampus shrinks under chronic stress; the amygdala becomes hyperactive; the prefrontal cortex loses synaptic density. These are not character flaws or signs of weakness — they are biological changes, and they respond to biological interventions.

The breakthrough of ketamine and esketamine is that they directly reverse this damage. By rapidly stimulating synaptogenesis — the formation of new neural connections — ketamine allows the brain to repair circuits that traditional medications cannot reach. This is why patients who have failed multiple antidepressants frequently achieve remission with ketamine. It is also why we treat each patient as a whole person, integrating medication, advanced therapeutics, lifestyle medicine, sleep, and therapy referrals into every plan.

At Zen Integrative Care, we apply the latest evidence-based protocols while never losing sight of the human being in the room. Mental health treatment should feel safe, collaborative, and hopeful — and it should be measured by your actual quality of life, not by checkboxes on a form.

More Frequently Asked Questions

How is Zen Integrative Care different from a traditional psychiatry office?

We integrate advanced therapeutics — IV ketamine and Spravato — with traditional psychiatric care under one roof. Most psychiatry offices refer out for these services; we deliver them ourselves, which means continuity of care, shared records, and one team that knows your full story.

Can I bring a family member to my visit?

Yes. Family involvement is welcome and often clinically helpful, particularly during the initial evaluation and for ketamine treatment days when you’ll need a ride home.

What if I’m in crisis?

If you are experiencing a mental health emergency, please call 988 (the Suicide & Crisis Lifeline) or go to the nearest emergency department. For urgent — but non-emergency — situations, call our office directly at (516) 246-9588 so our team can help triage your appointment.

Do you treat adolescents?

Our practice focuses on adults (18+). For younger patients, we are happy to provide referrals to trusted child and adolescent psychiatrists on Long Island.

How do I know if ketamine is right for me?

The best way to find out is a comprehensive psychiatric evaluation. Ketamine is not the first-line treatment for everyone, and many patients benefit just as much from optimized medication management. Our role is to recommend the right treatment — not to push any particular service.

Do you offer therapy?

We focus on psychiatric and ketamine care and partner with a network of trusted therapists across Long Island for talk therapy referrals. For patients pursuing ketamine, we strongly recommend parallel work with a therapist to “integrate” the experience.

Why Patients Across Long Island Choose Zen Integrative Care

Mental health care is deeply personal, and choosing the right provider can feel overwhelming. Zen Integrative Care has earned the trust of patients throughout Nassau County, Suffolk County, and Queens by combining advanced, evidence-based psychiatric treatments with a warm, judgment-free environment. Under the leadership of Seda A. Port, NP, a dual board-certified Psychiatric-Mental Health and Adult-Gerontology Primary Care Nurse Practitioner, our practice integrates traditional psychiatry with the most promising innovations in mental health — including IV ketamine infusion therapy and Spravato® (esketamine).

• Dual board-certified provider — Years of clinical experience treating depression, anxiety, PTSD, OCD, ADHD, bipolar disorder, and chronic pain.
• Comprehensive treatment menu — From medication management and psychiatric evaluation to ketamine and Spravato, every modality is delivered under one roof.
• Long Island convenience — Easily accessible to patients in Nassau, Suffolk, Queens, and the broader NYC metro area, with telehealth available statewide in New York.
• Insurance-friendly — In-network with most major commercial plans for psychiatric services and Spravato; transparent self-pay pricing for IV ketamine.
• Whole-person care — We treat the person, not the diagnosis, integrating lifestyle, sleep, nutrition, and therapy referrals into every plan.

Conditions We Treat

Our integrative model is designed to support patients with a wide range of mental health and pain-related conditions:

• Major Depressive Disorder (MDD) and treatment-resistant depression
• Generalized Anxiety Disorder (GAD), panic disorder, and social anxiety
• Post-Traumatic Stress Disorder (PTSD) and complex trauma
• Obsessive-Compulsive Disorder (OCD)
• Bipolar disorder (with appropriate screening and stabilization)
• ADHD in adults — assessment and medication management
• Postpartum depression and anxiety
• Chronic pain conditions — fibromyalgia, CRPS, neuropathic pain
• Suicidal ideation — rapid-acting interventions when appropriate

Insurance, Pricing, and Payment Options

We believe finances should never stand between a patient and effective psychiatric care. Zen Integrative Care participates with most major commercial insurance plans for psychiatric evaluation, medication management, and Spravato® treatments. For IV ketamine therapy, we offer transparent self-pay pricing along with HSA/FSA acceptance and superbills you can submit for potential out-of-network reimbursement.

• Commercial insurance accepted for psychiatric services and Spravato — including Aetna, Cigna, United, Empire BCBS, and others (verification required).
• IV ketamine sessions typically range from $400–$600 per infusion with package pricing available for the standard 6-session series.
• HSA / FSA cards accepted for all eligible services.
• Superbills provided so you can pursue out-of-network reimbursement.
• No-surprise pricing — every fee is disclosed in writing before treatment begins.

What to Expect: Our Step-by-Step Process

1. Confidential Inquiry

Reach out by phone or our secure online form. A care coordinator will answer your questions, explain options, and help you decide whether an in-person or telehealth visit is the right starting point.

2. Comprehensive Psychiatric Evaluation

Your first clinical visit is an unrushed, in-depth evaluation with Seda A. Port, NP. We review your mental health history, prior treatments, current symptoms, medical conditions, and personal goals. By the end of the visit, you’ll leave with a working diagnosis and a tailored treatment plan.

3. Personalized Treatment Plan

Depending on your needs, your plan may include medication management, IV ketamine, Spravato, therapy referrals, or a combination. We never use a one-size-fits-all template.

4. Ongoing Monitoring & Refinement

Mental health is dynamic. We schedule structured follow-ups to track progress with validated rating scales (PHQ-9, GAD-7, PCL-5) and adjust treatment as needed.

5. Long-Term Wellness

Once stabilized, many patients shift to maintenance visits — quarterly check-ins, occasional ketamine boosters, or telehealth medication refills — so you can stay focused on living your life.