Approximately one-third of patients with major depressive disorder (MDD) do not achieve an antidepressant response despite treatment with multiple antidepressants and are considered to have treatment-resistant depression (TRD).
Patients with TRD have higher rates of relapse (~70% within 6 months that respond to treatment) and higher suicide rates, compared to patients with MDD who are not treatment resistant.
Spravato (esketamine) differs from other treatments for depression due to its unique mechanism of action and delivery method. Administered as a nasal spray, Spravato works by targeting the NMDA receptors in the brain.
When introduced to the body, esketamine acts as a potent agent that increases the amount of glutamate between neurons, which then activates connections in the AMPA receptor. As a result, new neuronal growth and communication pathways are fostered, creating and reconfiguring the brain's neuron firing patterns, making the transformation of negative thoughts possible. According to clinical trials, many patients begin experiencing significant improvement in their depressive symptoms after four weeks of treatment.
(Spravato follow up #) 4 weeks post induction; repeat baseline metrics determine optimization dose 56-84mg weekly
(Spravato follow up #2) 8 weeks post induction; repeat baseline metrics to determine maintenance dose 56-84mg monthly or bimonthly
(Spravato follow up #3) 16 weeks post induction. Repeat baseline metrics. Follow up minimum every 2-3 months going forward
We believe in offering flexible and accessible care options to accommodate your lifestyle and preferences. Whether you feel more comfortable receiving treatment from the privacy of your own home or prefer an in-person consultation, we have you covered.
For those who value face-to-face interactions and live near our physical locations in Sugar Land or Bryan/College Station, Texas, we provide in-person consultations. Our offices are designed to be welcoming and conducive to your comfort, ensuring that you feel at ease from the moment you walk in.
Regardless of the format, our commitment to delivering high-quality, personalized care remains unwavering. Schedule your appointment today to take the next step in your mental health journey with Nurocoach.
The foundation of our telehealth approach is built on accessibility, convenience, and personalized care. We leverage cutting-edge technology to deliver high-quality mental health services to patients regardless of their location. Our secure telehealth platform ensures your privacy and confidentiality, providing a safe space for you to discuss your concerns.
We recognize that each patient is unique, which is why our telehealth services are tailored to meet your specific needs. Through thorough initial assessments and continuous follow-ups, our mental health professionals develop and adjust treatment plans that best support your journey towards well-being.
Convenience is a pivotal aspect of our telehealth services. By eliminating the need for travel, we make it easier for you to integrate therapy into your routine. Our telehealth services offer significant benefits for individuals with busy schedules, mobility limitations, or those living in rural or underserved areas.
Embrace the future of mental health care with our innovative telehealth solutions, designed to bring expert support right to your fingertips.
We are committed to making mental health care accessible to everyone. We proudly accept 45 different insurance plans, including Medicare, to ensure that more individuals can receive the support they need. Our aim is to remove financial barriers to mental health treatment and provide high-quality care to all members of our community.
Please reach out to us to verify your specific insurance coverage and discuss the available payment options. Your mental health is our priority, and we strive to make the process of receiving care as seamless and stress-free as possible.
AARP/UHC/UHC Plan/UMR/wausau/All Savers
Aetna Commercial
Aetna Medicare
Allied Benefit Systems
Amerigroup Star Plus
BCBS Medicare Advantage
Blue Cross Blue Shield
Cigna Behavioral Health
Cigna HealthSpring
Community Health Choice – Marketplace Community Health Choice – Medicaid First Health
Friday Health Plans
Humana
Medicare
Molina Healthcare of Texas
MultiPlan
Oscar Health Insurance
Health First
Superior Health Plan
Texas Medicaid
Tricare East
Wellcare TexanPlus
WellMed Claims
Beacon Health Options
KelseyCare Advantage
Baylor Scott & White Care Plans Memorial Hermann Health Plan, Inc. Christus Health Plan
GEHA
Optum
Optum Medicare
Railroad Medicare
Aetna: Boon Chapman
Aetna: WEBTPA
Ambetter Core
USFHP – Christus Health Plan CHAMPVA
Tricare for Life
Cenpatico
Aetna Better Health
Coventry Medicare
Coventry Commercial
Texas Children’s Health Plan
Thrive health
Ready to take control of your mental health? Scheduling your appointment with Nurocoach is the first step toward a brighter, more serene future. Our dedicated team is here to support you every step of the way, providing personalized care that meets your unique needs. Whether you prefer a virtual consultation from the comfort of your home or an in-person visit at our offices in Sugar Land or Bryan/College Station, Texas, we are committed to making your experience as seamless and comfortable as possible.
Don't wait - reach out today and start your journey with Nurocoach. Contact us via phone or email to set up your consultation at a time that works best for you. Your mental health is our priority, and we are here to help you every step of the way.