Spravato® (Esketamine) Treatment for Depression in Richmond–North Chesterfield
Rapid relief for depression — when medications haven’t been enough
If antidepressants haven’t worked, or their side effects have become unbearable, it’s time for a different science.
At Foundation Medical Group, we offer Spravato® nasal spray, an FDA-approved breakthrough for adults with treatment-resistant depression and major depressive disorder with suicidal thoughts or actions.
Spravato works differently — targeting glutamate to restore the brain connections depression disrupts. Many patients feel relief within hours to days.
Covered by major insurance plans, including Virginia Medicaid.
What makes Spravato different
Esketamine treats depression by targeting glutamatergic pathways, improving communication between neurons and promoting neuroplasticity.
- Rapid, in-office care: You self-administer Spravato with a nasal spray while our team monitors the entire experience in a private suite.
- Comfortable recovery time: Sessions last about two hours so you can relax while we track vitals and response.
- Calm, supportive atmosphere: Patients remain awake, alert, and cared for by our REMS-certified clinicians.
- Coordinated psychiatry: We pair Spravato with therapy, medication management, and brain-based diagnostics for whole-person care.
“Most patients describe the session as calm, even restorative.” — Foundation Medical Group clinical team
Why choose Foundation Medical Group
Modern psychiatry that combines science, technology, and highly personal care.
Physician-led precision team
Doctors and psychiatric nurse practitioners collaborate daily on every Spravato case.
REMS-certified treatment center
We follow a rigorous safety protocol for administering Spravato and documenting outcomes.
Private treatment suites
Enjoy a quiet relaxation room, continuous vital monitoring, and staff who stay with you start to finish.
Integrated care modalities
Combine Spravato with NeuroStar® TMS, quantitative EEG brain mapping, and pharmacogenetic testing.
Insurance-based program
Dedicated coordinators manage prior authorizations, appeals, and copay assistance for commercial plans, Medicare, and Medicaid.
Whole-person follow-through
We stay in sync with your therapist, referring provider, or primary physician for a unified recovery plan.
Explore what FMG has to offer
Advanced depression care under one roof
- Genetic testing — precision medication management informed by GeneSight®
- NeuroStar® TMS — non-invasive brain stimulation
- Spravato® esketamine therapy for treatment-resistant depression
- Quantitative EEG brain mapping
- Talk therapy services that complement medical treatment
What to expect
Clear steps from consultation through maintenance therapy.
Consultation & assessment
We review your history, medications, and medical eligibility, and then handle all insurance paperwork.
Your first treatment
You self-administer Spravato under clinician supervision. Expect about two hours in-office for relaxation and monitoring.
Continuing therapy
Most patients attend twice weekly sessions for four weeks, tapering to weekly or less as depression remission builds.
Combined care plan
We integrate therapy, medication adjustments, and brain-based tools for a comprehensive, sustained recovery.
Coming soon: Ketamine therapy
We’re expanding to IV and IM ketamine to complement Spravato. These additions will offer even more flexible, rapid-acting options for patients with severe or treatment-resistant depression.
Insurance and accessibility
Spravato is FDA-approved and covered by most plans. We verify benefits up front.
Our care coordinators handle prior authorizations, scheduling, and follow-ups so you can start treatment quickly — often within one week of approval.
Need transportation support or documentation for leave? Our team guides you through every logistics step.
Some of our accepted insurance partners
Including commercial plans and Virginia Medicaid.
- Anthem
- Aetna
- Cigna
- UnitedHealthcare
- Optima
- Medicare
- Virginia Medicaid
Is Spravato right for you?
You might benefit if any of the following apply:
- You’ve tried two or more antidepressants without meaningful relief.
- You’re living with major depressive disorder, with or without suicidal thoughts.
- You want a fast-acting, evidence-based option backed by decades of neuroscience research.
Serving Central Virginia
Richmond, North Chesterfield, Midlothian, Chesterfield, Bon Air, Glen Allen, and Powhatan.
Take the first step toward feeling like yourself again. Our team will guide you through every visit, from the first consultation to maintenance care.
Our Location
We serve the entire state of Virginia—including Richmond, Midlothian, Fairfax County, and Virginia Beach—through our telemedicine program.
Current clinic:
Suite 203, 11600 Busy Street
Richmond, VA 23236
Ready to begin your recovery?
Depression can feel impossible — but breakthroughs like Spravato are changing what is possible. Let us help you rediscover stability, clarity, and hope.
Serving Richmond, North Chesterfield, Midlothian, Chesterfield, Bon Air, Glen Allen, and Powhatan. 11600 Busy Street, Suite 203 · North Chesterfield, VA 23236
Ready to begin your recovery?
Depression can feel impossible — but breakthroughs like Spravato are changing what is possible. Let us help you rediscover stability, clarity, and hope.
Serving Richmond, North Chesterfield, Midlothian, Chesterfield, Bon Air, Glen Allen, and Powhatan. 11600 Busy Street, Suite 203 · North Chesterfield, VA 23236