SPRAVATO®

SPRAVATO® services offered in San Antonio, TX

Coming Soon....

Beginning in 2026, Soluna Mind and Wellness in San Antonio, Texas, will offer Spravato® (esketamine) treatments for adults struggling with treatment-resistant depression. Administered in a safe, supervised clinical setting, Spravato works differently from traditional antidepressants—helping patients experience relief and improved mood faster. Our compassionate team will guide each step of the process, ensuring a supportive and healing environment for every individual. To learn more about Spravato, call the office or request a consultation online today.

SPRAVATO® Q & A

What is Spravato?

Ketamine has been used as a medication for anesthesia during surgery for decades, and more recently, it has proven successful in treating depression.

Research has shown that Ketamine therapy offers relief in 80% of patients suffering from treatment-resistant depression (TRD). This means that ketamine has been able to relieve symptoms of depression when other treatments – like antidepressants, therapy, and lifestyle changes - have failed.

In March of 2019, esketamine, which acts similarly to ketamine, was approved by the FDA as Spravato®. It is a nasal spray that is also used to treat TRD.

Am I a candidate for Spravato?

Spravato may be right for you if you have been diagnosed with major depression or TRD by a mental health professional. This requires having suffered at least one severe depressive episode and not experiencing improvement after treatment with various antidepressants.

When you visit Soluna Mind and Wellness, your provider conducts a psychiatric evaluation to fully understand your emotional, mental, and cognitive well-being and determine if you have TRD. They may also review your family and medical history to get a more complete picture of the factors influencing your mental health.

If it's determined that you have TRD, your provider may prescribe Spravato therapy in addition to another oral antidepressant.

What is treatment with Spravato like?

If your provider determines that Spravato is an appropriate treatment for you, it is administered at Soluna Mind and Wellness. Esketamine (Spravato) is a fast-acting nasal spray, and the initial treatment can last about two hours.

After the nasal spray is administered, you relax and remain under medical supervision at Soluna Mind and Wellness until all potential side effects have passed.

How does Spravato work?

Spravato increases glutamate production in your brain. Glutamate is an abundant and powerful neurotransmitter that can combat symptoms of depression.

If you are looking for quick relief, many patients have experienced an improvement in their symptoms in just a few hours after treatment. Treatment with Sprvato can provide relief for up to several months.

If you're interested in learning more about Spravato treatments, which will be available starting in 2026, call Soluna Mind and Wellness or request an appointment online today.

Services

Adult Psychiatry

At Soluna Mind and Wellness in San Antonio, Texas, our adult psychiatry services provide comprehensive evaluation, diagnosis, and treatment for a wide range of mental health concerns, including anxiety, depression, bipolar disorder, and trauma-related conditions. Each treatment plan is personalized to your unique needs, combining medication management, supportive therapy, and lifestyle guidance. Our goal is to help adults achieve lasting emotional stability, improved daily functioning, and an overall sense of well-being. Call the office to schedule a telehealth appointment or request one online today. In-person appointments will be available beginning in 2026.

Child & Adolescent Psychiatry

At Soluna Mind and Wellness in San Antonio, Texas, we specialize in child and adolescent psychiatry, offering compassionate, developmentally appropriate care to children and teens. We understand how mental health challenges like ADHD, anxiety, depression, and behavioral concerns can affect school performance and family relationships. Our approach emphasizes collaboration with families, educators, and therapists to promote healthy emotional development and academic success. Call the office or schedule an appointment online today for child and adolescent psychiatry. In-person appointments will be available beginning in 2026.

Psychiatric Medication Management

At Soluna Mind and Wellness in San Antonio, Texas, our psychiatric medication management services provide a thoughtful, collaborative approach to using medication as part of your mental health treatment. We focus on finding the right balance between drug effectiveness and toleration while educating patients about how medications work, what to expect, and how to achieve the best results. We treat many conditions, including anxiety, depression, ADHD, bipolar disorder, and PTSD. To schedule a psychiatric medication management consultation, call the office or request one online today.

Neuropsychological testing for ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects individuals of all ages and can significantly impact focus, organization, academic performance, and daily functioning. At Soluna Mind and Wellness in San Antonio, Texas, neuropsychological testing provides a comprehensive understanding of cognitive and behavioral functioning to help accurately diagnose ADHD and guide effective treatment planning. To determine if you're a candidate for neuropsychological testing for ADHD, call the office or request an appointment online today.

Telehealth

At Soluna Mind and Wellness in San Antonio, Texas, we currently offer convenient telehealth appointments to provide accessible, high-quality mental health care from the comfort of your home. Our board-certified providers specialize in compassionate, personalized psychiatric services designed to help you thrive. We’re excited to announce that in-person appointments will be available beginning in 2026, giving patients even more options to connect and receive care that fits their lifestyle. To schedule a telehealth appointment, call the office or request one online today.

SPRAVATO®

Coming Soon....

TMS

Coming Soon....

Around one-third of the 16 million Americans with depression live with treatment-resistant depression (TRD). Hayden Castillo, MSN, APRN, PMHNP-BC, and Victor Labrado, MSN, APRN, FNP-C, PMHNP-BC, at Soluna Mind and Wellness in San Antonio, Texas, offer innovative transcranial magnetic stimulation (TMS) as an alternative depression treatment if antidepressants and therapy haven't reduced your symptoms. Call Soluna Mind and Wellness or request a consultation online today to determine if TMS can help you.

Conditions We Treat