SPRAVATO in Missoula
What is SPRAVATO?
We offer SPRAVATO (esketamine)—a breakthrough treatment for adults living with treatment-resistant depression (TRD), that is covered by most major insurance companies.
SPRAVATO is the first and only FDA-approved nasal spray specifically designed for individuals who have not found relief from two or more oral antidepressants. Administered in a safe, controlled clinical setting, SPRAVATO can induce a dissociative, expanded state of awareness. This state may support emotional insight and cognitive flexibility, making it a powerful complement to ongoing therapeutic work. Over time, many individuals experience meaningful relief from persistent depressive symptoms, along with enhanced clarity, emotional resilience, and renewed hope.
“I am so grateful that I found the team at Inner Journey (Dr. Joey, Ali, and Donna) and decided to begin Spravato treatment. When I sat down for my initial consultation I was extremely skeptical that anything would help as I've been struggling with severe depression for most of my adult life. I had just accepted it as part of who I was and felt rather hopeless that it would ever change. But working with Inner Journey quickly changed that. They have created such a welcoming and healing space where you are safe and supported. Each appointment is a truly wonderful, therapeutic experience. Hard days still come and go but Spravato has provided me with an internal strength and skill set to navigate them with hope and energy.” - CH
Rapid Relief for Depression
Improved Clarity & Emotional Resilience
Hope for Treatment-Resistant Conditions
Support at Inner Journey
Learn more about SPRAVATO
SPRAVATO is currently covered by several major insurance providers. We can currently accept Blue Cross Blue Shield of Montana, PacificSource, and Aetna.
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Our recommended treatment protocol for major depression begins with twice-weekly sessions for the first four weeks, followed by once-weekly sessions for the next four weeks. Ongoing maintenance treatments may be scheduled as needed based on individual progress. Each treatment requires in-office monitoring by a physician for a minimum of two hours. Patients must arrange safe transportation home, as they are not permitted to drive until they have had a full night’s sleep following treatment.
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SPRAVATO® (esketamine) is distinct from traditional antidepressants in the way it affects the brain. Esketamine is a form of ketamine—specifically, the S-enantiomer of racemic ketamine. It acts on the brain’s glutamate system by blocking NMDA receptors, which are involved in mood regulation and neural communication. While the exact mechanism by which SPRAVATO® improves symptoms of depression is not fully understood, its effects are believed to be similar to those of ketamine, leading to rapid changes in brain activity and mood.
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At Inner Journey Healthcare, we’re committed to making each treatment session as comfortable and effective as possible. We’ve created a calming, therapeutic environment designed to support relaxation and minimize distractions or overstimulation.
During your in-office SPRAVATO® or ketamine treatment—typically lasting about two hours—our experienced clinical staff will be present to provide continuous support. This includes clear pre-treatment guidance, monitoring for safety throughout your session, and thoughtful post-treatment care instructions.
Common side effects may include elevated blood pressure, nausea, drowsiness, dizziness, fainting, anxiety, a spinning sensation, respiratory changes, or dissociation (a sense of detachment from your thoughts, feelings, surroundings, or time). These effects are usually temporary and resolve within the same day.
The SPRAVATO® treatment protocol begins with twice-weekly sessions for the first four weeks. This is followed by once-weekly sessions for another four weeks. After that, your provider will work with you to determine an individualized maintenance schedule based on your ongoing needs and response to treatment.
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To begin treatment, please call our office and request a SPRAVATO® or ketamine intake appointment. Alternatively, your psychiatrist, therapist, or primary care provider can send a referral directly to us by fax at (406) 412-2872.
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At Inner Journey Healthcare, we offer both SPRAVATO® (esketamine) and intramuscular (IM) ketamine as innovative treatment options for depression and other mental health conditions. While both are derived from ketamine, there are key differences:
SPRAVATO® is a nasal spray form of esketamine—the S-enantiomer of ketamine—FDA-approved for treatment-resistant depression. It must be administered in a certified clinic under medical supervision. Many insurance plans, and commercial providers, offer coverage for SPRAVATO®.
IM Ketamine involves a small injection of the full ketamine molecule, offering a broader therapeutic effect. While not FDA-approved specifically for depression, it is widely used off-label with strong clinical support. IM ketamine may be a more cost-effective option, especially for patients without pharmacy coverage for SPRAVATO®.
Your provider will work with you to determine the most appropriate treatment based on your symptoms, goals, and insurance coverage. WE are currently accepting BCBS and Pacific Source.
Learn More
"After years of battling depression and anxiety with therapy and medication, Spravato gave me something I hardly remembered: Hope. Inner Journey provided a warm, friendly clinical environment that feels like visiting old friends; the care I received from Dr. Banks and her staff was compassionate, patient-centered, and exceptional in every way." SM
“It is intimidating to dive into any drug-especially a NEW drug like Spravato, but Dr Banks and her team at Inner Journey has made the experience both professional and reassuring. I feel supported and safe in their care and I truly feel a positive change in my mental health because of Inner Journey and Spravato. Bravo!” SN
How it Works
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Work with our licensed professionals to design a plan tailored to your unique needs.
Transform
Experience compassionate, evidence-based care to support your transformation.
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We can bill in-network insurance only. We are in-network with Blue Cross Blue Shield of Montana, Allegiance, PacificSource, First Choice Health Network, Aetna, Missoula County Employee Benefits, Mountain Health Co-op, and Medicaid. We are not in-network for Medicare. For Clients with out-of-network insurance we collect payment day of appointment and can provide a statement, if desired. For Spravato in-network services we can currently accept, Blue Cross Blue Shield of Montana, PacificSource, and Aetna. Ketamine dosing sessions are out-of-pocket for all plans, except Missoula County Employee Benefits. If a service isn’t covered or you have out-of-pocket costs, you may also be able to use your Health Savings Account (HSA) or Flexible Spending Account (FSA), when eligible.