I’m a little late posting this week because I was sick over the weekend, but this week’s post is finally here.
I’m actually doing my fifth Spravato treatment while writing this so of course I know what to expect now. But, for my first treatment, I only knew what I had been told and what I had read. And you know how that is… it’s never exactly what you expect.
So, I went into my first treatment nervous. I’m a naturally anxious person, which is why I take medicine for anxiety, so this was nothing I didn’t expect. New things ramp that up in me. Things like “What if I take it and die?” and “What if I have a bad reaction to it?” and even “What if it doesn’t end up helping me and I waste our time?” chummed through my head. It might seem dramatic but these are actual things I worry about, ESPECIALLY with new things.
So my RN came out into the waiting room and called Aaron and I back. Aaron has been so supportive during this entire process, even going so far as to do his own research before I started treatments.
We walked all the way to the back of the building where they have three rooms set up for the Spravato treatments. I was taken into the first room, which has easily become my favorite! The room is similar to an exam room. First, there are no windows. There is a short counter with some drawers and a few cabinets above it. On the counter is a red, orange, and yellow 3-D printed dragon, a set of 3-D yellow blocks that are connected, and a bowl of ring pops. I guess I could play with the 3-D items since they’re just sitting there but I just never have. The walls are light grey with jellyfish, sea turtles, and fish all around. They really missed out by not painting the walls like the ocean. I think it would be more fun that way. In one corner is a brown recliner. Next to it, is a small glass table with a dim lamp on it, and in the other corner is another chair, a little more comfortable than the usual exam room chairs but not as good as the recliner.
I sat down in the recliner and my RN took my blood pressure and oxygen level and then she put my feet up. Spravto lowers your blood pressure so they have to keep an eye on it.
As a side note, my RN is the nicest lady ever and she loves to talk. She definitely makes it easy to relax.
“Do you want a ring pop before we start?” she asked. I politely declined. I couldn’t understand for the life of me why she would ask me if I wanted candy and I actually chuckled a little bit.
“Blow your nose,” she said, so I did. Then she handed me this nasal spray contraption and told me to spray it once in each nostril. So I did and almost immediately I started getting this disgusting taste in my mouth. I mean it coated my entire throat! It was so bad. I must have made a disgusted face, no surprise there, and she asked “Do you want a ring pop now?” To which I replied, “Yes, please!” After that, the thought of being offered candy wasn’t quite as funny as it was before.
So note for anyone getting ready to start Spravato: TAKE THE RING POP or whatever candy they offer you, just not any kind you can choke on.
Five minutes passed and it was time for the second nasal spray contraption. I finished that and we were talking and BAM! it hit me. My movements seemed slower. Scanning the room, I noticed my eyes took a minute to catch up to where my head was pointing. My whole body also started to feel “fuzzy.” That the only way to describe it. I know it sounds strange but it is what it is. The closest thing to the way it feels like that I can come up with is when “laughing gas” kicks in at the dentist.
Another note: Start the second dose of Spravato in the nostril you ended with on the first dose.
I pushed the recliner back and laid there, feeling like I was melting into the chair. I was so relaxed! My RN turned on some Northern Lights that rolled all over the walls and ceiling, turned out the lights, and shut the door. It was just Aaron, the Northern Lights, and me in the recliner… melting.
My brain usually runs with a million things I need to do, picking apart conversations I’ve had to make sure I didn’t say anything stupid, etc., but there was absolutely NONE OF THAT! I could put together full sentences to talk, don’t get me wrong, but everything just slowed down and I was relaxed. For the first time in years, and yes I do mean years.
I turned on some meditation music in my Air Pods and just watched the blue lights dance on the ceiling. It was almost as if the lights were linked to the music. My favorite light colors now are a mixture of red and blue which I choose every time now. There’s just something about them that fascinate me during my treatments.
At the forty minute mark, my RN came in to take my blood pressure and oxygen level to make sure everything was okay, which it was. Then I was back off to my Northern Lights, meditation music land.
I never fell asleep although I definitely felt like I could have a time or two. At the end of the two hours, my RN came and checked my vitals gain and then Aaron and I had to signa paper stating that he was driving me home. They tell you not to drive or do anything too serious (like work) for the rest of the day. The main effects wear off in about four hours but there is still some residual. I’ve found that I get headaches later in the day.
After my second treatment, which went very much like my first, I decided to work on one of my paint-by-number pictures. You’d never be able to tell but I got quite a few of the colors confused, so I stopped doing it that day. Now, if I decide to work on one after a session, I take more time to make sure I have the right color. Lol.
If I had to sum up what I learned during my first two sessions it would be this:
- DON’T eat or drink anything the morning of your appointment unless you need to drink a little to take medication. Spravato can possibly make you sick to your stomach.
- DON’T take any medication that slows down respiration like Xanax, Ativan, etc. If you have anxiety and it starts acting up before your session, eat a piece of sour candy. It actually works because it helps to ground you in the here and now.
- DON’T take sleep-aids, either over-the-counter or prescribed (Trazadone, Quviviq, etc.), the night of your session. These slow your respiration down further and you don’t want that.
- DON’T bring someone with you who is going to stress you out. This is your time to relax and take care of yourself.
- DO wear comfy clothes. Sessions las two hours and it’s hard to relax when you’re uncomfortable.
- DO listen to some relaxing music and/or journal. It’s going to be hard to focus so I would avoid trying to read a book.
- DO TAKE THE RING POP the first time it’s offered. The bad taste will traumatize you.
And even though you’ll probably still be nervous for your first session (which is normal), know that YOU’VE GOT THIS! You’re trying to help pull yourself out of the darkness that is consuming you and you can only go up from there.
After five sessions now, I feel like I can honestly agree with everyone I’ve read about and spoken to, Spravato is a GAME-CHANGER! I’m able to laugh again without forcing myself to because that’s what I should be doing in certain situations. Plus, I’m smiling more authentically. The depression hasn’t gone away completely, I’m not sure I believe it will, but it’s not nearly as prominent in my day-to-day life like it once was. I feel like I can finally start seeing a light at the end of what was a really dark tunnel.















