In most cases, patients respond to esketamine and continue with regular dosing usually every 2-3 weeks. Infrequently, they will require redosing weekly or monthly. Stopping the medication after a response is uncommon and usual among those who have consistently mild depression.

If you have treatment resistant major depression, live in the Charleston SC or Mount Pleasant, SC area and are interested in scheduling a Spravato consultation, please call Sweetgrass Psychiatry at (843) 800-1303.

Depression that does not respond to 2 or more antidepressant medications of therapeutic dose for at least 6 weeks is what I call “sticky depression” or more formally, treatment resistant depression. Luckily it does not have to be treatment resistant anymore because I have 2 major weapons against “sticky depression” - Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine nasal spray). Luckily, both are very safe, FDA approved/cleared, and are covered by most major insurance plans. Often, the biggest challenge is deciding which treatment is best for my individual patient because most patients are great candidates for both treatments.

We encourage you to have a different and more mindful perspective, a different approach to how you respond to stress. You are free to choose how you react to the stimulus instead of being a victim and simply just reacting to your environment. You are free to question assumptions, analyze resources, problem solve, and strategize. Your life can and should be dictated by you. You can choose to react differently to stress. You don’t have to be a victim anymore. We want to teach you about proactive coping, stress reduction, and living a principle-centered life.

You are not alone. The majority of our clinicians at Sweetgrass Psychiatry are mothers, and we know it is tough right after having a baby. There is nothing like it and no one can quite prepare you for what to expect. It can be very challenging to determine what is normal after pregnancy vs. postpartum blues vs. postpartum depression. That is what we are here for.

In recent years, the use of animals in therapeutic and support capacities has gained significant traction. Whether it's a dog helping someone navigate a busy street or a cat providing comfort during tough times, animals have proven to be indispensable allies for many individuals. However, there's often confusion surrounding the terms "therapy dog", "service animal", and "emotional support animal." Let's delve into the differences.

Recognizing the potential pitfalls of excessive tech use is the first step towards a healthier relationship with technology. In the end, the challenge of finding balance with technology is an ongoing journey, and one's attachment to their devices can be deeply rooted. It is essential to explore these feelings and motivations and understand why we feel so attached to our screens and notifications. By doing so, individuals can take meaningful steps toward regaining control over their digital lives, fostering a healthier and more fulfilling existence in this tech-integrated world.

In today's digital era, technology has become an inseparable part of our lives. It connects us with the world, makes tasks more convenient, and keeps us entertained. Yet, amidst the constant stream of notifications and social media, many find themselves feeling increasingly miserable and disconnected. How did we reach this point, and more importantly, how do we strike a balance?

Seriously! Quitting smoking is the most challenging habit to stop - we get it. Tobacco cessation is also one of the best decisions you can make for your health, your wallet, your relationships, and your vanity. Luckily, you don’t have to do it alone. I have had many success stories among my patients over the years thanks to their will power, a little encouragement, a little medications for some, and psychotherapy for some. There is no one size fits all. With the right plan, tools, and support, we believe you can do this!