What is SPRAVATO® (esketamine) treatment?

SPRAVATO® is an FDA-approved prescription esketamine nasal spray for certain adults with treatment-resistant depression. Unlike many traditional antidepressants, it acts on the brain's glutamate system. Treatment takes place under medical supervision.

Who qualifies for SPRAVATO® treatment?

Adults with treatment-resistant depression may qualify after a clinical evaluation. SPRAVATO® also has an FDA-approved indication for depressive symptoms in adults with major depressive disorder and acute suicidal ideation or behavior, when used with an oral antidepressant. Eligibility depends on medical history and prescribing criteria.

What happens during a SPRAVATO® appointment?

You self-administer the nasal spray under clinical supervision. A healthcare provider monitors you for at least two hours and determines when you are clinically stable to leave. Arrange transportation home; you must not drive until the following day after a restful night's sleep.

How often are SPRAVATO® treatments scheduled?

For treatment-resistant depression, treatment typically starts twice weekly for four weeks, followed by weekly sessions for the next four weeks. Your provider then determines whether weekly or every-other-week maintenance is appropriate.

Where can I receive SPRAVATO® treatment near Seattle?

Northwest Healing & Wellness serves patients in Bellevue, Seattle, and Tacoma. SPRAVATO® scheduling varies by clinic, and not every location may currently be accepting treatment appointments. Contact our team to confirm the nearest available treatment location.

Does insurance cover SPRAVATO® treatment?

Many insurance plans provide SPRAVATO® coverage when medical-necessity and authorization requirements are met. Coverage can differ for the medication and the supervised treatment session. Our team can help review your benefits, network status, and anticipated costs.

Do you offer psychiatric medication management?

Medication management involves reviewing your symptoms, medication history, response, and side effects to develop an individualized prescribing plan. Deprescribing may be considered when clinically appropriate. Please confirm current appointment availability.

Is transcranial magnetic stimulation (TMS) available?

TMS is a non-invasive treatment that uses magnetic pulses to stimulate brain regions associated with mood. Northwest Healing & Wellness plans to introduce TMS in 2027. It is not currently available.

How do I get started with Northwest Healing & Wellness?

Complete the contact form on this page or call (206) 309-2302. Our team will discuss your concerns, explain available services, and help determine your appropriate next step.

Mental Health & Wellness Clinic | Bellevue, Seattle, Tacoma

You've been prescribed, passed around, and told to wait and see.

That's not care. That's triage. We do it differently.

We're a family-run Pacific Northwest practice with every service under one roof. Your plan is built around you, not pulled off a shelf. Often it's a combination of treatments, and it's never one-size-fits-all.

Licensed psychiatric providers 3 locations you can move between All under one roof

FDA-Approved Depression Treatment

SPRAVATO® (Esketamine) Nasal Spray

SPRAVATO® is an FDA-approved esketamine nasal spray for certain adults with treatment-resistant depression. It acts on the brain's glutamate system, providing a different approach from many traditional antidepressants.

Treatment takes place in a certified healthcare setting. Patients self-administer the medication under clinical supervision, with medical monitoring after every dose.

Supervised Treatment At least two hours of observation following each dose.

Structured Schedule Typically twice weekly at first, with later frequency determined by your provider.

Insurance Assistance Our team helps review benefits, authorizations, and treatment costs.

How do I begin SPRAVATO® treatment?

Speak with our team about your symptoms and treatment history.
Complete a clinical evaluation to determine eligibility.
Review insurance or available payment options.
Coordinate prescription, specialty pharmacy delivery, and scheduling.
Attend supervised treatment sessions and follow-up evaluations.

Ask About SPRAVATO® Learn About SPRAVATO® →

Insurance coverage, treatment locations, and appointment availability must be confirmed. Clinical eligibility and monitoring requirements apply.

Psychiatric Care

Medication Management & Deprescribing

Psychiatric medication management focuses on selecting, evaluating, and adjusting medications based on your symptoms, treatment response, medical history, and individual goals.

When appropriate, your provider may recommend reducing medications that are no longer beneficial. Adjustments and tapering are performed under medical supervision.

Individualized Plans Prescribing guided by your history.

Ongoing Evaluation Monitor effectiveness and side effects.

Deprescribing Medication reduction when appropriate.

Ask About Availability Learn More →

Current scheduling and program availability require confirmation.

Planned for 2027

Transcranial Magnetic Stimulation (TMS)

TMS is a non-invasive treatment that uses magnetic pulses to stimulate brain regions involved in mood regulation. It is commonly considered for certain adults with depression who have not responded adequately to medication.

Treatment generally involves repeated outpatient visits over several weeks. Patients remain awake, and anesthesia is not typically required.

Non-Invasive No surgical implantation.

Outpatient Treatment Multiple sessions across several weeks.

Planned for 2027 Not currently available at NWHW.

Ask About Future TMS Care Learn About TMS →

Planned Service

Stellate Ganglion Block (SGB)

A stellate ganglion block is an injection of local anesthetic near a cluster of nerves in the neck. Its potential applications for certain trauma-related symptoms are being studied.

The procedure has specific medical risks and is not an established first-line treatment for PTSD or anxiety.

Ask About Future Availability Learn More →

Planned Service

Hormone Replacement Therapy

Hormonal changes can contribute to symptoms involving energy, mood, sleep, and physical well-being. Hormone therapy may be appropriate for certain patients after medical evaluation.

Treatment decisions depend on medical history, relevant testing, clinical indications, and a discussion of risks and benefits.

Ask About Future Availability Learn More →

Planned Service

Nutrition & Sleep Coaching

Healthy sleep, nutrition, physical activity, and consistent routines can support mental and physical well-being. Coaching may help patients build sustainable daily habits.

Lifestyle support can complement medical and mental health care, but it does not replace diagnosis or treatment of an underlying condition.

Ask About Future Availability

From your first call to feeling like yourself again

Reach out

Tell us what's going on. We listen, answer your questions, and there's no pressure to commit.

Build your plan

A licensed provider designs a plan around your goals, history, and how your body responds.

Restore and follow up

Relax in a calm private suite, then we track how you feel over time and adjust as needed.

Why people choose Northwest Healing & Wellness

Root-cause care, not symptom masking

We restore what's depleted so progress actually lasts.

One connected plan across every service

Infusions, prescribing, and SPRAVATO® that work together, with TMS and more on the way.

Calm, private suites in three cities

Bellevue, Seattle, and Tacoma, with easy scheduling between them.

Talk to Our Team

People who came in depleted, and left lighter

★★★★★

“It's really easy to feel like you're alone and that no one cares. But you're not. And there are real options to be able to try to make progress and open your mind and change your perspectives—even though it feels impossible right now.”

Alyssa

★★★★★

“When I arrived at the clinic, it was just a beautiful, peaceful, quiet place. All the staff members I interacted with were just very kind, very friendly, and welcoming – all of those things really started to pave the way for it to be a really good experience.”

Evan

★★★★★

“I've been going to the Bellevue location now for a few weeks, and I've already begun to feel so much better. The staff is very kind, warm, welcoming, and incredibly knowledgeable.”

Sierra

Whole-person mental health care.

You've been prescribed, passed around, and told to wait and see.

Explore Our Services

SPRAVATO® (Esketamine) Nasal Spray

Medication Management & Deprescribing

Transcranial Magnetic Stimulation (TMS)

Stellate Ganglion Block (SGB)

Hormone Replacement Therapy

Nutrition & Sleep Coaching

What we help with

How we're different

A typical clinic

Northwest Healing & Wellness

Calm, private spaces built for healing

From your first call to feeling like yourself again

Reach out

Build your plan

Restore and follow up

Why people choose Northwest Healing & Wellness

People who came in depleted, and left lighter

Frequently asked questions about mental health treatment