The TRANSFORM-2 study found patients receiving Spravato were 70% more likely to achieve remission than those on a newly initiated oral antidepressant plus placebo
Spravato Treatment in Cypress, TX: FDA-Approved Relief for Treatment-Resistant Depression
Find the best Spravato treatment clinic serving Cypress, TX at Catalyst Health & Wellness — a trusted, REMS-certified Houston provider of the only FDA-approved nasal spray for treatment-resistant depression. Led by Dr. Ho, board-certified anesthesiologist and former pediatrician. Three Houston locations open Monday–Sunday, 5am–9pm.
Heal Deeply with Spravato Treatment Cypress
Cypress has grown from a small farming community along Buffalo Bayou into one of Houston’s most coveted suburban addresses — the Cy-Fair school district, master-planned communities stretching across northwest Harris County, and a strong family culture that keeps attracting new residents year after year. It was named the #1 hottest zip code for homebuyers in the United States in 2023. People move to Cypress because they recognize quality. But even in one of the most desirable communities in Houston, treatment-resistant depression finds its way in — and when antidepressants stop delivering, the life you built around you can start to feel like a backdrop rather than something you’re actually living.
If multiple medications have come and gone without producing the relief you needed, the answer isn’t to try another variation of the same approach. It’s to access a different pathway entirely. At Catalyst Health & Wellness, we serve Cypress residents — and patients from Copperfield, Fairfield, Bridgeland, Jersey Village, and northwest Harris County — as a fully REMS-certified Spravato provider. Spravato (esketamine) is the only FDA-approved nasal spray built specifically for treatment-resistant depression. NYU Langone psychiatrist Dr. Dan Iosifescu has described Spravato’s speed of action as “essentially amazingly rapid in the world that I’m practicing in” — a characterization from one of the nation’s foremost psychiatric researchers that reflects exactly what patients report experiencing. With Dr. Ho’s clinical expertise, insurance navigation support, and hours that fit Cypress residents’ demanding schedules, Catalyst makes that breakthrough accessible.

What is Spravato Therapy?
Spravato (esketamine) received FDA breakthrough therapy designation before earning full approval in 2019, making it the first new antidepressant mechanism introduced in over three decades. The FDA expanded approval in 2020 to adults with major depressive disorder and active suicidal ideation. In January 2025, the FDA approved Spravato as a monotherapy for TRD — the first medication ever cleared as a standalone treatment for adults with treatment-resistant depression who haven’t found adequate relief from at least two oral antidepressants.
Research consistently shows powerful results:
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Conditions We Treat with Spravato Therapy in Cypress
Spravato holds FDA approval for two specific, well-documented clinical indications — every qualifying Cypress patient receives a treatment with a thoroughly established safety and efficacy record. At Catalyst Health & Wellness, we offer Spravato for:
Your Spravato Therapy Journey at Catalyst Health & Wellness
Every phase of the Spravato process at Catalyst has been designed to be clear, supported, and genuinely manageable for Cypress patients with demanding lives. Here's what to expect from first call through long-term care.
Step 1: Free Phone Consultation
Your first call costs nothing. A clinical team member will walk through your depression history, medication background, and what daily life looks like today. You’ll receive an honest assessment of whether Spravato makes sense for your situation — including a direct answer if it doesn’t.
Step 2: Insurance Verification & Prior Authorization
Spravato is often covered by insurance for qualifying patients, but prior authorization is nearly always required. Our team handles it entirely: benefit verification, documentation preparation, prior auth submission, and insurer follow-up until it’s approved. You decide whether to proceed; we manage the process.
Step 3: Before Your First Visit
Before your appointment, we’ll walk through everything: dietary guidelines, what to bring, transportation logistics, and any timing notes for current medications. Nothing about your first session will be unclear when you arrive.
Step 4: Day of Treatment
Plan for approximately two to two-and-a-half hours per visit. You’ll need a designated driver or pre-arranged rideshare — driving on treatment days isn’t permitted. Come comfortable and ready to rest. That’s the full extent of preparation required.
Step 5: Your Treatment Session
You’ll settle into a private, purpose-built treatment room — reclinable chair, soft adjustable lighting, warm blankets, noise-cancelling headphones if you want them. Spravato is self-administered as a nasal spray under direct clinical supervision. Dr. Ho’s team monitors your vital signs, blood pressure, and overall response throughout. Temporary effects — mild dissociation, light-headedness — are expected and typically resolve within the two-hour monitoring window.
Step 6: Recovery & Aftercare
After monitoring concludes, you’ll leave with your driver. Driving should wait until the morning after a full night’s sleep. Our team follows up between sessions to track your response and make any adjustments before your next visit.
Step 7: Treatment Schedule & Maintenance
The protocol begins with twice-weekly sessions during weeks one through four, steps to once weekly in weeks five through eight, then transitions to individualized maintenance — weekly, every two weeks, or monthly — based on how you’re actually responding. Your progress drives the schedule.
The Science Behind Spravato for Treatment-Resistant Depression
Spravato’s FDA approval rests on a comprehensive clinical evidence base anchored by two pivotal phase 3 randomized controlled trials and supported by nearly six years of post-approval real-world data.
The TRANSFORM-2 study, published in the American Journal of Psychiatry, enrolled patients with confirmed treatment-resistant depression in a double-blind comparison of flexibly-dosed Spravato plus a newly initiated oral antidepressant versus antidepressant plus placebo. Patients receiving Spravato were 70% more likely to achieve remission. Statistically significant improvement was measurable within 24 hours of the first dose — reflecting the glutamate cascade and synaptogenesis that Spravato initiates in the prefrontal cortex, producing neuroplasticity that conventional antidepressants don’t generate. NYU Langone’s Dr. Iosifescu describes that 24-hour response as “essentially amazingly rapid” — a clinical observation that captures what the trial data shows and what patients experience.
The SUSTAIN-1 trial, published in JAMA Psychiatry, demonstrated durability. Patients who achieved stable remission or response were randomized to continue Spravato or transition to placebo. Those who continued showed significantly longer time to relapse — a hazard ratio of 0.49 (p=0.003). Maintenance treatment is a meaningful clinical investment in sustaining the improvement patients work to achieve.
Key research findings:
- Spravato triggers synaptogenesis and neuroplasticity in the prefrontal cortex and other mood-regulating brain regions within hours — growth-promoting neural repair, not incremental chemical adjustment
- The ASPIRE I and II trials confirmed statistically significant depressive symptom reduction within 24 hours in patients with MDD and active suicidal ideation — the first FDA-approved rapid pharmacological option for that clinical population
- Rates of remission with ketamine and esketamine are approximately 25–30%, which are substantially higher than what standard antidepressants achieve in treatment-resistant populations
- The January 2025 FDA monotherapy approval marks the most recent milestone in an evidence base now spanning more than a decade of research and over 140,000 patients treated worldwide

Why Choose Catalyst Health & Wellness for Spravato Treatment in Cypress
01
REMS-Certified Provider
02
Led by Dr. Ho – Expert Medical Care
Dr. Ho brings precisely the credentials that Spravato treatment requires. His board certification in anesthesiology means deep expertise in esketamine pharmacology, dosing, and the physician-level monitoring that each session demands. His background as a former pediatrician shapes the culture of the entire clinic — patient-centered, genuinely attentive, and focused on how treatment feels from the patient’s perspective rather than just how it tracks on a chart. Cypress residents who expect the best from the institutions they trust will find that standard here.
03
Insurance Navigation Support
Spravato stands apart from most innovative mental health treatments because major commercial insurance plans and Medicare frequently cover it for qualifying patients. Prior authorization is nearly always required, and the documentation process can feel like an additional burden when you’re already managing depression. Our team handles it entirely: benefit verification, prior auth submission, insurer communication, and appeals when needed. Your energy belongs to your recovery.
04
Whole-Person Approach
From the first call, we engage with you as a complete person — your treatment history, your current life, your goals, and what you want back. Treatment plans are built around that full picture and updated as your response evolves. What this means for you:
- Plans shaped by your specific history and present situation
- Ongoing adjustments based on real response data, not a protocol
- Coordination with your existing psychiatrist or prescribing physician
- Long-term engagement that extends well beyond the induction series
05
Extended Hours & Flexible Scheduling
Each Spravato session requires two or more hours in clinic. For Cypress residents managing long commutes on 290, demanding professional schedules, and active family lives in one of northwest Houston’s most popular communities, fitting a standard weekday clinical window into the day is often genuinely impossible. Our 5am to 9pm hours, seven days a week at all three Houston locations, remove that barrier. Pre-dawn appointments before the commute, evening sessions, weekend treatment — all available.
06
Comprehensive Treatment Options
Spravato is a powerful tool, but it’s not the only one. When your clinical picture benefits from a multi-modal approach, Catalyst offers complementary evidence-based treatments under the same roof:
Ketamine Therapy
Broader applications including anxiety, PTSD, chronic pain, OCD, and bipolar depression
TMS Therapy
Non-invasive magnetic brain stimulation for depression and OCD
Stellate Ganglion Block
Targeted nerve block treatment for PTSD and anxiety
Our goal is to find the right combination of treatments for your unique situation — not to fit you into a one-size-fits-all protocol.
07
Safe, Comfortable Environment
Our treatment rooms were designed specifically for the Spravato experience — not adapted from other clinical purposes. Each is private, quiet, and carefully arranged: reclinable chairs, soft adjustable lighting, warm blankets, noise-cancelling headphones. Dr. Ho’s clinical team is present and monitoring throughout every session. You’re observed, supported, and never alone during treatment.
Getting Started with Spravato Treatment in Cypress

Cypress has earned its reputation as a great place to live because the people here know what quality looks like and insist on it. That same standard should apply to mental health care — especially when treatment-resistant depression is the challenge. Spravato offers a clinically proven, FDA-approved path forward backed by decades of research and real-world results across more than 140,000 patients worldwide.
Call us at 800-772-1242 for your free, no-obligation phone consultation. We’ll discuss your history honestly, answer every question, and give you a clear picture of whether Spravato makes sense for your situation. No charge, no pressure, complete confidentiality.
Three Houston locations serve Cypress patients, with the Heights location easily accessible from 290. Our 5am to 9pm hours every day of the week mean treatment fits around your life. Dr. Ho and the entire Catalyst team are ready when you are.
Monday-Sunday, 6am-9pm
Free consultation
Insurance assistance
Three Houston locations
REMS-certified provider
Commonly Asked Questions
Get Help NowHow quickly does Spravato therapy work?
Many patients notice improvements within hours or days of their first treatment. The TRANSFORM-2 study showed significant improvement compared to placebo within 24 hours. This rapid action is one of Spravato’s most remarkable qualities, especially compared to traditional antidepressants that can take 4 to 8 weeks to work.
Is Spravato therapy safe?
Yes, when administered by trained medical professionals in a REMS-certified setting. Spravato underwent extensive clinical trials before FDA approval. Common side effects like dissociation, dizziness, and temporary blood pressure increases typically resolve within 1-2 hours. We monitor your vital signs throughout treatment to ensure your safety.
How many treatments will I need?
During the first month, you’ll receive Spravato twice weekly. In the second month, treatment typically decreases to once weekly. After that, most patients continue with maintenance treatments once weekly or every two weeks. The exact frequency depends on your individual response. We’ll work with you to find the schedule that keeps you feeling your best.
What does Spravato treatment feel like?
Experiences vary from person to person. Many patients describe feeling relaxed, calm, or somewhat disconnected from their surroundings. Some people experience mild visual or sensory changes. These effects are temporary and typically resolve within 1-2 hours after treatment ends. Most patients find the experience manageable and therapeutic.
Can I drive after a Spravato treatment?
No, you cannot drive yourself home after Spravato treatment, and you should not drive until the next day after a restful night’s sleep. You’ll need to arrange transportation both to and from your appointment. By the time you leave our facility after the 2-hour observation period, you’ll feel much clearer, but driving remains unsafe until the following day.
Will my insurance cover Spravato?
Many insurance plans cover Spravato for qualifying patients since it’s FDA-approved for treatment-resistant depression. Coverage varies by plan and typically requires prior authorization. Our team handles the insurance process for you, including benefits verification and prior authorization submissions.
Can I continue my current medications?
Spravato is always used alongside an oral antidepressant, so you’ll continue taking your prescribed antidepressant medication. We’ll coordinate with your prescribing physician to ensure your overall treatment plan is optimized. Some medications may require adjustment before starting Spravato, which we’ll discuss during your consultation.
Do I need a referral from my doctor?
No, you don’t need a referral to begin Spravato therapy at Catalyst Health & Wellness. However, coordination with your current prescribing physician is important since Spravato must be used alongside an oral antidepressant. We encourage communication between all members of your healthcare team.
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