For physicians and therapists.
How a patient of yours can be seen at Brain Recovery Centers, how a visit runs, and how we work with the clinicians a patient already has.
Who we see
- Spravato (esketamine) is an FDA-approved nasal-spray medication for adults with treatment-resistant depression, and for depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior.
- Most insurers require at least two adequate prior antidepressant trials to qualify.
- This treatment is not compatible with active substance use, and we screen for it carefully.
- Not everyone responds. Not a cure, and not a promise.
Patients can also print our letter for your doctor and bring it to you.
How a Spravato visit runs
In the words we give patients:
- You administer the nasal spray yourself, with the clinician right there. No IVs, no needles.
- Every dose is observed by a healthcare provider, with two-hour post-dose monitoring and blood-pressure checks before you leave.
- It's never sent home.
- Visits run a little over two hours with a monitored rest period after dosing.
- Patients arrange a ride and do not drive until the next day.
How to refer a patient
- Your patient can book a consult at brainrecoverycenters.com/schedule or call (314) 314-9112.
- Offices can call the same line to coordinate.
- This website has no form for patient information. Please call instead of sending patient details online.
Patients are seen at our South County clinic: 3934 Union Rd, St. Louis, MO 63125. Mon-Thu 7:00am-6:00pm, Fri 7:00am-2:00pm, closed Sat and Sun.
Headquarters, Chesterfield: 18118 Chesterfield Airport Road, Suite G, Chesterfield, MO 63005. Administrative office only, no patient visits.
Coordination, and what comes back to you
In the words we give patients:
- We treat alongside your existing therapy and send progress notes to whoever you choose, with your consent.
- Your PHQ-9 is measured at every visit, so you see the numbers move, not just how you feel.
- For veterans, intake uses PCL-5 and PHQ-9 online.
Therapists: see collaborative care for therapists.





