4 sessions in, looking for general tips/advice

After 25 years of trying numerous antidepressants, mood stabilizers, antipsychotics, benzos, you name it...I finally broke down and decided to try Spravato when my psych NP recommended I try ECT. I don't want to do ECT. TMS is a huge time suck so I've shelved that option for now too.

I've completed the first 2 weeks of my Spravato treatment. I've found it generally pleasurable. Not sure I've seen any sort of huge shift yet but have found the journaling I do immediately after to be helpful to bring to my therapist.

So far I've found opting for a ketamine specific playlist with an eye mask on to be the best way to experience Spravato. I typically remove my mask after the 2nd check from the nurse and begin writing. I'm curious what others do. Any favorite Spotify playlists or rituals? Have you done any specific integration work? The clinic I go to has recommended seeing their therapists for integration but I don't believe my insurance would cover them.

Speaking of insurance, even with it, I somehow owe $250 per session. This adds up quickly. I'm aware of the rebate program but the clinic said they'd handle it. Nothing is showing on my insurance's (UHC) site yet for claims. I've hit my deductible for the year but not out of pocket max, and curious if anyone has experience dealing with insurance while using Spravato. I'd like to figure out if I'm on the hook for $250 a week forever, or if there's a way around it. I figured I'd do the initial 8 week course and then evaluate how I thought it was working.

Thanks for any/all insight!