Crash after dropping to once per week treatments?
I completed the initial 8 treatments going twice per week and was actually starting to feel significantly better. It was such a relief. I was starting to really feel like myself again. This is my second week of only doing Spravato once a week and for the past 4 or so days I’ve felt worse and worse. Today I’m feeling like I was before treatment started despite having a session yesterday. Has anyone else experienced a hard crash like this and then leveled out with continuing treatment? Do I likely need to go back to twice a week treatments for a while?
I can’t make an appointment with my PA until next week and I’m feeling really anxious that Spravato isn’t going to work for me if I’m already backsliding this hard. It’s already tricky scheduling 2 treatment days per week and while I can probably move my schedule around to adapt to it for a little longer, it’s not feasible long term. I’m not even sure about once a week treatments past the first few months. I know I need to give it time, but my next treatment option would be TMS and I’d need to do some major adjustments to my work schedule to accommodate it. If Spravato isn’t going to be a good fit, I want to get that scheduling process started sooner rather than later.
I’m definitely anxious and emotional right now. I know logically that treatments like this take time to work and it’s often not a linear process, but right now the irrational part of my brain is winning and I could really use some insight from others who have been in my position before. It’s scary crashing so hard the moment I start spacing out treatments.
Posted Sep 23, 2026, 9:23 PM UTC