Joseph Raziano, MD
Medical Director
Dr. Raziano is a physician specializing in Emergency Medicine with an M.D. from Tulane University School of Medicine
If you're searching for a Spravato clinic, safety should be a priority.
Our clinic provides physician-led treatment with continuous monitoring—so care is delivered in a true medical setting, not a spa-like environment.
Spravato affects brain receptors differently than traditional antidepressants. It can produce rapid changes in mood and perception while temporarily affecting blood pressure and awareness.
Because of this, the FDA requires that Spravato be administered in a certified clinical setting under supervision.
A properly monitored Spravato clinic should provide:
If you’re evaluating treatment options, you may also want to understand who qualifies for Spravato treatment and whether it is appropriate for your situation.
At Therapeutic Infusions, every Spravato treatment is conducted with active monitoring of vital signs.
During treatment, the clinical team tracks:
This level of observation allows clinicians to identify any changes quickly and respond immediately if needed.
Most patients tolerate Spravato very well. However, proper monitoring provides reassurance that your care is being managed by experienced medical professionals.
One of the most important factors when choosing a Spravato provider is who is overseeing your treatment.
Therapeutic Infusions is led by Dr. Joseph Raziano, a board-certified physician with more than three decades of experience administering ketamine in emergency medical settings.
That experience matters.
Ketamine has been used in hospitals and emergency departments for many years. Having a physician who understands the medication from a medical and safety perspective provides a level of expertise that many clinics cannot offer.
You can also read more about how Spravato compares to IV ketamine treatment and why some clinics provide both options.
Spravato treatment follows a structured process designed for both safety and effectiveness.
1. Pre-treatment evaluation
Your appointment begins with a medical check-in and blood pressure assessment.
2. Supervised medication administration
Spravato nasal spray is self-administered under clinical supervision.
3. Monitoring period
Patients relax in a medical recliner while clinical staff monitor vital signs and response to treatment.
4. Recovery observation
Patients remain in the clinic for at least two hours, as required by the Spravato REMS program.
5. Discharge when stable
You will be released once your vital signs have returned to a safe range.
If you want a deeper overview of the process, see what to expect during Spravato treatment.
Spravato is often covered by insurance when patients meet eligibility criteria for treatment-resistant depression.
Coverage typically depends on:
prior antidepressant treatment history
medical evaluation by a qualified provider
insurance authorization approval
Our clinic assists patients with the authorization process when insurance coverage is available.
You can learn more about Spravato insurance coverage and authorization on our insurance page.
Spravato is approved for adults with:
treatment-resistant depression
major depressive disorder with suicidal ideation or behavior
Most patients who qualify have tried multiple antidepressant medications without sufficient improvement.
A clinical consultation determines whether Spravato is appropriate for you.
More details are available on our guide toSpravato eligibility and treatment-resistant depression.
Don’t wait, the start to a happier you starts today. Our office is in Wilmington, Delaware.
Here at Therapeutic Infusions we provide our clients with a safe, relaxed and private environment to feel comfortable working with us.
Phones answered:
M - F 10AM - 6PM
By appointment only - Call for available appointment times