
At Montana Psychiatry & Brain Health Center, we understand that finding treatment options for patients struggling with mental health illnesses can be complex. Dr. Amato and our team are committed to finding an individual treatment plan to fit your mental health concerns.
SPRAVATO is one of the treatment options we have to meet unresolved treatment-resistant depression. Montana Psychiatry & Brain Health Center is a Certified outpatient SPRAVTO treatment center in both our Billings and Bozeman locations. We encourage you to call us to learn more about SPRAVATO. We have also included below several videos and Frequently Asked Questions for you to learn more about this exciting option.

WHAT TO EXPECT DURING YOUR SPRAVATO TREATMENT
SPRAVATO PATIENT VIDEOS
Nicole’s Story
SPRAVATO helped Nicole’s treatment-resistant depression.
Now, she is resuming her education and sharing her story.
ALLISON’S STORY
Allison’s son tried many antidepressants without relief.
Now, because of SPRAVATO, Allison’s son is starting to feel like himself again.
FREQUENTLY ASKED QUESTIONS ABOUT SPRAVATO
Is Spravato covered by insurance?
Many insurance payers have included SPRAVATO as a covered benefit. Call your insurance company to find out more about coverage for SPRAVATO.
What is Spravato and how does it work?
SPRAVATO® is the first FDA-approved nasal spray medication, taken with an oral antidepressant, for treatment-resistant depression in adults
• If you’ve tried two or more antidepressants* without sufficient relief, talk to your healthcare provider to see if you may have treatment-resistant depression
*Of adequate dose and duration in your current episode.
The exact way that SPRAVATO® works is unknown.SPRAVATO® targets the N-methyl-Daspartate (NMDA) receptor and is believed to work differently than currently available oral antidepressants.
What can you expect in your first treatment visit?
Your healthcare provider will continue to be involved with your care during SPRAVATO® treatment and will be available to answer questions or address concerns as you undergo treatment. Your first visit to our certified SPRAVATO® treatment center will be a consultation.
We will:
• Receive your medical information from your healthcare provider.
• Conduct our intake assessment to determine if SPRAVATO® may be right for you
• Verify your insurance information as part of the eligibility confirmation
If SPRAVATO® is recommended, Dr. Amato and her team will build a treatment plan with you and enroll you in
What are the side effects of SPRAVATO?
We refer you to the SPRAVATO website to discover the common and serious side effects, safety information, and prescribing Information (including Boxed Warnings, and the Medication Guide).
*Spravato is a registered trademark of Janssen Pharmaceuticals, Inc. 2022. All rights reserved.
TMS
by Deb (age 64)
Category: generalThe hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert
TMS
by Barbie (age 68)
Category: generalI feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.
TMS
by Shayne (age 66)
Category: generalI am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!
TMS
by Carrie (age 65)
Category: generalNot realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.
TMS
by Bridget (age 47)
Category: generalThe first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.
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