Spravato Treatment Center

Treatment Resistant Depression Therapy

Spravato is a form of ketamine approved by the Food and Drug Administration (FDA) to treat stubborn treatment resistant depression.

Spravato REMS Therapy

New days lie ahead with Spravato for those with treatment resistant depression

Treatment resistant depression (TRD) is defined as depression that fails to respond to two or more antidepressant medications at maximum dose and duration. Unfortunately, many patients with depression fall into this TRD category. Studies show that about 1 out of every 3 depressed patients suffer from TRD.

Spravato (esketamine), an FDA-approved nasal spray, is used to treat TRD and major depressive disorder accompanied by suicidal thoughts, and comes in the form of a nasal spray.  Spravato is not a medication that one takes at home and can only be administered in Spravato treatment center.

Spravato Therapy

Treatment resistant depression can be hard to treat, but now patients and doctors have a new safe and effective treatment option, Spravato Therapy. It is important to remember that depression is a chronic condition that can get better with treatment.

Spravato nasal spray is administered by the patient under the supervision of a specialty trained healthcare provider and is not prescribed to the patient to be administered at home. For those with suicidal thoughts or actions, Spravato does not take the place of emergency help or hospitalization when needed or directed by a physician.

When visiting our treatment center, patients can expect to relax in a massaging chair in a quiet room for approximately 2-hours while being monitored closely by our trained Spravato specialists.

Spravato Enrollment

All the mental health services you need in one place.
We offer a wide range of services to meet every type of need.
Hopefield Healthcare Services is a comprehensive mental health clinic that takes pride in the quality of care we offer. Our clinicians are well-experienced, and are patients are treated with respect and dignity.
We offer thorough psychiatric assessment and evaluation, and will work with you to develop a treatment plan that helps you to attain a better quality of life. Hopefield Healthcare works diligently to continually optimize service to our patients and offers the most advanced forms of treatment available for certain mental health conditions.
For those suffering from depression or anxiety, be sure to inquire whether or not you are a candidate for transcranial magnetic stimulation (TMS). TMS is an FDA-approved depression treatment that offers hope and long-term healing – and treats depression at its core.

Addiction Strikes Before You May Even Realize It

Addiction can strike a person when they least expect it. For many, it starts with just trying a substance “for fun” or due to peer pressure. For others, maybe it’s a way to cope with everyday pressures of life or perhaps a traumatic event.

Sadly, addiction can strike when we least expect it. Adolescents, teens, young adults, and even adults can get caught up in a downward spiral before they even realize what is happening. Many people often turn to alcohol, pain killers, cocaine and other substances for a variety of reasons. For some, it starts with just a desire to “try something new” or have a good time with friends. Yet, for others, they turn to alcohol or drugs to deal with trauma, pain, heartache, or life’s everyday challenges that can lead to undue stress.
Before you know it, one or two times turns into regular use, dependency, and then addiction. Once addicted, one’s life spins out of control, as an addiction can destroy relationships, cause major financial issues, create or complicate one’s physical health, and significantly affect mental health.
According to the DSM-5, a “substance use disorder describes a problematic pattern of using alcohol or another substance that results in impairment in daily life or noticeable distress.”  As as result, most people with an addiction will generally make attempts to overcome the addiction; however, will continue to use despite the consequences suffered due to their addiction.
Addiction psychiatry is a medical subspecialty within psychiatry that focuses on the evaluation, diagnosis, and treatment of people who are suffering from one or more disorders related to addiction. This may include disorders involving legal and illegal drugs, other impulse control disorders. Addiction psychiatrists are substance abuse experts.
Dr. Nwedo is Board Certified in Addiction Medicine and offers the most advanced forms of addictive medicine treatment. To schedule an appointment at Hopefield Healthcare with Dr. Nwedo, please call our clinic today at (731) 240-1695.
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Is Anxiety a Pandemic Too?

Data shows that stress and anxiety are on the rise since COVID-19. There are many different forms of anxiety disorders that are characterized by varying symptoms. Learn more about the different forms of anxiety and take the anxiety quiz to see if your symptoms warrant the need for further evaluation.

Is Anxiety a New Pandemic Too?
Stress and anxiety are on the rise, thanks to COVID-19. What many people don’t know is that there are several different forms of anxiety that are primarily divided among three different categories. Below is a brief description of each category:
1. Anxiety disorders: Anxiety disorders are characterized by excessive fear (i.e. an emotional response to a perceived or real threat) and/or anxiety (i.e. worrying about a future threat) and can have negative behavioral and emotional consequences.
2. Obsessive-compulsive and related disorders: Obsessive-compulsive and related disorders are characterized by obsessive, intrusive thoughts (i.e. constantly worrying about something, such as staying clean or body size) that trigger related, compulsive behaviors (i.e. repeated hand-washing or excessive exercise). These behaviors are performed to alleviate the anxiety associated with the obsessive thoughts.
3. Trauma and stressor-related disorders: Trauma and stressor-related anxiety disorders are related to the experience of some type of trauma (i.e. unexpected death of a loved one, a car accident, or a violent incident like war or sexual assault) or stressor (i.e. divorce, beginning college, moving).
Treatment for Anxiety
The most widely used form of treatment for anxiety is therapy, such as cognitive behavioral therapy (CBT), along with medications for more severe forms of anxiety. While there are a few non-addictive medications to assist in reducing the symptoms of anxiety, benzodiazepines are widely used to treat anxiety and present a risk for abuse and even addiction.
While TMS therapy is FDA-approved for depression and obsessive compulsive disorder (OCD), most insurance networks only cover the treatment for depression. However, anxiety is often secondary to depression. TMS can be a very effective treatment for most forms of anxiety, bringing long-term relief for those suffering from anxiety symptoms that are creating a significant negative impact on ones live.
If you think you may be experiencing symptoms of anxiety, take the anxiety quiz to learn more about the severity of your symptoms and call our office today to schedule a thorough screening.

Anxiety Screening

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The Emotional Rollercoaster of Mood Disorders

Mood disorders are characterized by a serious shift or change in ones moods. Mood disorders include various types of depression and bipolar disorders. Hopefield Healthcare specializes in treating mood disorders with the most advanced forms of psychiatric medicince. Give us a call today to learn more about your treatment options.

Mood disorders are a classification of mental health disorders that psychiatrists use to broadly describe various types of depression and bipolar disorders.
Mood disorders are not reserved for adults. Unfortunately, children and teenagers both can exhibit symptoms of a depressive or bipolar disorder. However, symptoms in children and teens can present very differently than in adults. In fact, it is much more difficult to diagnosis children because they are not equipped to express how they feel.
Most generally, therapy and medications, along with support and self-care often help to minimize symptoms. However, these methods don’t always work for everyone. When patients present with treatment resistant depression, the transcranial magnetic stimulation (TMS) is often recommended depending on the persons age. TMS is generally covered by a patient’s insurance for adults, and in some case for youth who are at least 17 years old.
The most common forms of mood disorders include:
  1. Major depressive disorder, which is characterized by a consistent low mood, lack of interest in social events or activities, feelings of sadness or hopelessness, sleeping issues, appetite changes, lack of motivation, fatigue and other symptoms.
  2. Dysthymia – a chronic, low-grade, depressed or irritable mood that persists for at least two years.
  3. Bipolar disorder – a condition where a person has episodes of depression that alternates with periods of manic behaviors or exaggerated elevated mood
  4. Substance-induced mood disorder occurs as a result of the effects of a medication or combination of medications, drug use or abuse, alcoholism, or exposure to certain toxins.
Take the Mood Disorder Questionnaire to see if your symptoms might be related to a mood disorder.
The Mood Disorder Questionnaire (MDQ) is recommended in the screening of bipolar symptoms in the outpatient setting.
The MDQ is aimed at identifying those who suffer from bipolar spectrum disorders (bipolar I, bipolar II, cyclothymia).
It consists of a part I with 13 questions referring to bipolar symptoms and a part II with 2 questions, referring to family history of mental disease, past personal diagnoses and the perceived disease severity.
A positive screening outcome from the mood disorder questionnaire needs to satisfy all three of the following criteria:
■ 7 positive answers out of the 13 questions in part I;
■ Positive response to the first question of part II (question 14);
■ Moderate or severe response to the second question of part II (question 15).
For further evaluation be sure to schedule a complete assessment and evaluation with 
Hopefield Healthcare at (731) 240-1695.

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Shaping the Future of Our Youth

We assume that the childhood and adolescent years are times of joyfull and carefree bliss. Unfortunately, as many as 20% of our nations youth have one or more diagnosed mental health condition, Some of the most common disorders amoung children are stress-related, anxiety, and mood disorders.

Children and adolescents, like adults, can having varying temperaments. Some are introverted and shy, quiet, or reserved, and others are socially indulged, extroverted and outspoken. And, some are curious and exploring, while others are impulsive, careless, and risk-taking. 
“Children will be children” is a common phrase, but whether a child is behaving life a ‘typical’ child or has an actual mental health disorder is determined by the presence of very specific impairments or behaviors, as well as the degree of distress associated with the symptoms expressed or apparent. For example, a 14-year old boy may experience and express undue stress and anxiety that causes significant avoidance and distress when ask to deliver a book report to his class. When this level of stress and anxiety disrupts his ability to concentrate and affects his overall mental wellbeing, this fear would likely be due to social anxiety disorder.
There is a great deal of assessment that goes into confirming a mental health disorder present in a child or adolescent, as there is much overlap between varying behaviors and actual symptoms of a disorder. One classic disorder that is often misdiagnosed is attention deficit disorder (ADD). Often times, school teachers, parents, and other adults present in the child’s life on a frequent basis may fear the child has ADD. In fact, youth who have higher than average intelligence levels often become bored. Sometimes when boredom strikes, the child may display behaviors that are disruptive or immature. 
It is vitally important to have your child thoroughly observed and examined for a mental health disorder before starting them on any type of psychiatric medications. Dr. Nwedo has great passion for child and adolescent psychiatry, and specializes in diagnosing and treating child and adolescent mental health disorders. 
If you feel your child may be experiencing a mental health disorder, call our office today to schedule a thorough assessment at (731) 240-1695.
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