How TMS and Spravato are Addressing the Mental Health Crisis

Depression treatment is evolving, offering new hope beyond traditional medications. TMS therapy and Spravato (Esketamine)are changing the way we treat major depressive disorder (MDD) and treatment-resistant depression (TRD). If antidepressants haven’t worked, these FDA-approved, non-invasive options might be the breakthrough you’ve been searching for. Discover how TMS and Spravato work and find expert clinics near you with MDDCare.

The Mental Health Crisis: A Growing Emergency

The mental health crisis is escalating at an alarming pace. Depression, for one, is weighing on roughly 280 million people across the globe, as the World Health Organization points out, while the National Institute of Mental Health notes that over 21 million adults in the U.S. face at least one major depressive episode every year. In spite of greater awareness, traditional treatments don’t work for everyone, and millions are left to struggle with persistent symptoms. Depression is also the world’s number one cause of disability, and suicide continues to be on the rise. It is more important than ever to find and support effective treatments for depression, as the need for better care continues to rise.

The Limitations of Traditional Depression Treatments

Therapy and antidepressants have long been the primary forms of treatment for people with depression. While some people can benefit from these therapies, more than 30% of those with major depressive disorder do not improve through traditional antidepressants. It typically takes weeks to see benefits in those who have reacted to medicine, and it frequently has unexpected side effects, the most prevalent of which are emotional numbness, weight gain, and fatigue.

Therapy is also an option that is effective for some patients, although it does take long-term commitment. It also may not be the best treatment for most due to the costs associated with it along with the limited number of available providers. As demand for mental health services continues to rise, it becomes increasingly apparent that other solutions are desperately needed and highlights the limitations of traditional methods.

TMS and Spravato: Bridging the Treatment Gap

Over the past few years, the most effective treatment for treatment-resistant depression has been Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine). Those who have not responded to conventional medications might find a lot of success with these FDA-approved treatments.

To restore normal functioning, TMS uses magnetic pulses to stimulate certain brain regions involved in depression. According to studies, 50–60% of the patients had significant improvement in symptoms. TMS is well tolerated by most patients and has minimal side effects.

Spravato is an esketamine nasal spray. Unlike antidepressants, this nasal spray acts on the glutamate system, the central system that controls mood. Many individuals report feeling better within the first 24 to 48 hours, emphasizing that this method offers patients rapid symptom relief. When immediate intervention is needed, Spravato is very helpful for individuals dealing with severe depression and suicidal ideation. 

Real-World Impact: How These Treatments Are Changing Lives

As Spravato and TMS gain popularity, we are experiencing real-world effects that reinforce what research has shown. These cutting-edge treatments are helping patients who have previously suffered for years through several medications. According to a study published in The American Journal of Psychiatry, individuals using Spravato had a 50% lower chance of relapsing than those using only traditional medications. In addition, TMS has demonstrated outstanding effectiveness. After completing treatment, many TMS patients maintained sustained benefits lasting months or even years. 

The broader impact of these treatments is profound. In addition to significantly lowering hospital stays and ER visits, TMS and Spravato may also lessen the need for ongoing oral medication while enhancing patients’ everyday functioning. Because of the quick symptom relief and long-term recovery benefits, these treatments help prevent the need for intensive care, including inpatient stays. While TMS and Spravato are becoming more widely available, they not only improve many people’s lives but also lessen the strain on healthcare systems.

The Future of Mental Health Care: Expanding Innovative Treatments

For individuals with depression who are not responding to medication, TMS and Spravato provide fresh hope. Costs, insurance, and access, however, continue to be major challenges for the majority. However, a rising number of initiatives are being made to overcome these obstacles. The FDA’s expansion of Spravato’s clearance is a huge step in the right direction. As of January 2025, it is being approved independently for major depressive disorder (MDD), having previously been approved in 2019 for treatment-resistant depression. As additional studies demonstrate the effectiveness of these drugs, more insurance companies are extending coverage because they see the potential cost savings and long-term advantages.

In addition, online health platforms are bridging the gap by connecting patients with professionals so that they can learn more about the treatments available to them. Public awareness efforts are also influencing how we view mental health treatments, eliminating stigma and encouraging more individuals to seek the support they need. These initiatives are crucial for increasing access to therapies like TMS and Spravato and informing people that they have effective alternatives.

Incorporating TMS and Spravato into standard mental health care could significantly enhance the management of depression, particularly for individuals who haven’t found success with traditional treatments. Getting these treatments to more people means tackling a few big hurdles. For example, making them easier to access, bringing down the price, and chipping away at the stigma tied to depression. As these therapies become more common, tools like MDDCare are stepping up, helping people find clinics offering TMS and Spravato without the hassle—putting real relief closer than ever for those who need it.

About the Author

Julia Kelly

Analyst at MDDCare

Julia is a passionate mental health advocate and content specialist at MDDCare. With a deep commitment to raising awareness about modern mental health treatments, Julia provides expert insights and informative resources to help guide individuals on their journey to wellness.