Integrative Mental Health LLC

Omar Canosa, MD

7 MacCulloch Ave, Third Floor Morristown, NJ 07960

(973) 520-8848

Welcome to Integrative Mental Health, the practice home of Omar Canosa, MD.

Dr. Canosa is board certified in both adult and child/adolescent psychiatry. In addition, he is intensively trained in Dialectical Behavior Therapy (DBT) through BehavioralTech (Seattle, WA), and has received training in medical acupuncture through UCLA's David Geffen School of Medicine.  Dr. Canosa practices within an integrative framework that combines treatment of illness symptoms with a focus on establishing and enhancing wellness, in the service of helping his clients build a life worth living.

 

 Spravato™Questions and Answers

Q: What is Spravato? 

A: Spravato is an intranasal medication that is FDA approved for treatment resistant depression, or depression that has not responded to at least two oral antidepressant treatments. Spravato works differently than most current FDA approved treatments for depression. Spravato is self-administered by the patient while in the presence of a healthcare provider. This means you must come into the office to receive Spravato treatment — it cannot be taken at home. 

Q: Will I take it every day? 

A: No, you will take Spravato twice a week for the first 4 weeks. Then, you will take it once a week for weeks 4-8. After week 8, the frequency of treatment will be determined by you and your healthcare provider (usually once a week, or once every other week). 

Q: How long will visits take? 

A: All patients receiving Spravato treatment must remain in the office for two hours after treatment, or longer if experiencing certain side effects. You will be able to rest in a comfortable, private space after receiving treatment. All Spravato patients are required by the FDA to be enrolled in the Spravato Risk Evaluation and Mitigation Strategy (REMS) program to monitor known or potential risks associated with the medication. 

You cannot drive from the time you receive treatment until after a restful nights sleep. Therefore, you must make transportation arrangements for office visits. 

Q: Can anyone who is feeling depressed receive Spravato treatment? 

A: Anyone with treatment resistant depression who is currently on an oral antidepressant medication may be a candidate for a trial of Spravato. A healthcare provider at Integrative Mental Health (IMH) can help determine if your depression is treatment resistant. Certain medical conditions may exclude patients from Spravato treatment. A patient considering Spravato will discuss medical and psychiatric history with a healthcare provider at IMH to determine if treatment is appropriate. 

Q: What are the most common side effects?

A: Common side effects include but are not limited to: dissociation (feeling disconnected from your body, thoughts, or surroundings), dizziness, nausea, sedation (feeling sleepy), increased blood pressure, and a spinning sensation. 

Q: I am interested in learning more about Spravato at IMH. What should I do? 

A: Call 973-520-8848. A patient questionnaire will be sent to you. A provider will be in touch with you after completion of the questionnaire. 

Also, for additional information on Spravato and the REMS program visit www.spravato.com and www.spravatorems.com.