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Depression

WHAT WE TREAT

Major Depressive Disorder

Depression is a disabling condition and the third most common reason for consulting a GP in the UK. Depression is the second cause of disability worldwide in 2020. Treatment-resistant depression defined as people with major depressive disorder (MDD) who do not respond adequately to two courses of appropriate antidepressant medication within a certain time. A multicentre study found that around 50% of depressed patients were considered treatment-resistant after two consecutive courses of treatment with antidepressants.

 

Many people worldwide are suffering from major depression and every day is a battle in confronting the symptoms that comes with this mental condition. An additional burden that people suffering from major depression are facing is that the medications that they are on are not having the desired effect or no effect at all making patients treatment-resistant. 

 

This is a frustrating scenario for many people who are suffering from major depression. Another major disadvantage is that most antidepressants that are available take weeks or months to start working and for some patients do not work at all. This is failing patients who are at risk of harming themselves through self-harm and suicide.

 

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New antidepressant nasal spray

Spravato® is the new nasal spray that has been approved by the Food and Drug Administration in the United States and also approved by the EC in Europe.

This spray was developed by Janssen Pharmaceuticals to serve those who are currently suffering from major depression and patients who have thoughts of suicide and patients who are treatment-resistant to other treatments for major depression. This new nasal spray is for those who are treatment-resistant to standard drugs such as antidepressants.

 

Spravato® works on the glutamate the brain neurotransmitter that uplifts the mood state you will be in. Other antidepressants work on serotonin and norepinephrine, these two neurotransmitters then work on the glutamate neurotransmitter.

 

Spravato® works smarter and faster and targets the glutamate straight away. Spravato is a brand new medication nasal spray and major step forward in three decades since Prozac wooed the depression market and prescribed by psychiatrists all over the globe.

Spravato® is a new antidepressant spray that is indicated for adults with treatment-resistant Major Depressive Disorder, who have not responded to at least two different treatments with antidepressants in the current moderate to a severe depressive episode.

Spravato® is uniquely provided at Ciconia Recovery London. It is advised to be taken by a nasal (nose) spray device.

At Ciconia Recovery, we will show you how to use Spravato® properly.

You will spray the medicine into your nose yourself. At Ciconia Recovery, the doctor will decide if you need one, two or three nasal spray devices and how often you should come to the clinic for the medicine.

Frequently asked questions

What treatments do you offer for depression?

A personalised plan that may include psychological therapy, medication where appropriate, and practical support. Your clinician agrees the approach with you.

Will I need antidepressants?

Not always. Therapy helps many people; medication is one option discussed where clinically appropriate, with regular review of its benefits and any side effects.

How is depression assessed?

Through a confidential consultation with a consultant psychiatrist covering your symptoms, history and circumstances, to understand what is happening and agree the right support.

What if my low mood is severe or I feel unsafe?

Please seek urgent help — contact your GP, NHS 111, or emergency services if you are at immediate risk. When you are safe, we can arrange specialist assessment and ongoing care.

How soon can I be seen?

We aim to offer prompt appointments, often within a short time of your enquiry.

Do I need a GP referral?

No referral is required — you can contact us directly. We also welcome referrals from GPs and other professionals, and can liaise with your GP with your consent.

Who will I speak to when I call?

You will speak with a member of our team who can answer your questions, explain the process and help arrange an appointment at a time that suits you.

How much does treatment cost?

Fees depend on your assessment and treatment plan. Please contact our team for current pricing and details of what each appointment includes.

Does my insurance cover assessment or treatment?

Many private insurers cover psychiatric assessment and treatment, though cover varies by policy. We recommend checking with your provider; our team can supply the details you will need.

Do you offer aftercare and follow-up?

Yes. Care includes follow-up review and ongoing support to keep your treatment plan working well over time.

Are your clinicians qualified?

Your care is led by experienced consultant psychiatrists and clinicians registered with the relevant UK professional bodies. Our service is regulated by the Care Quality Commission (CQC).

Are your staff qualified?

All Ciconia Recovery staff are qualified for their specific roles with many years of experience in working in the addiction and mental health fields. In addition all our staff are always up to date with all their relevant training and registrations.

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