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    <loc>https://www.bethesdapsychiatrymd.com/contact</loc>
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    <lastmod>2025-04-11</lastmod>
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      <image:title>Contact</image:title>
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  <url>
    <loc>https://www.bethesdapsychiatrymd.com/tele-psych</loc>
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    <lastmod>2025-04-12</lastmod>
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      <image:title>Tele- psych</image:title>
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  <url>
    <loc>https://www.bethesdapsychiatrymd.com/treatments-depression-anxiety-ocd-trauma</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-18</lastmod>
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      <image:title>Treatments</image:title>
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      <image:title>Treatments - Medications and Psychotherapy</image:title>
      <image:caption>Our board-certified professionals are well-trained to diagnose and provide individualized care to each of our clients. We treat the full spectrum of psychiatric disorders. All of our practitioners are trained in psychopharmacology and psychotherapy. Currently, we offer medication management to each of our patients. All treatment by the PA and NPs is supervised by Dr. Amita Jha MD MPH. We understand that not everyone can tolerate psychiatric medications and like all other medicines they do have side effects. We do our best to refer for alternative treatments as transcranial magnetic stimulation (TMS), eye movement desensitization and reprocessing (EMDR), or, various forms of talk therapies such as cognitive behavioral therapy (CBT), psychodynamic therapy, couples therapy, relational therapies that can help in alleviating the symptoms.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1593437400284-1OBN8LR5U2SR9YZJ96JP/image-asset.jpeg</image:loc>
      <image:title>Treatments - First appointment</image:title>
      <image:caption>Your first appointment will be with any of our providers with openings available. it is usually a 60 minutes appointment with complete intake of your present and past history and medications. At the end of the meeting provider will discuss a tentative diagnosis and a treatment plan with your full participation. Depending on the complexity of the situation or illness, it may take a 2-3 meetings to finalize a diagnosis, medication and psychotherapy and follow up plan.</image:caption>
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      <image:title>Treatments - Follow up appointment</image:title>
      <image:caption>Our follow up appointments are 20-30 minutes and 45-50 minutes depending on the complexity of the case. Your provider will discuss the frequency and length of the follow up visits. It is customary in our practice that we follow most patients every two weeks for first few week, followed by monthly appointments and then as patients stabilize we transition them to appointments once every 3 months. This is to afford closer monitoring of the medications and side effects initially.</image:caption>
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      <image:title>Treatments - Referrals</image:title>
      <image:caption>Your provider will also discuss any need for psychotherapy and we try our best to find referrals either within our practice or to outside therapists. We also at times will refer you to PCPs, endocrinologists, neurologists, pain management, and sleep medicine if necessary for the treatment.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1594572768158-4GOZ9DC2T2ZMCUSJGZPH/image-asset.jpeg</image:loc>
      <image:title>Treatments - prescriptions</image:title>
      <image:caption>Prescription management is an important task best accomplished through close collaboration between the provider and patients. Please note the following facts: Sending prescriptions out to your pharmacies digitally takes time and effort, and we usually need 48 hours to refill prescriptions. It is best practice to get your prescriptions refilled by the provider during your appointments. Controlled substance prescriptions such as adderall, xanax, cannot be refilled without appointments. Please discuss this with your provider. Some of the prescriptions need pre- authorization from insurance companies and it takes an average of 4-5 days to complete that process. It is our policy that all patients must be seen at the very least every 3 months for any psychiatric drug prescriptions. Please discuss with your provider if you need any alternate arrangements.</image:caption>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/insurance</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-18</lastmod>
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      <image:title>Insurance</image:title>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/home-1</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2025-11-21</lastmod>
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      <image:title>Home</image:title>
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      <image:title>Home - Amita Jha MD</image:title>
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      <image:title>Home - Winnie Deguzman NP</image:title>
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      <image:title>Home - Renee LaPointe PA-C</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1763755814559-0BF1F1B8GT0BGGF8O12L/IMG_5898+%281%29.jpeg</image:loc>
      <image:title>Home - Shawn McNichols PA-C</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1699826685808-7L4URS1CK54RMZUH8ELB/IMG_7375.jpg</image:loc>
      <image:title>Home</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1699826697542-RUQG1HULRA2H9647285Y/IMG_7374.jpg</image:loc>
      <image:title>Home</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1699826791696-1HKGWZPS3IN9VJI1TVDF/IMG_7368.jpg</image:loc>
      <image:title>Home</image:title>
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      <image:title>Home</image:title>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/about-us</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-21</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1593978109490-RB6MOPWB0NVEOE2HZ7FP/image-asset.jpeg</image:loc>
      <image:title>Our  Team</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1596495098385-B4AICK2ZFHY88F7F6PKO/IMG_5533+%283%29.JPG</image:loc>
      <image:title>Our  Team - Amita Jha MD</image:title>
      <image:caption>Psychiatrist Dr. Jha has been practicing psychiatry in the Bethesda/ Rockville area for 20 years after medical training as a psychiatrist at Boston University and the University of Michigan. As an adult psychiatrist, she treats the full spectrum of psychiatric issues, such as anxiety and panic disorders, depression, bipolar disorders, obsessive-compulsive disorders (OCD), eating disorders, and weight related problems. Trained in psychotherapy and specialized in psychopharmacology, she seeks to find the best balance of medication and therapy for each patient. She has worked as medical director of inpatient psychiatric departments in the past and has extensive experience in management of acute and chronic mental health issues. Our PA and NPs are trained personally by Dr. Jha to streamline the care all providers offer in our practice. To reach Dr. Jha directly via email.</image:caption>
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      <image:title>Our  Team - Winnie Deguzman ANP</image:title>
      <image:caption>Winnie Deguzman is an advanced nurse practitioner (ANP) and she joined Dr. Jha’s practice five years ago after training under Dr. Jha for one year. She was an OR nurse for many years, completed her advanced master level nursing training and decided to switch careers to psychiatric outpatient practice. Winnie treats the full spectrum of psychiatric disorders such as eating disorders, anxiety, depression, obsessive-compulsive disorder (OCD), bipolar disorders, and other work- life issues. She specializes in medication management and psychotherapy for acute and chronic psychiatric conditions. She is a caring, compassionate provider who goes the extra mile for her patients. She can be reached at winnied@nsi-md.com</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/95d30961-71b4-42c1-90b3-8d596feb6a95/tempImageowTdci.jpg</image:loc>
      <image:title>Our  Team - Renee LaPointe PA-C</image:title>
      <image:caption>Renee LaPointe is a board-certified, master’s trained physician assistant who comes to our practice with 10 years of experience in primary care. In primary care she gained valuable experience and skills managing a variety of mental health issues including anxiety, depression, ADHD and sleep disorders. She has been training and working with Dr. Jha for two years. She is particularly interested in the intersection between physical and mental health. Renee is a caring provider who prides herself on being a good listener who is accessible to patients whenever they have concerns.</image:caption>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/blog</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-04-12</lastmod>
  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/patient-portal</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-18</lastmod>
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      <image:title>Patient Portal</image:title>
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      <image:title>Patient Portal - What To Expect</image:title>
      <image:caption>If you are an existing patient you can sign in to the patient portal using the link below to send us messages, make prescription requests, and pay your bills.</image:caption>
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      <image:title>Patient Portal - Payments</image:title>
      <image:caption>We bill your health plan or insurance carrier. Please be aware of your deductibles and copays. Your invoices and balances are also available through the patient portal and you can make credit card payments through the portal any time. Please see more information under insurance.</image:caption>
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      <image:title>Patient Portal - What To Expect</image:title>
      <image:caption>If you are an existing patient you can sign in to the patient portal using the link below to send us messages, make prescription requests, and pay your bills.</image:caption>
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      <image:title>Patient Portal - Payments</image:title>
      <image:caption>We bill your health plan or insurance carrier. Please be aware of your deductibles and copays. Your invoices and balances are also available through the patient portal and you can make credit card payments through the portal any time. Please see more information under insurance.</image:caption>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/new-page</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-03</lastmod>
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  <url>
    <loc>https://www.bethesdapsychiatrymd.com/tms-therapy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-18</lastmod>
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      <image:title>TMS Therapy</image:title>
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      <image:title>TMS Therapy - What is TMS THERAPY?</image:title>
      <image:caption>Transcranial Magnetic Stimulation (TMS) therapy is an innovative, non-invasive treatment for individuals struggling with conditions such as Depression, Smoking Addiction, and Obsessive-compulsive disorder (OCD). TMS therapy delivers magnetic pulses to stimulate specific brain regions associated with these disorders, aiming to alleviate symptoms and improve overall well-being. At our practice, we tailor TMS therapy to our patient’s unique brain chemistry. We always prioritize patient comfort and safety.</image:caption>
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      <image:title>TMS Therapy - Benefits of starting TMS therapy at our practice</image:title>
      <image:caption>1. Deep TMS Stimulation: BrainsWay’s Deep TMS machine allows us to directly stimulate structures found in deeper, harder-to-reach areas of the brain, thereby increasing the treatment’s overall efficacy. 2. Personalized experienced: Our TMS technician and our psychiatrist Amita Jha MD will support you on every step of the TMS journey. We will provide support, guidance, and valuable evaluations to help you achieve your goals. 3. Comfortable environment: Our office is a calming and inviting environment. Our patients enjoy calming music, pillows, and aromatherapy to promote comfort and relaxation during their sessions.</image:caption>
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      <image:title>TMS Therapy - Who Benefits Most From TMS</image:title>
      <image:caption>TMS is FDA-approved to treat the following conditions: 1. Major Depressive Disorder (MDD) 2. Obsessive-compulsive Disorder (OCD) 3. Anxious Depression 4. Smoking Cessation If you are interested in knowing if TMS therapy is ideal for you, complete the form below.</image:caption>
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      <image:title>TMS Therapy - Begin Your TMS Journey with OUR Simple Two-Step Process</image:title>
      <image:caption>TMS Therapy Process: 1. Provide your contact information in the form below and our TMS Technician will send you our TMS intake form. The TMS intake form will help us gain insurance approval in a timely manner. 2. Our psychiatrist Amita Jha MD and our TMS Technician will schedule a virtual consultation with you. 3. Start your first TMS treatment at our office.</image:caption>
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      <image:title>TMS Therapy - What How long is TMS therapy?</image:title>
      <image:caption>The usual treatment for depression is 30- 36  daily sessions. Daily treatments are 20 minutes. Most protocols recommend 5 days a week. Most patients come Monday-Friday. We offer flexibility in scheduling to our patients, so they can take advantage of this treatment.</image:caption>
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      <image:title>TMS Therapy - TMS Side Effects</image:title>
      <image:caption>TMS has, in most cases, minimal, temporary side effects. The most common side effects of this treatment are a passing headache at the treatment site and jaw clenching. We provide a mouthguard to patients who experience this during treatment to alleviate jaw clenching. A small number of patients experience muscle twitching. scalp sensations or facial twitching. These side effects usually go away after the first few sessions and can dissipate following adjustments to the helmet’s position and device settings. Complete the form below to learn if TMS therapy can be helpful for you to achieve better remission of symptoms.</image:caption>
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      <image:title>TMS Therapy - Insurance Coverage</image:title>
      <image:caption>Most insurances provide coverage for TMS, provided certain criteria are met. Below are the TMS insurance approval requirements: 1. Two failed antidepressant medication trials. 2. Previous psychotherapy with a provider. Our team will gather all the clinical data in our TMS intake form and submit it to your insurance for approval. We will work with your insurance to get authorization for TMS treatment. The payments are usually a copay for each session for most patients after the deductible is met.</image:caption>
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  </url>
  <url>
    <loc>https://www.bethesdapsychiatrymd.com/spravato-nasal-ketamine1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1699829400029-VSJTSY6VAWTXP86Q1XAP/image-asset.jpeg</image:loc>
      <image:title>Spravato</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/a6984b22-0351-4c62-b445-95fda6f0a8e4/Screen+Shot+2024-10-16+at+5.22.09+PM.png</image:loc>
      <image:title>Spravato - Learn more about spravato</image:title>
      <image:caption>Amita Jha MD is now offering Spravato treatments at our her Bethesda offices. Spravato is an FDA-approved esketamine intranasal spray for depression treatment. Contact our medical assistant via text at 240-560-8241 to get started with Spravato treatments at our practice.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/50607d65-d08a-436c-99d1-c2b965b560e0/Screen+Shot+2024-10-16+at+5.27.02+PM.png</image:loc>
      <image:title>Spravato - Spravato effectiveness</image:title>
      <image:caption>Spravato is an intranasal spray for individuals struggling with depression. Spravato increases the production of glutamate improving mood regulation and brain function.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/be09e0a9-9541-4420-a156-6e1616b504c9/Screen+Shot+2024-10-16+at+5.15.20+PM.png</image:loc>
      <image:title>Spravato - Spravato Treatment Duration</image:title>
      <image:caption>Spravato is most effective after two months of treatment. During the first month, Spravato treatments are twice a week. During the second month, Spravato treatments are once a week.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1dc3c223-9b4e-469b-8417-7479948f11cc/Screen+Shot+2024-10-16+at+5.18.57+PM.png</image:loc>
      <image:title>Spravato - Spravato treatment process</image:title>
      <image:caption>Spravato is a nasal spray that is self-administered in our office under the supervision of a medical professional. After self-administration, clients are required to stay in the office for 2 hours. Clients are not allowed to drive after each treatment session.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1ee7ea4d-999b-416c-b956-e5db38879975/Screen+Shot+2024-10-16+at+6.12.01+PM.png</image:loc>
      <image:title>Spravato - Begin Your Spravato treatment with OUR Simple Two-Step Process</image:title>
      <image:caption>1. Contact our medical assistant via text at 240-560-8241. She will reach out to you and send our Spravato intake form via email. 2. Our medical assistant will schedule a virtual consultation with you and our psychiatrist Dr. Amita Jha. Start your first Spravato treatments today, don’t put your happiness on hold.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/c8a61d47-147f-480a-8b56-c0929492664b/Screen+Shot+2024-10-16+at+6.13.19+PM.png</image:loc>
      <image:title>Spravato - Spravato Side Sffects:</image:title>
      <image:caption>The most common side effects of Spravato are: increased blood pressure, dizziness, nausea, and disassociation - which is defined as a disconnection from your thoughts and feelings. Your treatment response will be monitored for two hours after taking the medication.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/304cae91-ea0d-4e63-a9b5-03bf2ca6ae78/Screen+Shot+2024-10-16+at+6.25.45+PM.png</image:loc>
      <image:title>Spravato - Insurance Coverage</image:title>
      <image:caption>Insurance companies provide payment assistance for Spravato treatments. However, there are insurance requirements that every client must meet. Below are the Spravato insurance approval requirements: 1. Major Depression diagnosis from a licensed medical professional. 2. Two failed antidepressant medication trials. 3. Previous psychotherapy with a provider. Our team will gather your clinical information and submit it to your insurance company for preapproval. We will work with your insurance company to get pre-authorization for Spravato treatments.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/a6984b22-0351-4c62-b445-95fda6f0a8e4/Screen+Shot+2024-10-16+at+5.22.09+PM.png</image:loc>
      <image:title>Spravato - Learn more about spravato</image:title>
      <image:caption>Amita Jha MD is now offering Spravato treatments at our her Bethesda - chevy chase offices. Spravato is the ketamine intranasal spray for depression therapy and treatment. We get your insurance plans BCBS, Cigna, UHC, Aetna to approve the treatment, if you meet the criteria for resistant depression. Contact our medical assistant via text at 240-310-9695 to get started with Spravato treatments at our practice.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/50607d65-d08a-436c-99d1-c2b965b560e0/Screen+Shot+2024-10-16+at+5.27.02+PM.png</image:loc>
      <image:title>Spravato - Spravato effectiveness</image:title>
      <image:caption>Spravato- ketamine is an intranasal spray for individuals struggling with depression and anxiety that has not responded to other psychiatric medications. Spravato increases the production of glutamate improving mood regulation and brain function.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/be09e0a9-9541-4420-a156-6e1616b504c9/Screen+Shot+2024-10-16+at+5.15.20+PM.png</image:loc>
      <image:title>Spravato - Spravato Treatment Duration</image:title>
      <image:caption>Spravato is most effective after two months of treatment. During the first month, Spravato treatments are twice a week. During the second month, Spravato treatments are once a week. After the first two months your provider will discuss the appropriate maintenance needed for managing your depression and anxiety treatment, along with rest of your therapies.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1dc3c223-9b4e-469b-8417-7479948f11cc/Screen+Shot+2024-10-16+at+5.18.57+PM.png</image:loc>
      <image:title>Spravato - Spravato treatment process</image:title>
      <image:caption>Spravato is a nasal spray that is self-administered in our office under the supervision of a medical professional. After self-administration, clients are required to stay in the office for 2 hours. Clients are not allowed to drive after each treatment session.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/1ee7ea4d-999b-416c-b956-e5db38879975/Screen+Shot+2024-10-16+at+6.12.01+PM.png</image:loc>
      <image:title>Spravato - Begin Your Spravato treatment with OUR Simple Two-Step Process</image:title>
      <image:caption>1. Contact our medical assistant via text at 240-310-9. She will reach out to you and send our Spravato intake form via email. 2. Our medical assistant will schedule a virtual consultation with you and our psychiatrist Dr. Amita Jha. Start your first Spravato treatments today, don’t put your happiness on hold.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/c8a61d47-147f-480a-8b56-c0929492664b/Screen+Shot+2024-10-16+at+6.13.19+PM.png</image:loc>
      <image:title>Spravato - Spravato Side Sffects:</image:title>
      <image:caption>The most common side effects of Spravato are: increased blood pressure, dizziness, nausea, and disassociation - which is defined as a disconnection from your thoughts and feelings. Your treatment response will be monitored for two hours after taking the medication.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5ee62d07fe0fb60bc5ad4873/304cae91-ea0d-4e63-a9b5-03bf2ca6ae78/Screen+Shot+2024-10-16+at+6.25.45+PM.png</image:loc>
      <image:title>Spravato - Insurance Coverage</image:title>
      <image:caption>Insurance companies provide payment assistance for Spravato treatments. However, there are insurance requirements that every client must meet. Below are the Spravato insurance approval requirements: 1. Major Depression diagnosis from a licensed medical professional. 2. Two failed antidepressant medication trials. 3. Previous psychotherapy with a provider. Our team will gather your clinical information and submit it to your insurance company for preapproval. We will work with your insurance company to get pre-authorization for Spravato treatments.</image:caption>
    </image:image>
  </url>
</urlset>

