Nobody warned you about this part

You worked for decades. Long weeks, real responsibility, a place where people needed you and knew your name.

Then it ended, on schedule, the way it was supposed to.

And the quiet turned out to be a different thing than you'd pictured. The days are long. The structure that organized your life is gone. The people you saw daily for years are somewhere else now, and the friends who remain are dealing with their own health, or have moved, or have died.

You may have found ways to fill it — volunteering, a class, something to leave the house for. That helps. It doesn't fix it.

Because it gets treated as normal. Because people say "of course you're down, you retired" or "at your age, that's expected," as though depression later in life is a natural feature of getting older rather than a treatable condition.

It isn't expected. And depression at 70 responds to treatment the same way it does at 40.

Medicare Part B covers SPRAVATO®, with prior authorization. That's a meaningful difference from some advanced treatments where coverage is limited or unavailable.

Two notes on cost: the manufacturer's savings program does not apply to Medicare or Medicaid patients, and the required observation visit is billed separately from the medication. Both matter for understanding what you'd actually pay, and we'll give you a real number before you start rather than an estimate.

Transportation is the practical question. You can't drive after a session — you'll need a ride every visit, and sessions start at twice weekly. Worth sorting out before you begin.

Your health history matters. SPRAVATO® should not be used by people with aneurysmal vascular disease, arteriovenous malformation, or a history of intracerebral hemorrhage. Blood pressure is monitored at every session. Bring your full medication list to the consultation.

SPRAVATO® is FDA-approved for treatment-resistant depression and carries a boxed warning worth reading before you decide anything.