A reasonable position, honestly

You've been on things that made you feel worse. Things that dulled you. Things you had to taper off carefully because stopping was its own ordeal.

Somewhere in there you decided you were done adding pills to the pile — and given the experience, that's not stubbornness. It's a conclusion drawn from evidence.

So you've been managing without, or managing with less, and it's been hard, and you'd rather it be hard than go back to feeling chemically flattened.

SPRAVATO® is a medication. It's esketamine, a Schedule III controlled substance, and it carries a boxed warning covering sedation, dissociation, respiratory depression, abuse and misuse, and suicidal thoughts and behaviors. It can cause dependence with prolonged use.

If your objection is to medication in general, this doesn't sidestep it, and anyone who tells you otherwise is selling.

You don't take it home. Every dose is given at a certified center under supervision. There's no bottle in your cabinet.

It's not daily. Sessions start twice weekly and taper. It doesn't run in the background of your life the way an oral antidepressant does.

It works on a different system. Which is why it can reach people the standard mechanism hasn't.

The effects are contained and time-limited. The sedation and dissociation happen during the session and resolve. You're monitored throughout. That's a different experience than side effects that follow you around all day for months.

Whether any of that addresses your actual objection is yours to judge. But it's a genuinely different arrangement than another prescription.