A Different
Path Forward
For adults living with treatment-resistant depression, traditional medicines do not always illuminate the way. At Oakstone Psychiatric, SPRAVATO® (esketamine) offers an innovative, FDA-approved biological approach to reconnect vital neural pathways.
HOPE. PERSPECTIVE. POSSIBILITY.
Treatment-Resistant Major Depression
Direct oversight by Dr. Cory Jaques, MD
Covered by major commercial plans & Medicare
Understanding Treatment-Resistant Depression
When Depression Hasn’t Responded,
There May Be Another Path.
Millions of individuals endure major depressive disorder without experiencing sustained remission from standard antidepressants. If you have tried two or more antidepressants without adequate relief, you may be experiencing what psychiatrists classify as Treatment-Resistant Depression (TRD).
Beyond the Serotonin Waiting Game
Standard oral antidepressants (SSRIs, SNRIs) focus on monoamines like serotonin and norepinephrine, frequently requiring 6 to 8 weeks to determine efficacy. When these pathways fail to respond, a biologically different target is needed.
FDA-Approved Esketamine Nasal Spray
SPRAVATO® (esketamine) is the S-enantiomer of ketamine, formulated as a controlled nasal spray. It is specifically approved by the US FDA for adults with Treatment-Resistant Depression and MDD with acute suicidal ideation.
Safety Under Expert Clinical Care
Because Spravato carries unique temporary physiological effects, it is never taken at home. Every single treatment is monitored by psychiatric medical personnel in our certified Visalia center to ensure complete safety and reassurance.
Your Care in Visalia
The Treatment Experience at
Oakstone Psychiatric
We intentionally designed our Visalia suite to provide quiet serenity, dignity, and warmth. You are never left alone to navigate your session—our clinical staff is with you every step of the journey.
Private, Calming
Observation Suites
Step into a serene environment tailored specifically for peaceful treatment. Featuring supportive plush leather recliners, warm ambient lighting, acoustic privacy screens, and soothing decor, our rooms are crafted to minimize sensory fatigue while our medical team quietly monitors your vitals.
Could Spravato Be the
Right Next Step?
If you or a loved one have tried multiple antidepressant medications without adequate relief, you may be a candidate for FDA-approved Spravato® (esketamine). Dr. Cory Jaques provides direct clinical evaluation and individualized treatment plans.
Confidential review • REMS Certified Healthcare Setting • Most major commercial plans & Medicare accepted
Dr. Cory Jaques, MD
Medical Director • Oakstone Psychiatric
Serving Visalia, Tulare County, and the Central Valley
A Physician-Led Practice
Dedicated to Restoring Hope
At Oakstone Psychiatric Practice, we understand that living with persistent depression takes an immense physical, emotional, and social toll. When multiple rounds of standard medications fail to lift the heavy weight of depression, patients often feel exhausted and abandoned by conventional medicine.
Under the medical direction of Dr. Cory Jaques, MD, our clinic provides advanced interventional psychiatric options within a setting centered on clinical safety, patient dignity, and unhurried human connection.
We do not view Spravato as just a prescription—it is an integrated therapeutic protocol. We collaborate closely with your primary care provider, outpatient therapist, and family support systems to foster sustained healing.
"Healing treatment-resistant depression requires both advanced neurobiology and deep human compassion. When traditional medications reach their limits, our goal is to open a new doorway forward."
Common Inquiries
Frequently Asked Questions
Request Information & Appointments
Ready to take the next step? To request an initial psychiatric evaluation, schedule an appointment, or ask questions regarding insurance coverage and Spravato® REMS protocols, please call our Visalia office directly.
Our care coordination team is available Monday through Friday to personally assist you, verify your insurance benefits, explain what to expect, and schedule your appointment.
Visalia Office
Direct Care Team
Phone Inquiries & Scheduling
(559) 258-1644Physician Referrals & Fax
(559) 258-1624Office Hours
Monday – Friday: 8:00 AM – 5:00 PM
Saturday & Sunday: Closed
Location
3435 South Demaree Ave, Ste C, Visalia, CA 93277
Covered by most major commercial health insurance plans and Medicare. Please have your insurance card ready when calling to expedite benefits verification.