Can I Drive After TMS or Spravato? Transportation Tips for Your Appointments

When starting any new mental health treatment, it’s natural to have questions—not just about the therapy itself, but about the logistics. One of the most common questions we hear from patients at Goodwin Health Cafe is: Can I drive after my appointment?

If you’re undergoing TMS or Spravato treatment, planning ahead for transportation can make your care journey smoother and safer. Let’s break down the differences in post-treatment guidelines for both TMS and Spravato and explore some practical tips for getting to and from your appointments.

Understanding TMS: What Happens After a Session?

Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment for depression that uses gentle magnetic pulses to stimulate specific areas of the brain. Sessions are typically short—around 20 to 40 minutes—and require no anesthesia or sedation.

So, can you drive after a TMS session?Yes, in most cases, you can drive yourself home after TMS. Because the treatment does not affect your cognition, reflexes, or motor coordination, it’s generally safe to operate a vehicle afterward. Most patients resume their normal daily activities, including work, errands, or exercise, right after their session.

However, every person is unique. In the rare event that you experience a headache, lightheadedness, or fatigue following a session, it’s always smart to listen to your body and consider arranging a ride just in case—especially during your first few treatments.

Spravato and Driving: Why It’s a No-Go

Spravato (esketamine nasal spray) is a different story. This FDA-approved medication for treatment-resistant depression works quickly by targeting the brain’s glutamate system—offering relief when traditional antidepressants have fallen short. But because of its dissociative effects, Spravato can impair your thinking, coordination, and judgment in the hours following a dose.

Here’s the bottom line:If you're receiving Spravato, you cannot drive, operate heavy machinery, or make important decisions for the rest of the day after your appointment. It’s not a suggestion—it’s a strict safety guideline backed by the FDA.

You’ll need to arrange for a trusted friend, family member, or rideshare to pick you up after each treatment. You’ll also be monitored in the clinic for at least two hours after dosing, which allows our team to ensure your safety and well-being before you leave.

Transportation Tips for TMS and Spravato Patients

Whether you're coming in for TMS therapy or Spravato treatment, a little planning can go a long way in reducing stress and keeping your routine on track. Here are a few tips to help:

1. Know Your Schedule in Advance

TMS usually involves a daily schedule (Monday through Friday) over a period of 6 weeks. Spravato is typically administered twice a week during the first month, tapering off afterward. Having your calendar locked in helps you coordinate transportation ahead of time.

2. Use the Same Driver or Rideshare Each Time

If you’re receiving Spravato, having a consistent transportation plan adds a layer of comfort. Whether it’s a friend, partner, or a favorite rideshare driver, knowing who’s picking you up reduces post-treatment anxiety.

3. Wait Before Getting Behind the Wheel

Even if you’re receiving TMS and driving is generally allowed, it’s okay to give yourself a moment to rest. Grab a water, take a breath, and check in with yourself before heading out. Safety first.

4. Plan a Quiet Afternoon

Especially for Spravato days, it’s helpful to keep your post-treatment schedule light. Consider blocking off the rest of the day for rest, comfort food, a favorite show, or just sleep.

5. Don’t Hesitate to Ask for Help

Many patients feel unsure about asking friends or family for rides. But most people are happy to support you—especially when they know how important your treatment is.

Let Us Help You Plan Ahead

At Goodwin Health Cafe, we believe healing happens best when you feel supported—emotionally and logistically. If you’re preparing for TMS or Spravato treatment, our team is here to answer any questions and help you feel confident before your first appointment. We’ll go over post-treatment care, transportation requirements, and anything else you need to know.

We’re located at: 5625 N. Wall St. Suite 100 Spokane, WA 99205

To learn more about our services or schedule your consultation, visit us online at goodwinhealthcafe.com.