Referring a Patient to Best Fit? Here's How to Work With Our Team.
We work with psychiatrists, primary care physicians, therapists, and nurse practitioners across Michigan to provide Spravato® Plus for treatment-resistant depression, alongside ongoing psychiatric care and counseling. We value the relationships we build with referring colleagues and work to keep you in the loop throughout your patient's care.
Patients We're Often the Right Next Step For
Depression That Hasn't Responded to Medication
- Multiple SSRI, SNRI, or atypical medication trials (TRD)
- Partial or inconsistent response
- Intolerance to medications
Acute Worsening, Including Emerging Suicidality
- Rapid decline
- Safety concerns
These patients are prioritized and can typically be seen quickly for evaluation.
PTSD or Trauma-Related Conditions
- Persistent symptoms despite established therapy
- Progress has stalled, or somatic/autonomic symptoms remain prominent
Anxiety With Prominent Physiologic Components
- Hypervigilance, persistent autonomic activation
- Anxiety that persists despite cognitive understanding and medication trials
Medication Intolerance
- Unable to tolerate the medications most likely to help
- Reached the limit of what oral medication alone can offer
Patients Asking About Spravato® Directly
A consultation is often useful. We can provide psychoeducation, clarify candidacy, and return the patient to your care with a clearer picture.
Three Ways to Collaborate
Consultation Only
We evaluate the patient for Spravato® Plus, provide a recommendation, and return the patient to your care. Appropriate when the consultation itself is the goal, or when Spravato® isn't currently indicated.
Collaborative Care
We deliver Spravato® Plus while you continue to manage the patient's medication and ongoing psychiatric care. We communicate at key decision points: initial evaluation, treatment plan, response, and completion. The patient remains your patient throughout.
Transfer of Care
When clinically appropriate and preferred by you and the patient, we can take on ongoing medication management alongside Spravato® Plus, short-term during treatment or longer-term. Patients can transition back to your care at any point.
Referring a Client for Spravato® Plus
Spravato® Plus is delivered within a psychiatrist-led medical framework. If your client already has a therapist they trust, that relationship doesn't need to change; we can coordinate directly with you on timing and integration. If your client would benefit from counseling as part of the program, our own team can provide that too.
Spravato® isn't a standalone treatment. It's meant to support and deepen the therapeutic work already underway.
We keep referring providers in the loop, not out of it.
Want to discuss a case before referring? Email practicemgr@bestfitcounseling.org to set up a time to talk through whether Spravato® Plus is the right fit, or ask a question about a complex case.
Send Us a Referral
Complete the form below and our team will follow up to schedule an initial consultation.
Prefer to call or email instead? (734) 412-7300 · practicemgr@bestfitcounseling.org
Questions About a Referral?
Contact our care coordination team and we'll help get your patient scheduled.
Call Our Team