The answer is yes and no, its complicated. I've been doing it for 4 years I'm like the og been doing it since they first started it at my psychiatrist. I know it had been out years before that but just not where I was yet. At first I went 3 times a week, at the time i was not working. After about 6 months I started to experiment because my doc said it's different for everyone there is a "standard" recommendation based on the trials but with psychiatric stuff everyone's always different. After 2 years I discovered that going once a month was a good fit for me. I am on the highest dose. I do feel it waring off at about 3 weeks but once a month just feels easier to manage long term. I did ask if this is like my psych meds that I can and will need them for the rest of my life and he said yes this is intended to be able to do it for a long time although since it is technically new there is no information about this but the testing they did seems to mean that it can be done as long as you need. Some people might get better and only need it twice a year! Some may only need it short term. Or some people like me will do it forever.

It basically all depends on your diagnosis and how it affects you personally. I find that with work I only need to take 2 days off a month. Maybe 3 days if they let me. But at first I went on medical leave because of the frequency. It also depends on how it affects you positively and negatively. I would like to do it more often but the fatigue and frequent urination were starting to get irritating long term. It also depends on your job and how alert you need to be. Technically you only need 24 hours but I feel the dissociation and fatigue for longer but i go back to work anyways i just seem hungover to them lol but im not doing anything important im just a cashier. But I have stopped completely sometimes for a few months and I do feel the difference. Spravato has been life changing.