Listening Guide

Music for Each Phase of a Spravato Session

Justin Page··7 min read

A Spravato® session isn't a single uniform experience. It moves through distinct phases — each with its own quality of consciousness, its own emotional texture, and its own relationship to music. A playlist built for the peak will feel wrong at onset. Music that works during descent may feel too stimulating during integration.

Understanding the phases — and matching music to each — is one of the most practical things you can do to deepen your sessions. Here's a phase-by-phase guide.

01

Minutes 0–15

Onset

The medicine is beginning to take effect. Anxiety is common in this window — the mind knows something is shifting but hasn't yet surrendered to it. Music here should be grounding and gentle, with a slow tempo and minimal harmonic tension.

Music qualities

  • Slow tempo (50–70 BPM)
  • Minimal harmonic tension
  • Familiar-feeling textures
  • No sudden dynamic shifts

Examples

Arvo Pärt's "Spiegel im Spiegel," Max Richter's "On the Nature of Daylight," gentle solo piano

02

Minutes 15–50

Peak

The deepest part of the session. The inner experience is most vivid here — imagery, emotion, and insight arise most readily. Music should be expansive and emotionally open, with enough movement to carry the experience forward without directing it.

Music qualities

  • Expansive, orchestral textures
  • Emotional arc without resolution
  • No strong rhythmic pulse
  • Harmonic openness

Examples

Sigur Rós instrumentals, Stars of the Lid, Hammock, late Debussy orchestral works

03

Minutes 50–75

Descent

The medicine is easing. The inner experience is becoming less vivid, and the mind is beginning to return. Music here should gently support the transition — still instrumental, but with a slightly warmer, more resolved quality.

Music qualities

  • Warmer harmonic palette
  • Gentle resolution
  • Acoustic instruments
  • Unhurried pacing

Examples

Bill Evans trio, Keith Jarrett solo piano, Windham Hill acoustic guitar

04

Minutes 75–120

Integration

The session is ending, but integration has begun. Some clinics allow patients to rest quietly; others encourage gentle reflection. Music here should be minimal and undemanding — a soft container for whatever has arisen.

Music qualities

  • Minimal, ambient textures
  • Very low dynamic range
  • Nature sounds acceptable
  • No emotional demand

Examples

Brian Eno's "Music for Airports," Harold Budd, sparse ambient piano

A note on transitions

The transitions between phases aren't sharp — they're gradual. Your playlist doesn't need to change abruptly at the 15-minute mark. Instead, think of it as a slow arc: grounding at the start, expansive in the middle, warm and resolved toward the end.

If you're using Spotify or Apple Music, a two-hour playlist with roughly 20–25 tracks gives you enough material to cover a full session without repetition. Our free curated playlists are built with this arc in mind. free curated playlists are built with this arc in mind.

Now available

The Listening to Spravato® Book

Genre guides, session playlists, and the science of music-assisted healing — by Justin Page

Get the Book

Now available

The Listening to Spravato® Book

By Justin Page — genre guides, session playlists, and the science of music-assisted healing

Get the Book
Listening to Spravato®

A guide to using sound intentionally during Spravato® treatment — for patients, clinicians, and caregivers seeking deeper healing through music.

Not medical advice. Justin Page is a conservatory-trained musician (Manhattan School of Music; Berklee College of Music), Presidential Scholar, and Spravato® patient who has undergone more than 80 documented esketamine treatment sessions. His work on music and esketamine neuroscience has been reviewed by clinical collaborators and submitted to the treatment manufacturer for feedback and verification. Content on this site reflects personal clinical experience, independent research, and ongoing collaboration with licensed mental health professionals — it does not constitute medical advice and is not a substitute for guidance from your prescriber, therapist, or care team. Always consult your treating clinician before making any changes to your treatment protocol.

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Spravato® is a registered trademark of Janssen Pharmaceuticals, Inc., which is part of Johnson & Johnson.