Spravato NYC at Village TMS in New York City (NYC)

At Village TMS in Midtown Manhattan, we provide advanced treatment options for individuals struggling with treatment-resistant depression, major depressive disorder, and persistent mood disorders. Many patients come to our clinic after trying several traditional antidepressants without meaningful improvement. If you have been searching for Spravato NYC, our certified treatment center offers supervised care, innovative therapies, and a clinical team focused on helping patients move forward on their mental health journey.

Our Approach: Precision Meets Compassion

1. IV Ketamine Infusions

Our clinic provides ketamine therapy through carefully monitored IV ketamine infusions. This treatment allows medication to enter the bloodstream quickly and may help patients experiencing resistant depression or severe depressive symptoms. Each session lasts about 40 minutes and takes place in a controlled clinical setting where a healthcare professional monitors blood pressure and overall safety throughout the treatment course.

2. SPRAVATO® (Esketamine) Nasal Spray

For patients seeking Spravato NYC, our Certified Spravato clinic administers FDA-approved esketamine nasal spray for adults with treatment-resistant depression. Spravato treatment occurs in a certified treatment center and follows the official Risk Evaluation and Mitigation Strategy required in the United States. Each treatment session is performed under medical supervision to monitor vital signs and ensure patient safety.

3. Intramuscular (IM) Injections

Intramuscular ketamine injections provide another option for individuals exploring ketamine treatment for mood disorders or resistant depression. These treatments allow the clinical team to tailor care to specific treatment goals while supporting long-term stability between sessions. IM therapy may be combined with medication management, psychotherapy, or other behavioral health services.

Why Choose Ketamine?

  • Rapid Relief: Some patients report meaningful symptom improvement within hours or days of treatment. Ketamine works through the brain’s glutamate system and can help restore pathways associated with mood regulation.

  • Science-Driven Results: Research shows ketamine interacts with NMDA receptors, which influence neural communication in the brain. This mechanism differs from traditional antidepressants and may provide relief when conventional medications have failed.

  • Safe & Supervised: All treatments occur in a clinical setting under the supervision of a healthcare provider. Our board-certified psychiatrist and clinical team follow strict safety protocols and evaluate medical history to identify potential side effects or underlying medical conditions.

  • Comprehensive Healing: Many patients benefit from combining ketamine therapy with TMS therapy, talk therapy, or medication management. A personalized care plan helps support long-term well-being and sustainable progress.

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Get help with depression today! It’s important to know that you are not alone.

Conditions We Treat

Ketamine’s versatility addresses:

  • Major Depressive Disorder (MDD)

  • Postpartum Depression

  • PTSD & Anxiety Disorders

  • Chronic Pain & Fibromyalgia

  • OCD & Bipolar Disorder

  • Addiction Recovery Support

Science-Backed, Patient-Focused

In recent years, studies have highlighted the effectiveness of ketamine for psychiatric disorders such as major depressive disorder, bipolar disorder, and post-traumatic stress disorder. By targeting glutamate pathways, ketamine promotes symptom reduction, reduces suicidal ideation, and supports a healthier response to stress.

Safety & Comfort First

We use low-dose protocols to ensure safety and minimize dissociative effects. While brief lightheadedness may occur, most patients find it subsides within minutes. Each session is conducted in a calm clinical setting, in the middle of Manhattan, by licensed healthcare professionals who track your vital signs and adjust your treatment plan for optimal comfort.

Your Journey at TMS Village

  1. Consultation: Discuss your medical history and goals with Dr. Yuli Fradkin, our lead psychiatrist with 25+ years of expertise.

  2. Custom Plan: Choose from IV, SPRAVATO®, or IM treatments, customized by our healthcare providers for your needs and treatment effects.

  3. Integration Therapy: Post-treatment, our therapists help you apply insights from the ketamine experience to improve thought patterns and support lasting recovery.

MEET OUR TEAM

YULI FRADKIN, MD

As a psychiatric professional with over 25 years of experience, I am dedicated to providing top-quality care to my patients in New York City and Montclair, New Jersey. I have had the privilege of serving at some of the nation’s leading medical institutions, including Beth Israel Hospital in New York, Tufts Medical Center in Boston, and Yale Medical School in Connecticut.

In addition to my clinical work, I am also an assistant professor at Rutgers University, where I have the opportunity to share my knowledge and experiences with the next generation of healthcare professionals. I believe in the importance of continuing education and professional development, and I am committed to staying current on the latest advances in the field of psychiatry.

I am passionate about helping individuals and their loved ones on their journey towards mental wellness. Whether you are seeking support for yourself or a loved one, I am here to help. Thank you for considering my practice, and I look forward to working with you.

Elena Bruck, MD

I have been practicing psychiatry for nearly twenty years, first in Vienna, Austria, where I had the honor of studying medicine, then here, in New York City.

I did a year of Geriatric Psychiatry fellowship which allows me to work comfortably with elderly patients.

I also did a year of fellowship at the New York Psychoanalytic Institute and published in the fields of psychotherapy research, dementia, and Seasonal Affective Disorder .

As a psychiatrist and medical doctor, I can provide both medication management and psychotherapy, as well as non-medication treatments such as supplements and life style advice.

I offer psychopharmacology and psychotherapy services as well as holistic treatments based on scientific studies to significantly improve my patients’ well-being.

Having lived in Moscow, Vienna and New York for many years, I appreciate the beauty and relativity of all things human, and can provide treatment in these three languages.

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We proudly serve patients throughout:

Manhattan: Union Square, Chelsea, Flatiron, Greenwich Village, West Village, East Village, Midtown, Upper East Side, Upper West Side, Harlem, Tribeca, SoHo

Brooklyn & Queens: Brooklyn Heights, Williamsburg, Park Slope, Long Island City, Astoria, Forest Hills

New Jersey: Hoboken, Jersey City, Weehawken, West New York, North Bergen, Fort Lee, Edgewater, Secaucus, Newark, and surrounding South Bergen communities

If you’re searching for TMS therapy near Manhattan, Brooklyn, Queens, or Hoboken, our centrally located NYC office makes treatment convenient and accessible.

Frequently Asked Questions

We've Got Answers

What is Spravato and how does it work for depression?

Spravato therapy is a prescription medicine derived from ketamine and approved for adults with treatment-resistant depression and major depressive disorder. It is administered as a nasal spray in a certified treatment center and must be used under medical supervision.

Spravato works differently than traditional antidepressants. Instead of focusing mainly on serotonin, the medication interacts with NMDA receptors in the brain’s glutamate system. This pathway helps regulate neural communication associated with mood and emotional processing.

Many patients with resistant depression have tried multiple oral antidepressant medications without success. In those cases, Spravato provides a new option for treatment that may help restore mood regulation and reduce severe depressive symptoms.

Who is a candidate for Spravato treatment in NYC?

Individuals who may qualify for Spravato NYC treatment typically have a diagnosis of major depressive disorder and have not responded to several traditional antidepressants or conventional medications.

During the initial consultation, a board-certified psychiatrist or healthcare professional reviews your medical history, current symptoms, and previous treatment outcomes. The evaluation helps determine whether Spravato therapy aligns with your treatment goals.

Patients experiencing severe depression, suicidal thoughts, or persistent depressive symptoms despite trying different antidepressants may be considered eligible. The evaluation process helps ensure the treatment is appropriate for each person’s mental health conditions and overall medical safety.

What happens during a Spravato treatment session?

The Spravato treatment process begins with a psychiatric evaluation and review of your medical history. If approved, the patient attends treatment sessions at a certified treatment center where the medication is administered.

During each session, the patient self-administers the nasal spray under the supervision of a healthcare provider. After receiving the first dose, patients remain in the clinic for monitoring while the clinical team checks vital signs and watches for possible side effects.

Observation typically lasts around two hours to ensure safety. Because Spravato can temporarily affect perception or blood pressure, patients are not allowed to drive after treatment and should arrange transportation home.

How often are Spravato treatments scheduled?

Most patients begin with a structured treatment schedule consisting of weekly sessions during the first phase of treatment. This initial stage allows the care team to evaluate how the medication affects depressive symptoms and mood regulation.

After the initial treatment course, many patients transition into a maintenance phase where sessions occur less frequently. The exact schedule depends on symptom improvement, medical advice, and overall treatment goals.

A personalized care plan helps ensure patients receive the appropriate number of sessions while maintaining long-term stability throughout their mental health journey.

Is Spravato covered by insurance?

Many insurance providers in the United States provide insurance coverage for Spravato therapy when certain criteria are met. Patients must typically show a history of treatment-resistant depression and documented use of multiple traditional antidepressants.

Our clinic assists patients in verifying insurance coverage and determining whether treatment may be covered by insurance, including plans such as UnitedHealthcare. The clinic staff can also help estimate out-of-pocket costs and explain coverage details before treatment begins.

Understanding insurance benefits before starting therapy allows patients to focus on treatment rather than financial uncertainty.

Can Spravato be combined with other treatments?

Yes. Many patients receive Spravato therapy alongside other evidence-based treatments. Combining Spravato with Transcranial Magnetic Stimulation, psychotherapy, or medication management can help support more consistent improvement.

Some individuals also benefit from additional ketamine therapy approaches or talk therapy that address underlying behavioral health factors contributing to depression symptoms.

A comprehensive care plan developed by the clinical team helps patients pursue long-term stability while addressing the root causes of mood disorders.

How do I get started with Spravato treatment in NYC?

The first step is scheduling an initial consultation with a healthcare professional experienced in treating treatment-resistant depression. During this visit, the provider reviews medical history, current symptoms, and treatment goals.

If the patient qualifies, the clinic schedules the first treatment session and develops a personalized treatment course tailored to the patient’s needs.

For individuals searching online for Spravato NYC, this consultation can be the beginning of a new treatment path toward improved mental health, symptom relief, and long-term emotional stability.