Ketamine Therapy NYC: a new hope when antidepressants haven't worked

Physician-led ketamine therapy NYC, in Manhattan, for treatment-resistant depression, PTSD, and more. IV ketamine, IM injections, and FDA-approved Spravato®, each delivered and monitored by board-certified psychiatrists.

Or call (646) 817-2835 — speak with our team now

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Safe & evidence-based

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Aetna, BCBS, Cigna, United

Board-Certified

Psychiatrists, 25+ years

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INSIGHTS

What Is Ketamine Therapy NYC?

Ketamine assisted therapy is a modern psychiatric treatment that uses low,
carefully controlled doses of ketamine to relieve symptoms of depression and other mood disorders. Originally introduced decades ago as a safe surgical anaesthetic, ketamine has since been studied extensively for its effects on mood. At our Manhattan clinic, every dose is administered and monitored by board-certified psychiatrists in a calm, clinical setting.

What makes ketamine different is how it works in the brain. Most
antidepressants target the serotonin system and can take four to six weeks tomake a difference. Ketamine acts on the brain's glutamate and NMDA
receptor system, which is believed to promote neuroplasticity, the brain's
ability to form new neural connections. This mechanism is one reason
ketamine can sometimes help people who have not responded to traditional
medications.

For New Yorkers across Manhattan, Brooklyn, Queens, and northern New
Jersey, ketamine for anxiety in New York City offers another evidence-
based option when standard treatments have fallen short. It is not a quick fix
or a take-home prescription. It is a supervised medical treatment delivered aspart of a personalised plan.

Science-Backed

Ketamine's antidepressant effects have been studied in numerous peer-
reviewed trials, and esketamine (Spravato®) is FDA-approved for treatment-resistant depression.

Ketamine NYC

YOUR OPTIONS

Three Evidence-Based Ketamine
Treatments

We offer IV, IM, and Spravato under one roof, so your psychiatrist can match the
right approach to your situation.

IV INFUSION

IV Ketamine Infusions

Controlled low doses directly into the bloodstream in a calm setting. Each 40-minute session is monitored for heart rate, blood pressure, and emotional response to support both safety and integration during ketamine therapy NYC.

Nasal Spray

Spravato® (Esketamine)

FDA-approved alternative for treatment-resistant depression, providing quick relief with minimal downtime. Our trained professionals supervise each session to optimize dosing and monitor your vital signs.

IM INJECTION

Intramuscular (IM) Injections

A convenient short-term solution for those seeking effective results with minimal clinic time. These low-dose injections offer lasting anxiolytic effects while supporting continued stability between sessions.

Ready to see if Ketamine Therapy NYC is right for you?

FDA-APPROVED OPTION

Spravato® (Esketamine): What You Should Know

Spravato® (esketamine) is a nasal spray derived from ketamine. It is FDA-approved for treatment-resistant depression in adults, used together with an oral antidepressant. It is also approved for depressive symptoms in adults with major depressive disorder who have acute suicidal thoughts or behaviour.

Because of its profile, Spravato must be administered in a healthcare setting certified under the FDA's REMS (Risk Evaluation and Mitigation Strategy) program. After each dose, patients are monitored on-site for at least two hours and cannot drive for the rest of that day, so you will need to arrange a ride home.

This in-clinic model is also why Spravato is more frequently covered by insurance than IV or IM ketamine, which are typically used off-label. Candidates are generally adults whose depression has not responded adequately to other antidepressants. A psychiatrist will onfirm whether it is appropriate for you.

Spravato at a glance

CLEAR COMPARISON

IV Ketamine vs IM vs Spravato — How
They Compare

A side-by-side look to help you and your psychiatrist choose the right path.

Treatment How it's given Typical session
length
FDA status Insurance
likelihood
Best suited for
IV Infusion
Slow intravenous drip,
in-clinic
~40 min, plus
monitoring
Off-label for
mood disorders
Often self-pay /
out-of-network
Rapid relief, treatment-resistant
depression, certain chronic pain
IM Injection
Intramuscular injection,
in-clinic
~40 min, plus
monitoring
Off-label for
mood disorders
Usually self-pay
A simpler alternative to IV for
some patients
Spravato® Nasal Spray
Self-administered nasal
spray under supervision
Dose plus ~2 hr
monitoring
FDA-approved
for TRD
More often
covered by
insurance
Treatment-resistant depression,
alongside an oral antidepressant

IV and IM ketamine are used off-label and are frequently self-pay. Spravato is FDA-approved and, because it is given in-clinic, is more often covered. We verify your specific coverage for free.

WHY PATIENTS CHOOSE US

Why Patients Choose
Ketamine Therapy NYC
At Village TMS

Rapid Relief

Many patients report noticeable mood improvement within hours or days. Ketamine supports new neural connections and may reduce depressive symptoms, anxiety symptoms, and emotional numbness. 

Science-Backed

Clinical research shows that ketamine modulates NMDA receptors and affects the glutamate system, which plays a major role in mood regulation, trauma response, and stress processing.

Comprehensive Healing

Ketamine therapy NYC is most effective when combined with psychotherapy, cognitive behavioral therapy, medication management, or TMS therapy to support long-term emotional resilience.

Safe & Supervised

Every session follows a structured medical protocol. Our healthcare providers monitor physiological and psychological responses throughout treatment to maintain a strong safety profile.

HOW TREATMENT FOR KETAMINE THERAPY NYC WORKS

Your Path, in Four Steps

FREE

Free Consultation

We review your history, answer
your questions, and verify
insurance coverage at no cost.

PERSONALIZED

Personalized Protocol

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

MONITORED

Monitored Sessions

You're cared for in a
comfortable setting with vitals
tracked throughout each
session.

ONGOING

Integration & Follow-Up

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

Ready to see if Ketamine therapy NYC is right for you?

THE PATIENT JOURNEY

What to Expect During Treatment

Before

You begin with a consultation. We take a careful medical and psychiatric history, discuss your goals, and design a personalised protocol. We also verify your insurance coverage and answerany questions so you feel informed before anything begins.

During

You're seated comfortably in a quiet, monitored room. A typical session lasts around 40 minutes,
with vitals tracked throughout. Many patients notice a mild, transient sense of dissociation, a
floating or dreamlike feeling, that fades as the session ends. Our team is present the entire time.

After

Because of the temporary effects, you should not drive on a treatment day, so arrange a ride
home in advance. Many patients benefit from optional integration or therapy support to help
translate the experience into lasting change.

Course of Care

Treatment usually starts with an initial series of sessions, followed by maintenance visits as
clinically indicated. Your psychiatrist tracks your response and adjusts the plan over time, rather
than following a fixed one-size-fits-all schedule.

Ready to see if Ketamine therapy NYC is right for you?

HONEST ANSWERS

Is Ketamine therapy NYC Safe?
Side-Effects & Monitoring

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.


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.

Common, temporary effects

All sessions are monitored by board-certified psychiatrists. Screening determines whether ketamine is appropriate for you.

Conditions We Treat

TMS & Ketamine therapy and evidence-based care for:

Major Depressive Disorder

Including treatment-resistant depression —
the primary FDA-approved use of TMS.

More about depressive disorder →

Obsessive-Compulsive Disorder

FDA-approved deep TMS protocol for OCD
when therapy alone hasn't worked.

More about OCD →

Anxious Depression

FDA-approved for depression with co-
occurring anxiety symptoms.

More about anxious depression →

PTSD

Evidence-based TMS protocols for trauma-
related symptoms.

More about ptsd →

ADHD (Adjunct Care)

Supportive treatment alongside standard
ADHD care.

More about adhd →

Smoking Cessation

FDA-approved deep TMS protocol for
nicotine addiction.

More about smoking cessation →

Meet Your Care Team

Board-certified psychiatrists with decades of experience treating depression, OCD,
and anxiety.

Dr. Yuli Fradkin, MD

Board-Certified Psychiatrist · 25+
Years Experience

I founded Village TMS because so many of my patients had been failed by
standard treatment paths. My approach is unhurried, evidence-driven, and centred on what each person actually needs to feel like themselves again.

Dr. Elena Bruck, MD

Board-Certified Psychiatrist · 15+ Years Experience

I came to TMS after watching patients
cycle through medications that didn't fit them. My focus is precision, matching the right protocol to the right person, and adjusting as we go.

Common Questions About
Ketamine Therapy NYC

Everything you need to know before your free consultation.

What is ketamine therapy and how does ketamine work?

Ketamine is a dissociative anesthetic that has gained attention in recent years as a breakthrough treatment for various mental health conditions. Unlike traditional antidepressants that target serotonin, ketamine works by blocking NMDA receptors in the brain’s glutamate system. This action triggers a cascade of effects that promote new neural connections and can produce rapid relief from depressive symptoms. Ketamine infusion therapy and ketamine-assisted psychotherapy are now used to treat treatment-resistant depression, post-traumatic stress disorder, anxiety disorders, bipolar disorder, obsessive-compulsive disorder, and even some chronic pain conditions.

Who is a good candidate for ketamine treatment?

Ketamine for depression is most often recommended for people who have not responded to conventional treatments like traditional antidepressants or traditional therapy. New patients go through an initial consultation with our nurse practitioner or psychiatrist to assess their individual needs. Ideal candidates include those struggling with major depressive disorder, severe depression, suicidal thoughts, panic disorders, or treatment-resistant conditions. Substance use disorders or certain cardiac conditions may affect eligibility — our medical professionals review each case before creating a personalized treatment plan.

What happens during a ketamine therapy session?

Each ketamine therapy NYC session takes place in a supportive environment at our Midtown Manhattan clinic. Depending on your personalized treatment plan, you may receive IV ketamine infusion therapy, an IM injection, or SPRAVATO® nasal spray. Sessions typically involve an eye mask, calming music, and close medical supervision. Our medical team monitors your heart rate, blood pressure, and emotional state throughout. The effects of ketamine usually last 45–90 minutes in the clinical setting. Integration therapy sessions with a therapist follow ketamine sessions to help you process insights and shift thought patterns.

How many ketamine sessions will I need?

The number of therapy sessions varies based on your unique needs and the condition being treated. Most ketamine clinics, including ours, recommend an initial series of six ketamine infusion therapy sessions over two to three weeks for treatment-resistant depression. Ketamine dosing is adjusted based on your response. After the initial series, some patients benefit from maintenance ketamine sessions every few weeks or months. Our medical team evaluates your progress and adjusts treatment protocols to support long-term symptom relief and mental health care goals.

What conditions does ketamine treat beyond depression?

Beyond ketamine for depression, our ketamine-assisted therapy and psychedelic therapy protocols are used for post-traumatic stress disorder (PTSD), anxiety disorders, panic disorders, bipolar disorder, obsessive-compulsive disorder (OCD), suicidal thoughts, and certain mood disorders. Emerging research also supports ketamine as an effective treatment for some chronic pain conditions. Our psychiatry team works alongside ketamine-assisted psychotherapy to address the full range of mental health challenges that bring patients to our New York City clinic from Manhattan, Long Island, and throughout the NYC metro area.

What is ketamine-assisted psychotherapy (KAP)?

Ketamine-assisted psychotherapy combines low doses of ketamine with structured psychotherapy in what’s called an integration session. Ketamine-assisted therapy creates a window of neuroplasticity where new neural connections form, making it easier to shift thought patterns and process emotional pain. This is a cornerstone of our ketamine therapy NYC approach. Integration therapy sessions help patients consolidate the insights from their ketamine sessions into daily life. Unlike standalone ketamine infusion therapy, ketamine-assisted psychotherapy and psychedelic medicine approaches address both the biological and psychological aspects of mental health treatment.

Is ketamine therapy covered by insurance?

Insurance coverage for ketamine treatment varies by insurance provider and insurance plans. SPRAVATO® (esketamine) is FDA-approved and some insurance companies do offer partial coverage for treatment-resistant depression — check with your insurance company to confirm your benefits. IV ketamine infusion therapy and IM injections are generally considered off-label mental health services and are typically not covered by insurance plans. We recommend calling your insurance provider before your initial consultation. Our team can assist with documentation to support any claims you wish to submit. We serve patients from Midtown Manhattan, Long Island, and across New York City.

What are the side effects and safety profile of ketamine?

Ketamine therapy has a well-established safety profile when administered under medical supervision in a clinical setting. Common short-term effects of ketamine include dissociation, mild hallucinations, dizziness, and nausea during the treatment session itself — these resolve quickly after the session ends. Minimal side effects are reported when ketamine dosing follows established treatment protocols. Our medical team monitors every session for changes in heart rate and blood pressure. Long-term risks are minimized through careful ketamine administration, appropriate session frequency, and close oversight by our nurse practitioner and psychiatry staff throughout the treatment process.

How is Village TMS different from other ketamine clinics in NYC?

Village TMS offers a fully integrated mental health treatment model that goes beyond standalone ketamine infusion therapy. We combine ketamine-assisted therapy with TMS therapy, psychiatry, and medication management under one roof in Midtown Manhattan. Our approach includes integration sessions, personalized treatment plans, and ongoing psychiatric oversight. This gold standard of care means your ketamine therapy NYC experience is connected to a broader mental health care strategy designed for long-term outcomes. Whether you are a new patient coming from Long Island, Queens, or anywhere in New York City, our team tailors every aspect of the treatment process to your individual needs and mental health challenges.

How do I start my treatment journey?

Your first step is to schedule a free consultation at Village TMS. We’ll review your medical history, evaluate your symptoms, and create a customized treatment plan that supports healing and improved quality of life.

Still have questions? We're here to help.

Or call (646) 817-2835

INSIGHTS

Learn More About Ketamine & Mental
Health

VISIT US

Ketamine Therapy Across The NYC Area

We proudly serve patients throughout Manhattan and the greater New York area.

Manhattan

Greenwich Village ·
Chelsea · West Village ·
East Village · SoHo ·
Tribeca · Flatiron ·
Midtown

Brooklyn & Queens

Williamsburg · Brooklyn
Heights · Park Slope ·
Long Island City · Astoria
· Forest Hills

New Jersey

Hoboken · Jersey City ·
Weehawken · Edgewater
· Fort Lee

Village TMS

80 5th Ave, Office 1405, New York, NY 10011
Mon–Fri 8am–7pm · Sat by appointment