Interventional psychiatry uses closely supervised treatments, such as TMS, Spravato® and ketamine, when medication and therapy have not been enough. Our board-certified psychiatrists near Union Square evaluate you, recommend the option that fits and oversee every session.
Medically reviewed by Yuli Fradkin, MD, board-certified psychiatrist · Last reviewed October 2026
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Dr Fradkin helped me with treatment-resistant depression using TMS.
Valery Dinner Verified Google ReviewI had a great experience at the Village TMS Center for Autism and Depression. The staff is very kind, professional, and truly cares about their patients. They take the time to listen and explain the treatment process clearly.
kibriyo komilova Verified Google ReviewMy son just finished TMS therapy with Village Group Medical. I am pleased to mention pleasant and welcoming atmosphere of this office. It helped my son relax and agree to undergo the therapy.
Yelena Haskin Verified Google ReviewAs an R.N. for decades I’ve had myriad experiences with institutions and providers. It takes a lot to impress me and that’s what Dr Fradkin and his affable staff have done! My treatments have been attended to with integrity, friendliness and skill. They provided scheduling flexibility, cost transparency, and a comprehensive orientation to my TMS treatments with a smile. Thus I have no reservations advocating Village TMS and award Dr Fradkin and his staff an A+.
Dennis Moriarty Verified Google ReviewI've been using Village Medical Group services for quite some time and can recommend it to everyone. Very easy easy and transparent communications, warm and welcoming office with people who care. George is very knowledgeable, helpful and I really appreciate his help all the time. Dr. Fradkin is amazing specialist that carefully and precisely chose the treatment that helped. I feel safe and comfortable every time I visit the office.
Nikita Khvastunov Verified Google ReviewVery professional and caring team. I enjoyed learning more about this solution and was pleased with the provided service!
Raul Ifraimov Verified Google ReviewTMS session with George went great. Even though I just started and it’s a new experience for me, a cautious supervision and guidance of the specialist helps to get through. I had all my questions being answered before the procedure. Will come again!
Ekaterina Kokovikhina Verified Google ReviewJust had my first TMS session. Feeling great!
Sofia Dro Verified Google ReviewTHE BASICS
Most psychiatric care relies on medication and talk therapy. Interventional psychiatry adds treatments that act on the brain more directly: brain stimulation with transcranial magnetic stimulation (TMS), and medicines that work on the brain's glutamate system, such as esketamine and ketamine, given under monitoring in the clinic.
These treatments are usually considered after depression has not responded to at least two antidepressants. The National Institute of Mental Health describes TMS and other brain stimulation therapies as options when other treatments have not worked.
What sets interventional psychiatry apart is the setting. Every treatment happens in our office, with a psychiatrist setting the plan, a clinical team monitoring you, and standard rating scales tracking whether it is working.
TMS devices are FDA-cleared, and Spravato is an FDA-approved medicine. IV and IM ketamine for depression are off-label, and we explain what that means before you start.
TREATMENTS
We offer the three main interventional treatments for depression in one office, so your psychiatrist can recommend what suits you rather than whatever is available.
BRAIN STIMULATION
Magnetic pulses stimulate the brain area involved in mood. FDA-cleared for depression that has not responded to antidepressants. Sessions take about 20-30 minutes, with no anesthesia. About TMS therapy.
NASAL SPRAY
An FDA-approved nasal spray for treatment-resistant depression, taken in our REMS-certified office with at least two hours of monitoring. About Spravato in NYC.
IV / IM
Ketamine given by infusion or injection, used off-label for depression and usually self-pay. You are monitored throughout and need a ride home. About ketamine therapy.
WHO IS REFERRED
Most of our patients are adults with major depression that has not improved after two or more antidepressants taken at a proper dose for long enough. Some come to us on their own after reading about TMS or Spravato. Others are referred by their psychiatrist, therapist or primary care doctor.
We also see people who responded to medication but could not tolerate the side effects, people with depression and significant anxiety, and people who would rather not add more medicines. Everyone has a full evaluation first, because these treatments are not right for everyone.
Clinicians can refer patients through our provider referral page. With the patient's consent, we keep the referring clinician updated and coordinate ongoing care with them.
AT A GLANCE
The treatments work in different ways and are regulated differently. Here is what each one does.
| Treatment | How it works | Regulatory status | Offered at Village TMS |
|---|---|---|---|
|
TMS |
Magnetic pulses stimulate nerve cells in the prefrontal cortex, an area involved in mood |
FDA-cleared devices (for depression since 2008) |
Yes |
|
Spravato® (esketamine) |
Nasal spray that blocks NMDA receptors in the glutamate system |
FDA-approved drug for treatment-resistant depression (2019) |
Yes |
|
IV / IM ketamine |
Blocks NMDA receptors; given by infusion or injection |
FDA-approved only as an anesthetic; off-label for depression |
Yes |
|
ECT |
A brief, controlled seizure under general anesthesia |
FDA-regulated device with a long record in severe depression |
No |
Compare brain stimulation options in our TMS vs ECT guide, or see how TMS, Spravato and ketamine compare for treatment-resistant depression.
WORKING TOGETHER
Send a referral or ask your patient to contact us. We handle insurance checks and prior authorization.
With consent, we send updates after the evaluation and at the end of a treatment course.
Many patients keep their current medicines during treatment. Any change is discussed with you and your prescriber.
You keep seeing your therapist. Therapy and interventional treatment often work well together.
HOW IT WORKS
STEP 1
We hear what you have tried and verify your insurance at no cost.
STEP 2
A board-certified psychiatrist confirms the diagnosis and checks which treatments are safe for you.
STEP 3
We recommend TMS, Spravato or ketamine, explain why, and handle prior authorization where needed.
STEP 4
Your treatment starts, and we measure your progress regularly against your starting point.
MEASUREMENT-BASED CARE
Before treatment, you complete standard questionnaires, such as the PHQ-9 for depression, so we have a clear starting point.
We repeat the questionnaires at set points and ask about side effects, sleep and day-to-day life.
We compare your scores with your baseline and decide with you whether to stop, continue or change approach.
We check in after treatment ends and plan maintenance if symptoms start to return.
SAFETY
TMS is given while you are awake and alert. The most common side effects are scalp discomfort and headache in the first sessions. Seizures are rare, and we screen for risk factors before you start.
Spravato and ketamine can cause dissociation, dizziness, nausea and a temporary rise in blood pressure, so we check your blood pressure and monitor you after each dose. Spravato is only given under the FDA-required SPRAVATO REMS program, with at least two hours of monitoring.
Every treatment plan is set and supervised by a board-certified psychiatrist.
Board-certified psychiatrists with decades of experience in treatment-resistant depression, TMS and anxious depression.
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.
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.
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Everything you need to know before your free consultation.
It is a branch of psychiatry that uses procedures and closely monitored treatments, such as TMS, Spravato (esketamine) and ketamine, for conditions like depression that have not responded to medication and therapy. The treatments happen in a clinic, under a psychiatrist’s supervision.
No. ECT is one interventional treatment, but we do not offer it at Village TMS. We provide TMS, which needs no anesthesia, along with Spravato and ketamine. Our TMS vs ECT guide explains the differences.
Usually not. Many people continue their antidepressant during TMS, and Spravato is often used together with an oral antidepressant. Your psychiatrist reviews every medicine you take, since a few can interact with these treatments.
No referral is needed to contact us, though some insurance plans require one for specialist care. Clinicians can refer patients through our provider referral page.
TMS and Spravato are often covered when you meet your plan’s criteria, usually after prior authorization, which we handle. IV and IM ketamine are off-label for depression and usually self-pay. We verify your coverage for free.
That is what the evaluation is for. Your psychiatrist weighs your history, the side effects you want to avoid, your schedule and your coverage, then explains the options. Our treatment-resistant depression page has a side-by-side comparison.
At our office at 80 Fifth Avenue, Suite 1405, New York, NY 10011, at 14th Street near Union Square. Every interventional treatment takes place in person.
INSIGHTS
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All treatments take place at our office at 80 Fifth Avenue, Suite 1405, at 14th Street. Patients come to us from across Manhattan, Brooklyn, Queens and northern New Jersey.
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