Rediscover Hope with Cutting-Edge Ketamine Treatment

At TMS Village in Montclair, we specialize in innovative mental health solutions, offering Ketamine Therapy—a revolutionary approach for those who’ve found little relief in traditional treatments. Whether you’re battling treatment-resistant depression, PTSD, or chronic anxiety, our personalized ketamine protocols are designed to deliver rapid, lasting relief.

Our Approach: Precision Meets Compassion

1. IV Ketamine Infusions
Direct delivery into the bloodstream ensures fast-acting relief, ideal for severe symptoms. Each 40-minute session is tailored to your needs, with real-time monitoring for comfort and safety.

2. SPRAVATO® (Esketamine) Nasal Spray
The only FDA-approved ketamine treatment for depression, often covered by insurance. Quick, convenient, and supervised for optimal results.

3. Intramuscular (IM) Injections
A balanced option offering sustained effects, perfect for those seeking longer-lasting benefits without IV commitment.

Why Choose Ketamine?

  • Rapid Relief: Many patients feel improvements within hours, not weeks.

  • Medication-Free Options: Minimize reliance on daily pills with targeted, intermittent sessions.

  • FDA-Approved & Safe: Administered by experts in a controlled, compassionate environment.

  • Holistic Integration: Pair sessions with therapy to amplify long-term healing.

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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

Dr. John Krystal, a pioneer in ketamine research, calls it the “anti-medication medication” due to its unique ability to rewire neural pathways. Unlike traditional antidepressants, ketamine boosts glutamate production, fostering neuroplasticity to repair mood-regulating circuits.

Safety & Comfort First

  • No Addiction Risk: Low-dose protocols prioritize safety, with no evidence of dependency.

  • Minimal Side Effects: Brief dizziness or mild dissociation may occur, but fade quickly under our care.

  • Expert Oversight: Board-certified psychiatrists monitor every session, adjusting doses to your response.

Your Journey at TMS Village

  1. Consultation: Discuss your 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, paired with optional therapy sessions.

  3. Integration Therapy: Post-session, our therapists help translate insights into actionable growth, ensuring lasting change.

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.

Frequently Asked Questions

We've Got Answers

How does ketamine therapy work for depression and other conditions?

Ketamine acts on the brain’s glutamate system—a neurotransmitter critical for mood regulation and neural plasticity. Unlike traditional antidepressants, which take weeks to affect serotonin or norepinephrine, ketamine rapidly stimulates the regrowth of synaptic connections in the prefrontal cortex. This “reset” can alleviate symptoms of depression, PTSD, anxiety, and chronic pain within hours. Think of it as repairing a faulty circuit: ketamine jumpstarts healing where other treatments stall.

Why is ketamine considered better than traditional antidepressants?

  • Speed: Relief in hours vs. weeks.

  • Precision: Targets glutamate pathways, often effective when serotonin/norepinephrine medications fail.

  • Versatility: Helps treatment-resistant depression, bipolar disorder, postpartum depression, and even chronic pain.

  • Side Effects: Fewer long-term issues (e.g., no weight gain or sexual dysfunction).

For those with suicidal thoughts, ketamine’s rapid action can be life-saving.

What conditions can ketamine therapy treat?

Beyond depression, ketamine shows promise for:

  • PTSD: Reduces hypervigilance and flashbacks.

  • OCD: Eases intrusive thoughts.

  • Chronic Pain: Alleviates nerve-related pain (e.g., fibromyalgia).

  • Addiction Recovery: Curbs cravings and supports emotional resilience.

Is ketamine therapy safe?

Yes, when administered by trained professionals in a clinical setting. Ketamine has a 60-year safety record as an anesthetic. For mental health, we use sub-anesthetic doses and monitor:

  • Vital signs (heart rate, blood pressure) during sessions.

  • Medical history to rule out contraindications (e.g., uncontrolled hypertension).

Common short-lived side effects: Mild dissociation, dizziness, or nausea. These typically fade within 1–2 hours.

Can ketamine cause addiction?

No. At the low doses used for mood disorders, ketamine is non-habit-forming. Studies suggest it may even help break cycles of addiction by reducing cravings and improving emotional regulation. Full transparency about substance use history ensures your safety.

Are there risks for patients with a history of seizures?

Ketamine may lower seizure thresholds in predisposed individuals. We screen thoroughly and adjust protocols (e.g., avoiding IV infusions) for at-risk patients.

Is ketamine therapy covered by insurance?

  • SPRAVATO® (esketamine nasal spray): Often covered for treatment-resistant depression. Requires in-clinic administration under FDA’s REMS program.

  • IV/IM Ketamine: Rarely covered, but we offer sliding-scale fees and payment plans.

Pro Tip: We handle prior authorizations for SPRAVATO® and provide superbills for possible out-of-network reimbursement.

Can I drive after a session?

No. Ketamine may temporarily impair coordination or cognition. Arrange a ride home, and avoid driving/machinery for 24 hours.

What happens during a ketamine session?

  • Setup: Recline comfortably in a private room with calming music/lighting.

  • Administration: Receive IV, IM, or nasal spray ketamine.

  • Monitoring: Our team tracks your response and adjusts dosing in real time.

  • Duration: 40–60 minutes for IV; 20 minutes for SPRAVATO®.

Most patients describe the sensation as a “floaty” dissociation, often paired with vivid mental imagery.

What are integration sessions, and why are they important?

After each ketamine session, you’ll meet with a therapist to:

  • Reflect: Discuss insights or emotions that arose during treatment.

  • Apply: Create actionable steps to reinforce healing (e.g., mindfulness practices, journaling).

  • Support: Maintain progress with ongoing therapy or community resources.

Example: A patient battling PTSD might use integration to process traumatic memories uncovered during ketamine therapy.

How many sessions will I need?

  • Initial Phase: 6–8 sessions over 3–4 weeks.

  • Maintenance: Monthly or quarterly boosters, depending on symptom recurrence.

50% of patients sustain benefits for 6+ months after a full course.

Who is a good candidate for ketamine therapy?

Ideal if you:

  • Have treatment-resistant depression, anxiety, or PTSD.

  • Can’t tolerate antidepressant side effects.

  • Need rapid relief (e.g., acute suicidal thoughts).

Contraindications: Uncontrolled heart conditions, psychosis, or pregnancy.

How do I prepare for my first session?

  • Avoid alcohol/caffeine 24 hours prior.

  • Eat lightly 2–3 hours beforehand to reduce nausea.

  • Bring a trusted companion for emotional support and transportation.

Still Have Questions?

  • Contact TMS Village in Montclair at [Phone/Email] for a free consultation. We’ll clarify doubts, review your history, and tailor a plan to help you reclaim your life.

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