Physician-led ketamine therapy in Manhattan, for treatment-resistant depression, PTSD, anxiety, and more. IV ketamine, IM injections, and FDA-approved Spravato®, each delivered and monitored by board-certified psychiatrists.
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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 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 ReviewDr Fradkin helped me with treatment-resistant depression using TMS.
Valery Dinner Verified Google Review
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.
Ketamine's antidepressant effects have been studied in numerous peer-
reviewed trials, and esketamine (Spravato®) is FDA-approved for treatment-resistant depression.
We offer IV, IM, and Spravato under one roof, so your psychiatrist can match the
right approach to your situation.
IV INFUSION
IV delivery provides fast relief from severe depression or chronic pain using low-dose racemic ketamine. Each 40-minute session is monitored for heart rate, blood pressure, and safety.
Nasal Spray
FDA-approved Spravato® treatment is often covered by major insurance companies like Blue Shield and United Healthcare. Sessions are supervised and verified for your insurance coverage.
IM INJECTION
A cost-effective option for patients with out-of-pocket costs or partial coverage. IM injections provide lasting relief and lower infusion cost compared to IV sessions.
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.
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.
Unlike traditional treatments, ketamine therapy offers results within hours, helping reduce symptoms of depression, suicidal ideation, and anxiety linked to mood disorders.
We work with insurance providers to confirm eligibility and cover ketamine where possible. If you don't have coverage, payment plans and assistance options help ease the financial burden.
FDA approval status currently applies to Spravato®, but ongoing clinical trials support the safety of ketamine infusion therapy for various mental health conditions.
Our Ketamine-Assisted Psychotherapy program combines medication and therapy to ensure lasting results and reduce out-of-pocket expenses over time.
We review medical records, confirm your insurance policy, and design a treatment plan that minimizes of-pocket costs.
Choose from IV infusions, intranasal esketamine, or oral ketamine depending on coverage and medical need.
You're cared for in a
comfortable setting with vitals
tracked throughout each
session.
Our clinicians guide reflection sessions that enhance long-term healing and strengthen your overall mental health care outcomes.
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.
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.
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.
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.
Recent clinical studies confirm that ketamine treatments deliver powerful antidepressant effects for treatment-resistant depression and bipolar disorder.
Although ketamine IV and oral ketamine remain off-label use, growing research supports their benefits for major depressive disorder and mood disorders. Many insurance providers now offer partial reimbursement when prescribed under a psychiatrist’s care.
Unlike some traditional treatments, ketamine is non-addictive and safe when administered by experienced healthcare providers. Our Manhattan treatment center ensures comfortable care, transparent pricing, and guidance on payment options, Health Savings Accounts, or Flexible Spending Accounts to manage medical expenses.
All sessions are monitored by board-certified psychiatrists. Screening determines whether ketamine is appropriate for you.
TMS & Ketamine therapy and evidence-based care for:
Including treatment-resistant depression —
the primary FDA-approved use of TMS.
FDA-approved deep TMS protocol for OCD
when therapy alone hasn't worked.
FDA-approved for depression with co-
occurring anxiety symptoms.
FDA-approved deep TMS protocol for
nicotine addiction.
Board-certified psychiatrists with decades of experience treating depression, OCD,
and anxiety.
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.
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.
Everything you need to know before your free consultation.
Coverage varies depending on your insurance provider and diagnosis. United Healthcare, Blue Shield, and other Health Plans may cover ketamine infusions for conditions like treatment-resistant depression or major depressive disorder. The Spravato® nasal spray is fully FDA-approved, making it the most commonly reimbursed option.
Most ketamine treatments are still considered off-label use under current FDA approval status. However, Clinical Studies and ongoing clinical trials continue to demonstrate safety and efficacy, encouraging insurance providers to expand coverage for ketamine infusion therapy.
Some healthcare providers and major insurance companies offer partial reimbursement for bipolar disorder or post-traumatic stress disorder. Our team helps verify coverage and provides documentation needed for of-network benefits or appeals.
Contact your insurer directly or allow us to help. Our administrative staff works with insurance providers to confirm coverage, review your insurance policy, and ensure you understand your of-network benefits before treatment begins.
The average infusion cost varies depending on dosage and location but typically ranges between $400 and $800 per session. Payment plans are available to make maintenance sessions more affordable over time.
Oral ketamine is typically an off-label use and not covered by most Health Plans, but some private insurance plans may reimburse under specific mental health conditions or treatment-resistant depression cases.
Spravato® is an FDA-approved derivative of ketamine, while ketamine IV and intramuscular injections are considered off-label. Both offer rapid relief from symptoms of depression, though Spravato is more commonly covered by insurance.
Yes. Most insurers require proof of diagnosis, previous treatment plans, and medical records confirming treatment resistance to antidepressant medications or other forms of treatment.
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We proudly serve patients throughout Manhattan and the greater New York area.
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80 5th Ave, Office 1405, New York, NY 10011
Mon–Fri 8am–7pm · Sat by appointment
