Ketamine-assisted psychotherapy (KAP) in Manhattan, NYC. We combine supervised ketamine dosing with structured therapy and integration sessions, so the neuroplastic window ketamine opens is used for lasting psychological change, not just short-term relief. For adults with treatment-resistant depression, anxiety, OCD, and trauma, guided by board-certified psychiatrists and a psychotherapist.
Or call (646) 817-2835 — speak with our team now
Rated 5.0
On Google reviews
FDA-Cleared
Safe & evidence-based
In-Network
Aetna, BCBS, Cigna, United
Board-Certified
Psychiatrists, 25+ years
verified Google Reviews
See all reviews →
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 psychotherapy (KAP) is different from a standalone ketamine infusion. It pairs a low, supervised dose of ketamine with structured psychotherapy, so the session is guided, not just monitored. Ketamine briefly opens a window of neuroplasticity, a period where the brain is more able to form new connections and loosen fixed patterns of thought. KAP is built around that window: a trained therapist helps you prepare beforehand, stays present during the experience, and works with you afterward to make sense of it.
That last part, integration, is what separates assisted psychotherapy from a chemical treatment alone. Insights that surface during a session are fragile. Structured integration sessions turn them into durable change in how you think, feel, and respond. At Village TMS, KAP is delivered by board-certified psychiatrists alongside a psychotherapist, in a calm Manhattan clinic, as part of a personalised plan rather than a one-size-fits-all protocol.
Ketamine's antidepressant effects, and the value of pairing dosing with psychotherapy and integration, are supported by peer-reviewed trials. Esketamine (Spravato) is FDA-approved for treatment-resistant depression.
Ketamine-assisted psychotherapy can use any of three delivery formats. Whichever fits your situation, the therapy and integration work around it stays the same. Your psychiatrist and therapist match the format to you.
IV INFUSION
Our IV ketamine treatment delivers precise, low-dose infusions for rapid symptom relief. Each 40-minute session is closely monitored for safety, easing depressive symptoms and promoting emotional balance.
Nasal Spray
FDA-approved nasal spray ketamine therapy offering quick results for major depressive disorder and treatment-resistant depression. Supervised by medical experts for comfort and safety.
IM INJECTION
A balanced option for sustained relief without IV infusions. Controlled low-dose injections help stabilize mood between sessions and support lasting recovery.
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 behavior.
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 confirm 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.
Two specialists, two jobs. Dr. Fradkin handles the medical side, screening, dosage, and monitoring your vitals. Sofia, your therapist, guides the psychological work: preparing you beforehand and integrating it after. Most clinics ask one person to do both, or skip the therapy.
Supported by multiple clinical trials, ketamine has shown high response rates in individuals who haven't responded to traditional treatments or medication management. Paired with structured integration, those results are far more likely to hold rather than fade between sessions.
Spravato is FDA-approved and delivered in our REMS-certified clinic, administered by experts in a controlled, supervised environment. Dr. Fradkin oversees every dose personally, from medical screening through real-time monitoring of your vitals.
Conducted by board-certified psychiatrists within a controlled therapeutic setting. Each treatment follows strict safety protocols to minimize risks associated with higher doses or misuse linked to substance use disorders. You are monitored from the first minute to the last.
Your journey starts with a free consultation. Our specialists review your medical history, past treatments, and goals, then create a personalized plan built around your specific situation. This is also where we confirm that ketamine-assisted psychotherapy is a safe and appropriate fit for you, and answer any questions before anything begins.
Before dosing begins, you meet with Sofia to set a clear intention, work through any fears, and prepare your nervous system, what therapists call widening your window of tolerance. This is why patients enter the experience with a roadmap rather than anxiety. In parallel, Dr. Fradkin selects the delivery format (Spravato or IM) based on your clinical needs.
During each medical session, Dr. Fradkin administers your chosen format (Spravato or IM) in a calm, controlled setting while continuously monitoring your heart rate, blood pressure, and overall response. You are cared for and observed from the first minute to the last, so you can let go and focus on the therapeutic work rather than your physical safety.
This is the stage that makes the work last. Using Internal Family Systems (IFS) and somatic-based methods, Sofia helps you wire the insights from each session into daily life, easing the burdened parts of yourself and building new patterns. Ketamine without integration tends to give only temporary relief; integration is what helps the change hold.
You begin with a consultation. We take a careful medical and psychiatric history, discuss your goals, and design a personalized protocol. We also verify your insurance coverage and answer any 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.
When your therapeutic support happens depends on the format. With Spravato or IM, Sofia works with you immediately after the medical session, while the experience is fresh. Because of the temporary effects, you should not drive on a treatment day, so arrange a ride home in advance. Either way, integration is built into the program, not an optional add-on, it is the part where the experience becomes practical, 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.
In recent years, Ketamine-Assisted Therapy has redefined how clinicians
approach mental health treatment. Originally used as a dissociative anesthetic,
the use of ketamine in psychiatry has proven to promote rapid neuroplasticity
and help restore balance to brain circuits disrupted by mental illness.
Our low-dose ketamine treatment minimizes side effects while maintaining
strong results. Mild dizziness or a brief dissociative experience may occur
but fades quickly. Clinicians monitor your heart rate, blood pressure, and
comfort during all dosing sessions to ensure safe, precise ketamine
administration in a calm, professional setting.
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 centered 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.
I help adults and couples build self-awareness and deepen relationships. My work is grounded in Gestalt therapy and informed by EMDR, mindfulness, and transpersonal psychology. I combine deep emotional exploration with practical tools, working in a warm, collaborative space where clients feel genuinely seen and supported. For our KAP program, Sofia leads the preparation and integration work, using Internal Family Systems (IFS) and somatic methods to help patients turn a ketamine session into lasting change.
Everything you need to know before your free consultation.
Ketamine briefly increases neuroplasticity, opening a window where the brain can form new connections more easily. In ketamine-assisted psychotherapy, a therapist works with you during and after that window, in preparation and integration sessions, so the shift becomes lasting change in how you think and respond, not just a temporary lift.
Yes. When performed under medical supervision, Ketamine-Assisted Therapy NYC is both safe and well-tolerated. Our low-dose protocols ensure stability, and any temporary side effects such as mild nausea or dissociation fade quickly. Studies published in peer-reviewed clinical data confirm its strong safety profile and success rate across various conditions.
A typical program includes six to eight dosing sessions over three to four weeks, followed by optional integration sessions. The number of sessions depends on your treatment plan, condition, and how your body responds to ketamine use. Many patients notice a rapid onset of relief after the first few sessions.
Ketamine-assisted psychotherapy NYC has demonstrated results across multiple mental disorders, including treatment-resistant depression, anxiety disorders, bipolar disorder, obsessive-compulsive disorder, eating disorders, and trauma-related conditions. It is also being studied for substance use disorders and chronic pain relief through ongoing clinical trials.
Spravato (esketamine) is an FDA-approved nasal spray for treatment-resistant depression, and it is more often covered by insurance. IM (intramuscular) injections can produce a deeper, more immersive state that some patients find helpful for processing deep-seated trauma. Dr. Fradkin helps determine which method fits your clinical needs during your evaluation.
Yes. After a session, you may feel mild dissociation or dizziness, and for safety, you cannot drive on the day of treatment. Plan to use a ride-share service or have someone pick you up.
Eat a light meal three to four hours beforehand. The most important preparation is your session with Sofia, where you set your intention and settle your nervous system ahead of time, which significantly reduces pre-session anxiety.
We deliver ketamine and the psychotherapy around it under one roof. A board-certified psychiatrist oversees dosing while a psychotherapist handles preparation and integration, so your ketamine experience is connected to real therapeutic work rather than delivered in isolation. Most standalone ketamine clinics stop at the infusion; we do not.
· 5 min read
· 5 min read
· 5 min read
· 5 min read
· 5 min read
We proudly serve patients throughout Manhattan and the greater New York area.
Greenwich Village ·
Chelsea · West Village ·
East Village · SoHo ·
Tribeca · Flatiron ·
Midtown
Williamsburg · Brooklyn
Heights · Park Slope ·
Long Island City · Astoria
· Forest Hills
Hoboken · Jersey City ·
Weehawken · Edgewater
· Fort Lee
