Physician-led ketamine for anxiety 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.
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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
Intravenous ketamine infusions work directly on the glutamate and NMDA system, with some patients improving within days. Each 40-minute session is monitored for heart rate and blood pressure to ensure safety.
Nasal Spray
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 ital signs.
IM INJECTION
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.
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.
Rapid onset improvement within hours of treatment. Ketamine stimulates new neural connections in the brain, helping to ease both depressive symptoms and anxiety symptoms.
Extensive systematic reviews and clinical trials show that ketamine works by modulating NMDA receptors and restoring balance in the glutamate system.
Pair ketamine treatment with cognitive behavioral therapy or mental health treatment to achieve long-term emotional stability and symptom relief.
Our team of healthcare providers follows a proven safety protocol during every session, minimizing potential side effects and maintaining a stable safety profile.
We review your history, answer
your questions, and verify
insurance coverage at no cost.
Choose from IV, SPRAVATO®, or IM treatments, customized by our healthcare providers for your needs and treatment effects.
You're cared for in a
comfortable setting with vitals
tracked throughout each
session.
Post-treatment, our therapists help you apply insights from the ketamine experience to improve thought patterns and support lasting recovery.
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.
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.
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.
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.
Everything you need to know before your free consultation.
Ketamine therapy is the clinical, medically supervised use of ketamine to treat mental health conditions, most often treatment-resistant depression, PTSD, and anxiety disorders. Unlike most antidepressants, which act on serotonin and can take four to six weeks to work, ketamine works through the brain’s glutamate system. At Village TMS it is given as an IV infusion, an IM injection, or FDA-approved Spravato nasal spray, always under psychiatrist supervision in our Manhattan clinic. A typical session runs 40 to 60 minutes, and many patients notice a lift in mood within about a day of their first treatment.
Ketamine for anxiety NYC targets NMDA receptors and activates the glutamate system, encouraging new neural pathways that regulate mood disorders and reduce anxiety symptoms. This mechanism helps patients find relief faster than with traditional antidepressants or selective serotonin reuptake inhibitors.
Many patients notice a significant reduction in symptoms within hours of their first single dose. The rapid onset of relief makes ketamine a preferred option for those facing treatment-resistant depression or severe anxiety that hasn’t improved with other treatment options.
Yes. When provided under medical supervision, ketamine for anxiety NYC has a proven safety profile supported by double-blind and randomized controlled trial data. Our staff monitors your heart rate, blood pressure, and comfort throughout your session.
Ketamine can support patients with generalized anxiety, panic disorder, social anxiety, and refractory anxiety disorders, as well as post-traumatic stress disorder (PTSD), major depression, and treatment-resistant symptoms when standard treatment has not brought enough relief.
The anxiolytic effects of a single treatment may last several weeks. Maintenance sessions are available for sustained results and long-term mood stability.
Absolutely. Many patients combine ketamine infusion therapy with behavioral therapy or cognitive behavioral therapy for the best results. This combined approach strengthens neural pathways and promotes sustainable improvement.
Temporary dissociative effects, lightheadedness, or mild blood pressure increases may occur but fade quickly. All treatment sessions are monitored in a professional healthcare setting to minimize risks and ensure comfort.
Individuals who have not responded to traditional treatments or have treatment-resistant depression or treatment-resistant anxiety may benefit from ketamine therapy. A review of your medical conditions and treatment history helps determine suitability.
Ketamine is used off-label for bipolar depression, it is not FDA-approved specifically for bipolar, and IV ketamine is generally not covered by insurance. Spravato (esketamine) is FDA-approved, but for treatment-resistant depression, not bipolar. Off-label use is legal and common in psychiatry when supervised by a qualified physician. We are clear about costs and coverage during your consultation so there are no surprises.
When administered in a clinical setting and at low doses, ketamine poses no addiction risk. Our clinicians use controlled dosing to ensure therapeutic benefit without dependency.
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.
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