Physician-led mental health care in Manhattan for depression, anxiety, and mood disorders. Our board-certified psychiatrists combine psychiatric evaluation, medication management, and therapy with advanced options like TMS and ketamine, matched to what you actually need, not a single fixed protocol.
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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
Good mental health care is not one treatment; it is the right combination for you. At Village TMS in Manhattan, support starts with a thorough psychiatric evaluation by a board-certified psychiatrist, then a plan built around your diagnosis, history, and goals. For many people, that includes medication management and therapy. For depression or anxiety that has not responded to standard treatment, it can also include advanced options like TMS and ketamine.
We treat depression, anxiety disorders, bipolar disorder, OCD, PTSD, and treatment-resistant symptoms, in situations where SSRIs, SNRIs, or talk therapy alone have not been enough. Because we offer the full range under one roof, you are not pushed toward whichever treatment a clinic happens to sell. Your psychiatrist matches the approach to your situation, and coordinates with your existing therapist or primary-care doctor where that helps.
The goal is not just fewer symptoms, but functional recovery, feeling like yourself again, at work, at home, and in your relationships. Below is a closer look at the options we offer and how we decide what fits.
TMS is FDA-cleared for major depressive disorder, OCD, and anxious depression, and Spravato (esketamine) is FDA-approved for treatment-resistant depression. Every plan is grounded in what the evidence supports for your specific situation.
When medication and therapy alone have not been enough, we offer advanced, evidence-based treatments, TMS, and three forms of ketamine (IV, IM, and FDA-approved Spravato). These sit alongside psychiatric care and therapy, not instead of them. Here is how the ketamine options compare; you can read more about TMS on our TMS page.
IV INFUSION
Delivers controlled low doses directly into the bloodstream in a monitored clinical setting. Each 40-minute session includes supervision of heart rate, blood pressure, and psychological response to support safe and measurable improvement in depressive and anxiety symptoms.
Nasal Spray
An FDA-approved option for treatment-resistant depression. Each session is supervised by trained professionals who monitor dosing, emotional response, and vital signs while coordinating ongoing psychiatric care.
IM INJECTION
A time-efficient alternative for patients seeking structured symptom relief. These low-dose injections may support mood stabilization, stress reduction, and continued improvement between treatment 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.
Many patients report noticeable symptom improvement within hours or days. Ketamine may reduce depressive symptoms, emotional numbness, and severe anxiety when traditional antidepressants have not worked.
Research shows ketamine modulates NMDA receptors and influences the glutamate system, both involved in mood regulation and stress response.
Mental health support NYC often includes psychotherapy, cognitive behavioral therapy, medication management, and TMS therapy to promote long-term emotional stability.
Every session follows a structured medical safety protocol. Our healthcare providers monitor physical and psychological responses throughout treatment.
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.
Mental health support NYC at our Manhattan clinic includes psychiatric evaluation, medication management, ketamine therapy, TMS therapy, and structured treatment planning. Patients often seek help for major depressive disorder, generalized anxiety disorder, bipolar disorder, PTSD, and treatment-resistant depression.
Support may involve biological treatment options like ketamine infusions combined with psychotherapy and ongoing monitoring. The goal is symptom reduction, emotional regulation, and improved daily functioning.
Individuals who have not responded to SSRIs, SNRIs, mood stabilizers, or traditional talk therapy may benefit from advanced mental health support NYC. Many patients report persistent sadness, panic attacks, racing thoughts, insomnia, or emotional numbness.
A psychiatric evaluation helps determine whether ketamine therapy or TMS therapy is appropriate. Treatment plans are individualized based on diagnosis, symptom severity, and medical history.
TMS therapy uses magnetic stimulation to activate areas of the brain involved in mood regulation, such as the dorsolateral prefrontal cortex. It is non-invasive and does not require medication.
Ketamine therapy works chemically through the glutamate system and NMDA receptor pathways. Both treatments are evidence-based and may be used for treatment-resistant depression, anxiety disorders, and mood disorders as part of broader mental health support NYC.
Yes. Our clinic is located in Manhattan and serves patients from Midtown, Upper West Side, Upper East Side, Harlem, SoHo, Tribeca, Chelsea, and the Financial District. Many patients also travel from Brooklyn and Queens.
If you are searching for mental health support NYC near me, you are likely looking for structured psychiatric oversight and advanced treatment options in New York City. Our Manhattan-based team coordinates care with local therapists and primary care providers.
Response time varies depending on diagnosis and treatment type. Some patients receiving ketamine therapy report rapid improvement in mood symptoms within days. TMS therapy typically shows gradual improvement over several weeks.
Symptom relief depends on factors such as neuroplasticity, severity of depression, anxiety levels, and overall medical stability. Ongoing monitoring helps track progress and adjust treatment plans.
All treatments are delivered under medical supervision. Vital signs are monitored during ketamine sessions, and psychiatric evaluations are completed before beginning any advanced therapy.
Side effects are typically mild and temporary, such as dizziness or brief dissociation. Safety screening and structured protocols reduce risk and support stable outcomes.
Many patients seeking mental health support NYC have already tried multiple antidepressants or years of therapy without lasting improvement. This is often referred to as treatment-resistant depression.
Advanced interventions such as ketamine therapy and TMS therapy offer alternative mechanisms of action beyond serotonin-based medications. These options may provide symptom relief when conventional treatments have plateaued.
Yes. Coordinated care often improves outcomes. Many patients continue psychotherapy while receiving ketamine or TMS treatment.
Integrated mental health support NYC allows collaboration between psychiatrists, therapists, and primary care providers to promote consistent and stable recovery.
The first step is a psychiatric evaluation at our Manhattan clinic. We review symptoms, diagnosis history, medication trials, and treatment goals.
After evaluation, a personalized plan may include ketamine therapy, TMS therapy, medication management, or combined approaches to support long-term mental health stability.
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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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
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Hoboken · Jersey City ·
Weehawken · Edgewater
· Fort Lee
