If you have been told you have treatment-resistant...Read More
If you’re searching online for Spravato near me, chances are you’ve been dealing with depression symptoms that haven’t improved with traditional antidepressants. Many people in New York City go through months or even years trying different oral antidepressant medications with little change. It can feel exhausting.
At Village TMS in Manhattan, we provide certified Spravato treatment using esketamine nasal spray, an FDA-approved option for treatment-resistant depression and major depressive disorder. Unlike traditional medications, Spravato works through the NMDA receptor system in the brain, which helps create new neural pathways and may produce rapid relief from severe depressive symptoms.
1. IV Ketamine Infusions
In addition to Spravato therapy, our clinic provides ketamine infusions for patients seeking alternative treatments for major depression or persistent depressive symptoms. These IV sessions are administered in controlled medical offices where heart rate and blood pressure are carefully monitored. Each treatment session typically lasts about 40 minutes and is supervised by experienced healthcare professionals.
2. SPRAVATO® (Esketamine) Nasal Spray
Patients searching for Spravato near me often discover this FDA-approved CIII nasal spray designed for adults with treatment-resistant depression. Spravato must be administered in a certified medical setting under the SPRAVATO® REMS Risk Evaluation and Mitigation Strategy program. Each nasal spray device is used during a supervised treatment session to monitor possible side effects and ensure safe administration.
3. Intramuscular (IM) Injections
Some patients benefit from short-term ketamine treatment through IM injections. These sessions can support mood stabilization between treatments and help reduce depressive symptoms in individuals who have not responded well to traditional treatments or antidepressant medications.
Rapid Relief: Many patients report improvement in depressive symptoms within hours or days. Ketamine treatment stimulates neural activity and may provide rapid relief when months of treatment with traditional antidepressants have failed.
Science-Driven Results: Clinical studies in the United States show that esketamine works differently from traditional medications by affecting the NMDA receptor, which plays a role in mood regulation and neural plasticity.
Safe & Supervised: All Spravato treatments occur in a monitored healthcare setting under the supervision of trained healthcare professionals. The care team checks vital signs and screens patients for medical conditions like high blood pressure, breathing problems, or vascular conditions such as arteriovenous malformation before starting treatment.
Comprehensive Healing: Ketamine therapy works best when combined with structured mental health care, including medication management, psychotherapy, and long-term care plans designed to stabilize symptoms of depression and other mental illnesses.
Get help with depression today! It’s important to know that you are not alone.
Ketamine’s versatility addresses:
Major Depressive Disorder (MDD)
Postpartum Depression
PTSD & Anxiety Disorders
Chronic Pain & Fibromyalgia
OCD & Bipolar Disorder
Addiction Recovery Support
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.
Consultation: Discuss your medical history and goals with Dr. Yuli Fradkin, our lead psychiatrist with 25+ years of expertise.
Custom Plan: Choose from IV, SPRAVATO®, or IM treatments, customized by our healthcare providers for your needs and treatment effects.
Integration Therapy: Post-treatment, our therapists help you apply insights from the ketamine experience to improve thought patterns and support lasting recovery.
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.
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.
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We proudly serve patients throughout:
Manhattan: Union Square, Chelsea, Flatiron, Greenwich Village, West Village, East Village, Midtown, Upper East Side, Upper West Side, Harlem, Tribeca, SoHo
Brooklyn & Queens: Brooklyn Heights, Williamsburg, Park Slope, Long Island City, Astoria, Forest Hills
New Jersey: Hoboken, Jersey City, Weehawken, West New York, North Bergen, Fort Lee, Edgewater, Secaucus, Newark, and surrounding South Bergen communities
If you’re searching for TMS therapy near Manhattan, Brooklyn, Queens, or Hoboken, our centrally located NYC office makes treatment convenient and accessible.
Spravato is a prescription medicine made from esketamine nasal spray, approved by the FDA in the United States for adults with treatment-resistant depression and major depressive disorder with suicidal thoughts. It works differently from traditional antidepressants by targeting the NMDA receptor, which influences glutamate activity in the brain.
Traditional medications usually take weeks to change serotonin levels, but Spravato may create faster neural signaling changes. These changes can help reduce severe depressive symptoms when standard treatments have not worked.
Treatment takes place in certified healthcare settings under the SPRAVATO® REMS Risk Evaluation and Mitigation Strategy program. This program helps reduce risk and ensures patients receive appropriate monitoring during each treatment session.
Patients who search for Spravato near me are often those diagnosed with major depressive disorder who have tried multiple traditional antidepressants without success. Doctors typically recommend Spravato after several medication trials or when depressive symptoms continue despite therapy.
A healthcare professional reviews your medical history, medication list, and mental health symptoms to determine if you are a good candidate. The evaluation also considers medical conditions such as high blood pressure, breathing problems, or risk factors like vascular abnormalities.
Spravato may also be considered for patients experiencing suicidal thoughts linked to severe depression when rapid symptom relief is needed.
Each treatment session occurs in a certified medical office under supervision of trained staff. Patients self-administer the nasal spray device while a healthcare professional monitors the process.
After administration, patients remain in the clinic for observation for about two hours. This allows the care team to monitor blood pressure, check for side effects of SPRAVATO, and ensure safety before patients leave.
Most patients complete treatments twice per week at the start of therapy. Over time, the schedule may decrease depending on symptom improvement and months of treatment.
Like all prescription medicine, Spravato may cause possible side effects. The most common side effects include dizziness, nausea, mild dissociation, headache, or temporary sedation.
There may also be a temporary increase in blood pressure during treatment. Rare but serious side effects include respiratory depression, chest pain, or shortness of breath. Because of these risks, Spravato must be administered in a certified healthcare setting.
Patients receive Important Safety Information, the Medication Guide, and Full Prescribing Information before treatment begins. These materials help patients and family members understand both common side effects and serious side effects that may require medical attention.
Although both treatments affect the brain’s glutamate system, Spravato near me refers specifically to the FDA-approved esketamine nasal spray. Ketamine infusions deliver the medication intravenously instead of through a nasal spray device.
Both treatments influence the NMDA receptor, which helps create new neural pathways linked to mood improvement. Many clinics offer both ketamine infusions and Spravato treatment options depending on the patient’s needs.
Your care team will help determine the best treatment process based on symptoms of depression, medication history, and other mental health conditions such as bipolar disorder.
Many insurance plans in the United States provide insurance coverage for Spravato therapy when patients meet criteria for treatment-resistant depression. Coverage often requires documentation that multiple traditional medications or standard treatments have been attempted first.
Our clinic helps verify insurance plans before treatment begins and explains expected out-of-pocket costs. Financial counselors can also discuss payment plans and eligibility programs designed to make treatment more accessible for eligible patients.
One of the most important differences between Spravato and traditional antidepressants is the potential for rapid relief. Some patients report noticeable improvement within hours or days of the first treatment session.
Clinical studies show that repeated sessions over several weeks can lead to significant improvement in mood, energy, and daily functioning. The exact timeline varies based on symptom severity, treatment adherence, and overall mental health.
The care team will monitor progress and adjust the care plan to support long-term stability.
Spravato is regulated under the SPRAVATO® REMS program, which stands for Risk Evaluation and Mitigation Strategy. This program ensures the medication is only administered in certified healthcare settings under supervision.
Clinics participating in the program must follow strict guidelines for patient monitoring, treatment reporting, and safety protocols. This helps reduce risk and ensures safe use of the CIII nasal spray.
Patients also receive information about Issue Reporting, the Pregnancy Registry, and safety resources designed for US patients and Puerto Rico residents.
The first step is scheduling a consultation with a healthcare professional experienced in depression treatment and ketamine therapies. During the evaluation, providers review symptoms of depression, medication history, and previous treatment outcomes.
If Spravato therapy is appropriate, the care team develops a structured care plan and schedules the first treatment session. Many patients searching for Spravato near me in NYC begin with a free consultation to explore treatment options and learn whether they may benefit from this newer approach to depression care.
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.