NYC Psychiatric Associates

NYC Psychiatric Associates in Manhattan, New York offers Spravato (esketamine) for adults with treatment-resistant depression and for major depressive disorder with suicidal thoughts or behaviors. Containing esketamine, the nasal spray works faster than conventional antidepressants, often improving depression and suicidal thoughts within 24 hours rather than the weeks typical of oral medications.

Treatment begins with a psychiatric evaluation and review of medical history, after which providers recommend a personalized plan. Spravato is administered in-office, where patients are monitored for potential effects such as drowsiness, dizziness, or dissociation, and asked to rest and avoid driving for the remainder of the day.

Most patients start with twice-weekly sessions that taper over time while continuing oral antidepressants. Same-day appointments are available.