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Ketamine Therapy Long Island: Fast-Acting Treatment for Depression, Anxiety & PTSD

Find relief when traditional medications haven't worked. Board-certified psychiatrists offering IV ketamine and Spravato at two convenient Nassau County locations.

When Nothing Else Has Worked, There's Still Hope

You’ve tried the antidepressants. Maybe several of them. You’ve waited the six to eight weeks your doctor recommended, adjusted dosages, switched medications, and still that heavy fog of depression won’t lift. If this sounds familiar, you’re not alone. Roughly one-third of people with depression don’t respond adequately to conventional medications, and the frustration of failed treatment after failed treatment can make things feel hopeless.

Ketamine therapy on Long Island offers something different. Unlike traditional antidepressants that take weeks to show any effect, ketamine works through an entirely different mechanism in your brain, and many patients notice improvement within hours or days of their first treatment. At Anxiety & Depression Psychiatry, we’ve helped countless Long Island residents find relief when nothing else seemed to work. Our board-certified psychiatrists provide both IV ketamine infusions and Spravato (esketamine nasal spray) in a safe, medically supervised setting at our Great Neck and Mineola offices.

This isn’t a last resort. It’s a scientifically proven treatment that works when others don’t.

What is Ketamine Therapy?

Ketamine has been used safely as an anesthetic in hospitals since the FDA approved it in 1970. Over the past two decades, researchers discovered something remarkable: at lower doses, ketamine produces rapid and significant antidepressant effects, even in patients who haven’t responded to multiple other medications.

Here’s why that matters. Traditional antidepressants like SSRIs and SNRIs work by affecting serotonin, norepinephrine, or dopamine levels in your brain. They can take four to eight weeks to produce noticeable changes, and for many people, they simply don’t work well enough. Ketamine operates through a completely different pathway. It targets NMDA receptors and the glutamate system, which plays a crucial role in neuroplasticity, your brain’s ability to form new neural connections and pathways.

Think of it this way: depression can create stuck patterns in your brain, like grooves worn into a record. Ketamine helps your brain form new connections, essentially allowing it to “rewire” itself and break free from those stuck patterns. This explains why ketamine therapy Long Island patients often experience relief so much faster than with conventional treatments, sometimes within hours rather than months.

Research published in the American Journal of Psychiatry has demonstrated that approximately 70% of patients with treatment-resistant depression respond to ketamine treatment. For people who have struggled for years without adequate relief, these numbers represent genuine hope.

Ketamine Treatment Options at Anxiety & Depression Psychiatry

We offer two proven approaches to ketamine treatment, allowing us to match the right option to your specific needs and circumstances.

IV Ketamine Infusion Therapy

Intravenous ketamine delivers the medication directly into your bloodstream, providing precise control over dosing and immediate absorption. Our psychiatrists can tailor the infusion to your individual needs, adjusting in real-time based on your response.

About 50% of our patients feel better after their first IV ketamine infusion. The induction phase typically involves two infusions per week for two weeks, giving your brain multiple opportunities to establish new neural pathways. Each session takes place in our comfortable, private treatment rooms with close monitoring of your vital signs throughout.

IV ketamine costs $600 per infusion and is not covered by most insurance plans. While we understand this represents a significant investment, many patients find that the rapid improvement in their quality of life makes it worthwhile, especially after years of trying medications that didn’t work.

Learn more about our ketamine treatment approach

Spravato (Esketamine) Nasal Spray

If needles aren’t your thing, Spravato offers an excellent alternative. The FDA approved this nasal spray in 2019 specifically for treatment-resistant depression, making it the first genuinely new type of antidepressant medication in over 30 years. In 2020, approval expanded to include adults with major depression who experience suicidal thoughts.

Spravato works just as effectively as IV ketamine for most patients. You’ll self-administer the nasal spray under our supervision, similar to using an allergy spray. The induction phase requires twice-weekly visits for four weeks, followed by less frequent maintenance treatments. Because Spravato has FDA approval for treatment-resistant depression, most insurance plans cover it, making this a more accessible option for many Long Island residents.

After each dose, you’ll remain in our office for a two-hour observation period as required by FDA protocols. We monitor your blood pressure and mental status to ensure your safety before you head home.

Learn more about Spravato treatment

Conditions We Treat with Ketamine Therapy on Long Island

Ketamine’s ability to promote neuroplasticity and rapidly shift brain chemistry makes it effective across a range of treatment-resistant conditions. At our Great Neck and Mineola locations, we use ketamine therapy to treat:

  • Depression Rapid relief for treatment-resistant depression when multiple antidepressants haven’t provided adequate improvement.
  • Anxiety Breaking persistent cycles of worry, fear, and physical tension that haven’t responded to traditional anxiolytics.
  • Bipolar Depression Managing depressive episodes safely when mood stabilizers alone aren’t enough.
  • PTSD Processing trauma with reduced emotional distress, allowing therapeutic work to progress more effectively.
  • OCD Disrupting stubborn obsessive thought patterns and compulsive behaviors resistant to SSRIs.
  • Suicidal Ideation Rapid intervention when time matters most, providing relief while other treatments take effect.
  • Panic Disorder Relief from debilitating panic attacks and the anticipatory anxiety that often accompanies them.

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Each condition responds to ketamine through similar mechanisms: enhanced neuroplasticity creates openings for change, while the rapid mood improvement provides relief during what can otherwise feel like endless waiting.

The Science Behind Ketamine for Mental Health

Understanding how ketamine works helps explain why it succeeds where other treatments fail.

Traditional antidepressants primarily target monoamine neurotransmitters: serotonin, norepinephrine, and dopamine. While these pathways play a role in mood, they don’t tell the whole story. When standard medications don’t work, it often indicates that your depression involves the glutamate system, the brain’s most abundant neurotransmitter and a key player in learning, memory, and neuroplasticity.

Ketamine blocks NMDA receptors, which triggers a cascade of effects that promote the growth of new synaptic connections. Research from institutions like Mount Sinai has shown that ketamine helps repair and strengthen neural connections damaged by chronic stress, depression, and trauma. This isn’t just temporary relief; it’s actual structural change in the brain.

The clinical evidence supporting ketamine therapy Long Island patients receive is robust:

  • Studies show response rates of approximately 70% in treatment-resistant depression
  • Many patients experience improvement within hours, not weeks
  • Research demonstrates ketamine’s effectiveness for reducing suicidal thoughts rapidly
  • Long-term studies confirm that benefits can be maintained with appropriate maintenance treatment

One patient described it this way: “Being free of my baseline anxiety and stress is such a release. The physical relief of being without anxiety and stress hormones during the infusion is remarkable. I am going for long walks now and planning a trip to Paris that I didn’t think I would make two weeks ago.”

Your Ketamine Therapy Journey at Anxiety & Depression Psychiatry

We’ve designed every step of your experience to be comfortable, safe, and focused on your individual needs. Here’s what to expect when you choose ketamine therapy on Long Island with our team.

01.

Free Phone Consultation

Your journey starts with a no-cost phone conversation. This isn’t a sales pitch. We want to understand your situation, answer your questions honestly, and help you determine whether ketamine treatment makes sense for you. We’ll discuss your treatment history, current symptoms, and what you’re hoping to achieve.

Hey, we’re psychiatrists. We like chatting.

02.

Comprehensive Evaluation

If you decide to move forward, we’ll schedule a thorough psychiatric evaluation. We review your complete mental health history, current medications, and overall health status. Understanding you as a whole person helps us create a treatment plan tailored specifically to your needs.

We coordinate with your other healthcare providers when helpful, though a referral isn’t required to begin treatment with us.

03.

Preparing for Your First Session

Before your appointment:

  • Avoid eating for six hours before IV ketamine (two hours for Spravato)
  • Small amounts of clear liquids are fine up to two hours before
  • Wear loose, comfortable clothing
  • Arrange your ride home in advance, as you cannot drive after treatment

04.

Your Treatment Session

For IV Ketamine:

You'll settle into a comfortable chair in our private treatment room. The infusion typically lasts 40 to 60 minutes, during which we monitor your vital signs closely. Many patients describe feeling relaxed, perhaps a bit dreamy or disconnected during the experience. These effects are temporary and typically subside within an hour after the infusion ends.

For Spravato:

You'll self-administer the nasal spray under our supervision. Afterward, you'll relax in our office for the required two-hour observation period. We'll check your blood pressure and mental status at regular intervals. Many patients bring headphones and listen to calming music during this time.

05.

Recovery and Aftercare

After your session, you’ll rest until the effects subside and you feel clear-headed. You’ll need a friend or family member to drive you home, as you cannot drive until the next day following a restful night’s sleep. Plan to take it easy for the remainder of the day.

Our team follows up to check on your progress and answer any questions that arise.

06.

Ongoing Treatment and Maintenance

IV Ketamine

The induction series typically involves four infusions over two weeks. Based on your response, we'll develop a personalized maintenance schedule, which might mean monthly sessions or treatments every few weeks.

Spravato

After the twice-weekly induction phase (four weeks), treatment typically decreases to once weekly during the second month, then once weekly or every two weeks for maintenance. Everyone responds differently, and we adjust your treatment plan based on what works best for you.

Why Choose Anxiety & Depression Psychiatry for Ketamine Therapy

Board-Certified Psychiatrists

Unlike standalone ketamine clinics that may be run by anesthesiologists or nurse practitioners, we’re a full-service psychiatric practice. Our board-certified psychiatrists specialize in treatment-resistant conditions and understand the complexities of mental health care. Ketamine isn’t just something we offer; it’s part of a comprehensive approach to your mental health.

Meet our Team

Full-Service Psychiatric Practice

We’re not a ketamine mill. We treat the whole person, integrating ketamine therapy with medication management, TMS therapy, and psychotherapy when appropriate. If ketamine isn’t the right fit for you, we have other options. And if it works, we’re here to support your ongoing mental health care.

Multiple Treatment Options

Different patients need different approaches:

  • IV ketamine infusions for flexible, customizable dosing
  • Spravato nasal spray for insurance coverage and needle-free treatment
  • Ketamine-assisted psychotherapy for deeper therapeutic work
  • TMS therapy as an alternative or complement to ketamine

Having all these options under one roof means we can find what works best for you.

Safe, Medically Supervised Environment

Every ketamine treatment takes place under close medical supervision. We monitor your vital signs throughout each session and have the expertise to respond immediately if needed. Our comfortable, private treatment rooms create a calm environment that supports your therapeutic experience.

Frequently Asked Questions

Long Island Location

Anxiety & Depression Psychiatry

300 Old Country Rd, Suite 351 Mineola, NY 11501

(646) 830-0131help@tomerlevin.com

Office Hours: Monday to Friday: 8am – 5pm

Our Mineola location is convenient to Garden City, Westbury, and central Nassau County. We’re close to NYU Winthrop Medical Center and Northwell Health’s Long Island Jewish Medical Center and Zucker Hillside Hospital.

Ready to Find Relief?

If you’ve been struggling with depression, anxiety, or PTSD that hasn’t responded to traditional treatments, ketamine therapy on Long Island may offer the breakthrough you’ve been searching for. You’ve already shown incredible persistence by trying medication after medication. Now there’s an option that works through a completely different mechanism, one backed by decades of research and real results.

Taking the first step is simple. Call us at (646) 830-0131 for your free, no-obligation phone consultation. We’ll answer your questions honestly and help you understand whether ketamine treatment is right for you. There’s no pressure, no charge, and everything you share remains completely confidential.

You don’t have to keep waiting for something to work. Relief may be closer than you think.

Monday – Friday 8am -5pm

Free consultation • Board-certified psychiatrists • Two Long Island locations

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