Spotlight on Esketamine & Interventional Psychiatry

esketamine spravato

How do you help someone lost in darkness of deep depression? The loneliness, the emptiness-the hopelessness?

            In the field of psychiatry, our first-line treatment usually consists of psychotherapy and medication. Most patients receive benefits and maintain improvement from these treatments. But, for the one-third of patients who are failed by traditional protocol, interventional psychiatry may be the answer.

            Just as it sounds, interventional psychiatry is when the physician intervenes, or provides a treatment to the patient who has not received relief from standard protocol. In these cases, we turn to innovative and advanced treatments to restore a  patient’s wellness.

NYC Psychiatry Offers Interventional Treatments: dTMS & Ketamine

            Interventional treatments like dTMS, TMS and Ketamine Infusions can lift the veil of depression and provide renewed hope. And, on March 5th, 2019, esketamine (Spravato) joined the list of interventional treatments for difficult-to-treat mood disorders.

            Esketamine vs. Ketamine. vs. dTMS

            With new options emerging, you might be wondering which treatment is right for you. Here’s a quick recap of each interventional treatment…

            Esketamine:(Spravato) is an intranasal spray and chemical cousin of ketamine. It’s recent FDA-approval is particularly exciting because there hasn’t truly been a new depression drug since the release Prozac 1988. The details are still forthcoming, but esketamine will have to be administered in an approved clinical setting which includes 2 hours of observation after the treatment.

            Ketamine: IV ketamine is an innovative way to help lift the veil of depression for those suffering from treatment-resistant depression. The infusions, administered intravenously are highly effective in rapidly relieving suicidal thoughts. Unlike esketamine and dTMS, ketamine is NOT an FDA-approved treatment option for treatment-resistant depression (TRD). 

            dTMS: D* for depression offers an effective, safe and non-invasive treatment that

uses Deep Transcranial Magnetic Stimulation (TMS) to treat major depressive disorder. dTMS works by delivering magnetic stimulation of the brain region responsible for depression bringing significant improvement to patients. It can be given as rapid protocol, taking only 5 days and is generally well tolerated.

            Having the option of ketamine and TMS at NYC Psychiatry offers the most cutting edge treatments available for depression in the context of proper psychiatric care.

Our Compassionate Approach To Healing

            If you or a loved one suffers from depression, you might be wondering how anyone can really relate to what you’re going through. You want to get better, but it’s hard to see through the heavy veil of depression. Maybe you’ve tried antidepressants without relief. We understand, and our team is here for you.

            Dr. Amanda Itzkoff at NYC Psychiatry is known as ‘Manhattan’s Most Compassionate Psychiatrist”. She’ll work with you to create a plan for healing and help you understand your treatment options. Talk therapy and antidepressants might not be enough for some people. This is why NYC Psychiatry offers interventional treatment options. Treatments that provide relief so you can live joyfully.

             For general information, please feel free to email our office at To schedule an appointment, call our offices at (917) 982-2184.

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