5 Secret Tips to finding a Good Psychiatrist in NYC in 2021

By Natan Schleider, M.D. Written January 24th, 2020

Doctors without gloves studying gross anatomy.tients until the 19th Century
The Anatomy Lesson of Dr. Nicolaes Tulp,by  Rembrandt van Rijn
( 1632) Mauritshuis, The Hague

How to find a good psychiatrist in NYC has been an issue for years. Most do not accept insurance. Many doctors and psychiatrists are working remotely during the COVID19 pandemic. For those patient who prefer office visits here are 5 tips that you have found a good NYC psychiatrist or doctor:

  1. Clean lab, good doctor. Dirty lab coat,, sloppy medical care.
  2. Hand writing easy to read, good doctor. ‘Chicken scratch’, bad doctor.
  3. Doctor office with old magazines in waiting area, bad doctor. Magazines current, good doctor.
  4. Bathrooms are dirty, dated, disheveled, so is the doctor. Bathrooms clean, contemporary, neat, good doctor.
  5. Doctor greets you personally at the door upon arrival and runs on time, good doctor. You sit in naked (in a paper gown) in freezing tiny exam room and see nurses, ancillary staff, and ultimately the doctor more that 30 minutes late for less than 5 minutes, bad doctor.

Finding a good psychiatrist in New York whether you prefer remote virtual consults or not:

  1. If you are unable to pay for psychiatry consults out of pocket, than obtain a health insurance plan with GOOD OUT OF NETWORK BENEFITS (PPO PLAN). Most New York psychiatrists do not accept insurance; however a good insurance plan may reimburse you for your consult
  2. Expand your search for a psychiatrist outside of NYC. Given the COVID19 pandemic a psychiatrist outside of New York City (but licensed in New York State) can manage your care.
  3. If you like to check reviews of the psychiatrist you are seeking, use a reputable website that has a lot of traffic and does not curate their reviews like Google or WebMD.
  4. Most good psychiatrists are booked when using online appointment websites like zocdoc BUT their office may have cancellations so call the office,
  5. Ensure the psychiatrist treats your medical condition and prescribes the medicines you need. For example, I do more medicine management than psychotherapy. Good NYC psychiatrists and good NYC patients do their homework BEFORE the visit.

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NYC Psychiatry & Primary Care is Certified in SPRAVATO (Esketamine) Treatment to New York City Patients with Depression

7 Tips for NYC Patients seeking SPRAVATO (Esketamine) Treatment for Depression

Image of Spravato, a medicine called esketamine administered intranasally

Ketamine, an anesthetic with anti-depressant properties, treats stubborn depression. Depressed patients treated with esketamine (Spravato) often note significant mood improvement for weeks to months on average.

As of late 2020/early 2021 Spravato is difficult to obtain. Pharmacies and doctors must become REMS certified to dispense and administer Spravato.

Seeking a NYC doctor or psychiatrist to prescribe Spravato–if so, this article is for you.

7 Tips for NYC Patients seeking SPRAVATO (Esketamine) Treatment for Depression

  1. Firstly, qualifying for Spravato treatment requires a diagnosis of intractable depression, in other words, having tried and failed at least two antidepressants.
  2. Spravato is available only at certified pharmacies and is closely monitored by the authorities like FDA and DEA.
  3. NYC Patients must go to their doctor’s office for Spravato treatment for depression where the patient’s pharmacy will have delivered their Spravato.
  4. NYC Psychiatrists and Primary Care Physicians administered Spravato. Monitoring for elevated blood pressure, sedation, and other side effects occurs 2 hours after treatment.
  5. Appointments are required during Spravato therapy twice weekly.
  6. Spravato treatment information for patient can be found on pages 2,3,14, & 15.
  7. Treatment for depression with ECT or medicines does NOT prevent you from trialing Spravato.

In conclusion, esketamine (Spravato) is an FDA approved medicine for chronic stubborn depression with promising results.

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THANKS FOR READING!

NATAN SCHLEIDER, MD

Ashwaganda, the Royal Herb of Ayervedic Medicine: An Herb with Anti-Anxiety Properties and Much More

Ashwagandha, the Royal Herb of Ayurvedic Medicine, Can Be Used in Treatment of Anxiety and Much Much More

Ashwaganda is a medicinal plant found in Asia and Africa. Many phytochemicals have been extracted from Ashwagandha.

The literal meaning of the word “Ashwagandha” is “smell of horse” for two reasons. One reason is that the fresh roots of the herb emit the smell of horse. The second reason a belief that a person consuming extracts of the ashwagandha herb may develop the strength and vitality similar to that of a horse 

Ashwagandha is the most commonly used and extensively studied adaptogen. Adaptogens are herbs that improve an individual’s ability to cope with stress.

Adaptogen herbs with ASHWAGANDA AT TOP LEFT.

Ashwagandha has a central and prominent place in Ayurvedic medicine (the traditional system of medicine in India). Ashwagandha is a “royal herb” because of its rejuvenative effects on the human body.

Ashwagandha is a multipurpose herb that acts on various systems of the human body: the nervous system, the immune system, the endocrinal system and the reproductive system.

Ashwagandha has also been studied as antioxidant, anticancer, anxiolytic (anti-anxiety), antidepressant, cardioprotective, thyroid modulating, immunomodulating, antibacterial, antifungal, anti-inflammatory, neuroprotective, cognitive enhancing, hematopoietic agent, anti-hyperglycemic, neuropharmacological, immunomodulatory, cardioprotective, musculotropic, hepatoprotective, radiosensitizing, chemoprotective, anti-aging, macrophage-activating, diuretic, cholesterol reducing, aphrodisiac and rejuvenating agent.

Ashwaganda plant native to India has data that it reduces stress and anxiety
Ashwagandha plant for anxiety treatment

Ashwagandha dosage

Ashwagandha root powder is used at dosages of 300 mg to 2 grams, Capsule and tea formulations doses are 1 to 6 grams daily. Tincture dose is 2-4 mL by mouth three times daily.

Ashwagandha side effects

Nasal congestion (rhinitis), constipation, cough and cold, drowsiness and decreased appetite were seen in people who take 300 mg Ashwagandha root extract 116). An analysis of the adverse events recorded in this study 117) indicates that high-concentration full-spectrum Ashwagandha root extract is safe and well tolerated as there were no serious adverse events. The side effects that were observed were mostly mild in nature and no known causal mechanisms relate them to the study drug. Insignificant changes in laboratory values were observed in both the groups. The results on safety in this study are consistent with previous studies on Ashwagandha, where generally there were no adverse events leading to drop outs or withdrawal symptoms 118). Long-term administration of the roots of Ashwagandha was found to be safe also in animal studies 119). A word of caution, however, those allergic to herbs belonging to the Solanaceae family are contraindicated for treatment with Ashwagandha.

FOR ANY PATIENT RELUCTANT TO TAKE PHARMACEUTICAL MEDICINES TESTED AND APPROVED BY THE FDA THIS MAY BE A REASONABLE ALTERNATIVE.

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