SPRAVATO® Treatment
In Valley Stream, NY
If you’ve been living with depression that hasn’t improved despite trying traditional antidepressant medications, advanced treatment options may help you move forward. At Dr. Alfredo Nudman’s practice, we offer SPRAVATO® (esketamine) treatment for eligible adults in Valley Stream, NY, providing personalized, evidence-based care for treatment-resistant depression. Our goal is to help you achieve meaningful symptom relief while improving your emotional well-being and overall quality of life.
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Advanced Mental Health Services in Valley Stream, NY
Ketamine-Assisted Psychotherapy
Ketamine-Assisted Psychotherapy combines ketamine therapy with guided psychotherapy sessions to help patients process difficult emotions, gain new perspectives, and encourage long-term healing. This comprehensive approach may benefit individuals living with depression, anxiety, PTSD, and other complex mental health conditions.
Ketamine Infusions
Ketamine infusion therapy offers an innovative treatment option for patients whose symptoms have not responded to traditional therapies. Treatments are provided in a comfortable, medically supervised environment where your safety and progress remain our highest priorities.
Nitrous Oxide Therapy
Nitrous Oxide Therapy provides a safe and effective way to reduce anxiety during treatment. This calming option helps patients feel more relaxed while receiving care in a supportive clinical setting.
Meet Dr. Alfredo Nudman
Dr. Alfredo Nudman is dedicated to providing compassionate, evidence-based psychiatric care tailored to each patient’s individual needs. Every treatment plan begins with a comprehensive evaluation and is designed around your symptoms, medical history, and personal goals. Whether your care includes SPRAVATO®, ketamine therapies, psychotherapy, or medication management, Dr. Nudman is committed to helping you achieve lasting improvements in your mental health.

What to Expect During SPRAVATO® Treatment?
Comprehensive Psychiatric Evaluation
Your treatment journey begins with a detailed psychiatric evaluation that reviews your symptoms, previous treatments, medical history, and overall mental health. This assessment helps determine whether SPRAVATO® is an appropriate option for your care.
Personalized Treatment Plan
If you’re a candidate for SPRAVATO®, Dr. Nudman will create an individualized treatment plan outlining your treatment schedule, follow-up appointments, and any additional therapies that may support your recovery.
In-Office SPRAVATO® Administration
SPRAVATO® is administered as a nasal spray in our certified treatment center under direct medical supervision. After each treatment, you’ll remain in the office for the required observation period while our team carefully monitors your safety and treatment response.
Ongoing Progress Monitoring
Your symptoms and progress are regularly evaluated throughout treatment. Dr. Nudman may adjust your care plan as needed to help maximize the effectiveness of your treatment.
Continued Mental Health Support
Long-term success often includes continued psychiatric care, psychotherapy, and medication management. Our team works closely with you to help maintain progress and support lasting emotional wellness.

Who Can Benefit from SPRAVATO® Treatment?
SPRAVATO® may be appropriate for adults with treatment-resistant depression who have not experienced adequate improvement after trying multiple antidepressant medications. It may also be recommended for certain individuals with major depressive disorder experiencing acute suicidal thoughts or behaviors. During your consultation, Dr. Nudman will determine whether SPRAVATO® is the right treatment based on your diagnosis, treatment history, and individual goals.
Conditions We Help Treat in Valley Stream, NY
- Anxiety
- Depression
- Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Pain Management

What Our Patients Say




Take the Next Step Toward Better Mental Health
Living with treatment-resistant depression can feel overwhelming, but you don’t have to face it alone. At Dr. Alfredo Nudman’s practice, we combine advanced therapies like SPRAVATO® with comprehensive psychiatric care to help eligible patients find meaningful symptom relief. Our experienced team is committed to helping you build a personalized path toward improved mental health and a better quality of life.
Book your consultation today to learn whether SPRAVATO® treatment is right for you.
Frequently Asked Questions
What is SPRAVATO®?
SPRAVATO® (esketamine) is an FDA-approved prescription nasal spray used together with an oral antidepressant to treat adults with treatment-resistant depression and certain patients with major depressive disorder experiencing acute suicidal thoughts or behaviors.
How is SPRAVATO® different from ketamine infusions?
Although both therapies involve medications related to ketamine, SPRAVATO® is an FDA-approved nasal spray administered under a Risk Evaluation and Mitigation Strategy (REMS) program, while ketamine infusions are delivered intravenously. Dr. Nudman will determine which treatment is most appropriate for your individual needs.
How long does a SPRAVATO® appointment take?
Treatment appointments include medication administration followed by a required observation period. Most visits last approximately two hours to allow our team to monitor your safety and response before you leave the office.
Does insurance cover SPRAVATO® treatment?
Many insurance plans provide coverage for eligible patients, but benefits vary. Our office can help verify your insurance coverage and discuss treatment costs before you begin care.
Start Your Journey to
Mental Wellness
Expert psychiatric care from a Cornell-trained pioneer in ketamine therapy