Founded on a belief that the body and mind possess critical capacities for healing, and our job as clinicians is to facilitate this process.
SohoMD provides high quality, affordable mental health services for patients in downtown Manhattan. SohoMD offers an array of services including psychotherapy, pharmacotherapy and cognitive behavioral therapy for patients suffering from anxiety, depression, mania, chronic pain, attention deficit disorder, and substance abuse issues. The practice also works with patients facing emotional issues around their finances and those seeking greater fulfillment and achievement at school and at work.
SohoMD was founded on a belief that the body and mind possess critical capacities for healing, and treatments are based on a holistic approach. Proper sleep, healthy diet, exercise, nurturing relationships, prudent planning and enjoyable activities are seen as the pillars of a healthy happy life. Talk therapy and medications are the tools we use to help our patients achieve and maintain those critical foundations.
Give a call today and our staff will review your financial situation to clarify your expected costs prior to your initial visit. Then come in, and we will give you our recommendations to improve your mental health.
We provide many types of treatment.
The purpose of treatment is to feel “normal” and NOT to give you a label. When we have done our job properly, other people should NOT even know that that you have an underlying condition. The process starts with giving you an accurate diagnosis, followed by a treatment plan. You will be an active participant in the process, to ensure that we prioritize your life goals, and help structure the engagement around your needs. Reaching a sense of “normal” can happen in weeks, or can take years. (There are some conditions that a sense of “normal” is not achievable, but we will work to get you as close to it as is possible.) And, we will make every effort to be there, with you, through the process. (But, there may be times when it is in your best interest to be at another level of care.)
There are different level of care in treatment, depending on your condition, state, and circumstances. In terms of your condition, there are certain disorders that require advanced technologies, and uncharted treatment approaches. A hospital based clinic, that is attached to a major medical center, would be the proper setting for these cases. At the other end of the spectrum, your condition might not be related to a disorder, and require a lower level care with a coach or counselor. In between these two extremes are the cases we handle at SohoMD.
Even when your condition is one that we treat, your current state might require you to shift to another treatment setting. If your condition is unstable, and there is some level of uncertainty or increased risk, you might be referred for hospital, partial hospitalization, day-treatment, or case management program. At the other end of the spectrum, you might be doing really well on your treatment plan, with little to no change expected in your regimen, then you can have medications renewed by your primary care provider. In between these two scenarios are the cases we handle at SohoMD.
And, in terms of circumstances, you will have to be able to afford treatment at SohoMD. Our staff will work with you to ensure that your financial obligation is within your budget. And, we will always work with you on any bill that becomes unaffordable for you.
If you already have a therapist, we would be happy to collaborate with that person on your care, where we will focus on the managing any psychotropic medications, if required. And, if you already have a psychiatrist, we would be happy to provide a second opinion on your diagnosis and treatment plan.
There is an expectation that you have certain resources in place to help us do our best job for you. You have insurance with mental health benefits, and you have the financial resources to pay for your portion of your treatment, that is not covered by your benefits. You honestly report your history and condition. Additionally, you show up on time, and take your medications as prescribed.
Our practitioners take an eclectic approach to therapy, drawing upon various aspects of motivational interviewing, cognitive-behavioral and psychodynamic methods for a dynamic engagement. Our goal is to use techniques to best address your particular needs. Different challenges in your life will better respond to different approaches. In the same way a carpenter would have many tools in her toolbox, our providers try to use the right approach, at the right time, for the given issue.
Motivational interviewing helps you move beyond ambivalence. Cognitive behavioral therapy gives you a structured approach to change how you think and act today, which in turn help change how you feel. While psychodynamic psychotherapy revisits your emotional memories to change how you feel about things from your past and today, to move beyond ambivalence, and change how you think and act today. We believe that a multidimensional approach is more efficient and productive in most cases. However, there will be times we recommend you to have another provider provide a laser focused approach to address particular symptoms and issues beyond the scope of our group.
Motivational interviewing is a way of engaging you to understand how you see both sides of situation. Then our provider connects with the part of you that is always seeking to improve your life, and participate in a dialogue that lays out a path for your next steps. This interaction helps you feel compelled to take action to bring you closer to your desired goals.
Cognitive behavioral therapy stresses the role of thinking in how we feel and what we do. It is based on the idea that how you see your life, and respond to events in it, determines your state of mind. Our provider would assists in identifying, testing the reality of, and correcting dysfunctional beliefs underlying your thinking. And we would help you adjust those thoughts, to feel differently about yourself and your life. Accordingly, we would look at the things you do, meaning your behaviors. You would work on activities to help change how you respond to different events and circumstances in your life. CBT is a structured collaboration between you and our provider. This approach has been shown to help clients in a relatively short amount of time with a wide range of disorders.
Psychodynamic therapy, also known as insight-oriented therapy, is a process of bringing the subconscious into conscious awareness to promotes insight and resolves conflict. The approach focuses on the relationship between the therapist and the client, as a way to learn about how the client relates to everyone in their life.
We can help you.
If you are feeling sad, irritable, have little energy, no interested in seeing friends, sleeping too much or too little, and maybe even more forgetful, you might have depression. Your condition could be related to medical condition, poor diet, or even a side effect of other medications you are taking. Or, it could be from an imbalance of neurotransmitters and related receptors in your body. Your condition could even start after a bad life event or loss of a loved one. Regardless of the cause of your depression, we can do a comprehensive evaluation to diagnose and treat your condition.
If you find that you get more afraid of things in your life compared to your family or friends, you might have an anxiety disorder. If you have trouble sleeping, and you spend time worrying in bed, you might have an anxiety disorder. If you keep thinking back to a bad event, with nightmares or flashbacks of the incident, then you might have an anxiety disorder. If you panic attacks, or find that you avoid social situations, you may have an anxiety disorder. These symptoms can be relieved with a combination of talk therapy and medication. Additionally, there are physical conditions and certain medications that can mimic the symptoms of anxiety disorders. Come in and we can do a comprehensive evaluation to help determine the cause, and come up with a plan to alleviate these symptoms.
You may have started using substances because of the way it made you feel. Now you are having trouble finding joy in other activities in your life. Or, you are using more and more of the substance just to get that same enjoyment. Or, you are seeing the substance use having a negative impact on your life and your friends and family. You might be scared, ashamed, and think there is no way out. We are here to help you in a non-judgmental caring way. We can use talk therapy to help look into how you are structured emotionally, and medications to alleviate your cravings to decrease your use and achieve sobriety. Our goal is to help you stay in school, keep your job, and protect your relationships with a therapy approach that is discreet and flexible to accommodate your life.
If you find that you procrastinate on your assignments, cannot make or complete your to-do list, or find it hard to stay organized, you might have attention deficit disorder (ADD). If you work harder and longer on assignments than your peers and go to work meetings unprepared, you might have ADD. If you get anxious or depressed about your school or work performance, you might have ADD.
At SohoMD, we can help you look into issues with your attention and performance. There can be many causes of your symptoms, including depression, mania, anxiety, addiction, poor nutrition, or even insomnia. Once other factors have been ruled out, we might find out that you are suffering from attention deficit disorder. This is a condition that is thought to be related to how your brain processes dopamine and norepinephrine. Medications like stimulants (and some antidepressants) can alleviate these symptoms. Solving this disorders can have a significant impact on your performance, relationships and your life in general.
There are different opinions on the prevalence of ADD. And unfortunately, the abuse of stimulants by some has made it challenging for most who seek real treatment. In addition, having ADD contributes to substance abuse, and treating it should help maintain sobriety. This creates a potential dilemma of treating people with substance abuse, who are in recovery, with a medication that has the potential for abuse. Substance abuse and ADD make a very challenging combination of conditions to manage. If you come for treatment at SohoMD and do your part, we will do our part to treat you fully.
If you get irritable or super happy for no reason, while at other times you feel that you’re depressed you might have bipolar disorder. Maybe you feel like you found the solution to world’s problem or that you are more special than everyone else, and can single-handedly save the world, you might have bipolar disorder. If you find your mind races, or your words are come out too quick and won’t slow down, you might have bipolar disorder.
There are several medical conditions, and even certain medications, that can give you the symptoms of mania or hypomania, which are seen in bipolar disorder. Once these other causes are ruled out, your symptoms could be handled with mood stabilizers that can help you avoid the extreme mood swings of the condition. Proper sleep hygiene is critical to achieving and maintaining mood stability.
At SohoMD, we can do a comprehensive evaluation to determine the best course of treatment for your condition. Some cases may respond to one medication, while others take a combination of different ones. Either way, we will work with you until we find a combination that effectively manages your symptoms.
You may have heard about people being addicted to gambling, video games, sex, food or shopping. Any behavior that gets in the way of your ability to meet your obligations, or maintain proper life balance, could be defined as an addiction. The factors that drive the behavior can be a combination of an underlying mood or anxiety disorder, coupled with a personality disorder, with an overlying impulse control disorder. In some cases, the behavior can be driven by an underlying physical condition or medication. SohoMD can do a comprehensive evaluation to look at the root cause of your behavior. And, we can work together to develop a treatment plan that can use a combination of talk therapy, support groups, and medications to address these symptoms to help you live a happier, healthier life.
Anxiety, Addiction, Pharmacotherapy, Cognitive Therapy, Depression, ADHD, ADD, Bipolar Disorder, Substance Abuse, Psychotherapy, Motivational Interviewing, Group Psychotherapy, Psychotherapy, Medication Management, Substance Abuse Treatment, Weight Management, Transcranial Magnetic Stimulation, Suboxone Treatment
A gifted staff focused on your mind and body wellness.
See what our patients are saying.
“Dr. Jospitre… is thorough, diligent, and concerned about his patients’ well being. He is also very responsible when it comes to scheduling, which is not as common as one might expect. I will continue to seek his help in the future.” VERIFIED PATIENT
“Dr. Ratush has been my psychiatrist for nearly three years. He got me through a major recovery, and his ongoing treatment has been exceptional.” VERIFIED PATIENT
“Dr. Ratush is an exceptional psychiatrist. He is thoughtful, kind, and I could not recommend him more highly as a psychiatrist.” MARK M.
“Dr. Jospitre was very professional, and was also able to answer a lot of my questions during our session.” VERIFIED PATIENT
“Dr. Ratush is attentive, smart, caring and most of all available to his patients around the clock.” VERIFIED PATIENT