Whether you’re managing depression, anxiety, ADHD, postpartum mood disorders, or navigating perimenopause, you don’t have to face it alone. Our multidisciplinary team offers comprehensive care, from diagnostic evaluations and therapy to medication management, tailored to what works best for you.
At Dr. Iospa Psychiatry Consulting, we bring psychiatry, psychology, neuropsychology, and cognitive care together in one collaborative practice.
Since 2008, our Midtown Manhattan team has provided specialized mental health care for children, adolescents, adults, and older adults. Our psychiatrists, psychologists, and neuropsychologists work together when patients need more than one perspective, keeping evaluation and treatment connected rather than fragmented across separate practices.
Our services include psychiatric evaluation and medication management, psychotherapy, neuropsychological testing, psychoeducational testing, and cognitive remediation therapy. We provide both in-person care at our Midtown Manhattan office and telehealth appointments when permitted by the clinician’s professional license and the patient’s location.
A central part of our model is ongoing clinical collaboration. Our psychologists often see patients more frequently than our psychiatrists and may notice meaningful changes in mood, sleep, behavior, cognition, or daily functioning between psychiatric appointments. With the patient’s consent, we can share those observations with the treating psychiatrist, which may prompt further evaluation or a treatment adjustment.
Communication also works in the other direction. A psychiatrist can alert a psychologist to symptoms that should be followed more closely in therapy, while neuropsychological findings can give both clinicians a clearer understanding of cognitive strengths and difficulties.
We also collaborate with physicians outside our practice. With patient consent, our clinicians can communicate with primary care physicians, neurologists, cardiologists, OB-GYNs, and other medical specialists when physical health, medications, neurological conditions, hormonal changes, or other medical issues may be affecting psychiatric or cognitive symptoms.
One patient. One clinical team. Multiple perspectives.
Our psychiatrists provide comprehensive psychiatric evaluations, diagnosis, psychopharmacology, and ongoing medication management.
An evaluation considers more than the symptoms reported during an appointment. We review medical history, current medications, sleep, stressors, stage of life, and how symptoms affect relationships, work, school, and daily functioning.
When we recommend medication, we discuss potential benefits, side effects, alternatives, and practical considerations with the patient. We individualize treatment and adjust it over time based on clinical response and changing needs.
Explore our approach to psychiatric medication management and psychopharmacology.
Our psychologists provide evidence-based psychotherapy for anxiety, depression, trauma, ADHD, stress, relationship difficulties, life transitions, and other concerns.
Therapy is tailored to the patient. Depending on individual needs, treatment may incorporate CBT, DBT, ACT, trauma focused therapies, supportive psychotherapy, and other evidence-based methods.
When a patient receives both psychotherapy and psychiatric care within our practice, clinicians can communicate about significant clinical changes and coordinate treatment when appropriate.
Explore psychotherapy and evidence-based talk therapies.
Neuropsychological testing evaluates cognitive functions such as memory, attention, executive functioning, processing speed, and language.
Testing may be appropriate when patients or families are trying to understand ADHD symptoms, memory changes, concussion or traumatic brain injury, neurological conditions, psychiatric symptoms, brain fog, or possible cognitive decline.
The goal is not simply to produce test scores. The evaluation identifies cognitive strengths and weaknesses, helps clarify the diagnosis, and explains how cognitive functioning may affect everyday life.
Learn about neuropsychological testing in NYC.
Psychoeducational testing focuses on learning, attention, cognitive abilities, and academic performance.
It can help identify learning disabilities, ADHD, and other factors affecting reading, writing, mathematics, executive functioning, and school performance. Testing may also provide documentation needed for appropriate academic accommodations.
Learn about psychoeducational evaluations in NYC.
Cognitive Remediation Therapy, or CRT, is structured treatment designed to strengthen cognitive skills and develop practical strategies for difficulties involving attention, memory, organization, processing speed, and executive functioning.
CRT may follow a neuropsychological evaluation or become part of treatment for cognitive difficulties associated with psychiatric, neurological, or medical conditions. Treatment focuses on strategies you can apply at school, at work, and in everyday life.
Explore Cognitive Remediation Therapy in NYC.
Psychiatric, psychological, and cognitive needs change throughout life. Our team includes clinicians with expertise in different age groups and clinical concerns.
Children and teenagers may experience anxiety, depression, ADHD, behavioral changes, sleep problems, or academic difficulties. Evaluation considers symptoms in the context of development, family life, school, friendships, sleep, and physical changes.
Our psychologists and neuropsychologists can also become involved when psychiatric symptoms overlap with learning, attention, executive functioning, or academic concerns.
Parents concerned about emotional or behavioral changes can read more about teen mood changes, anxiety, and hormonal transitions.
The transition to college, graduate school, and independent adulthood can bring to light difficulties that were previously manageable. Students may struggle with anxiety, depression, ADHD, perfectionism, sleep, executive functioning, or academic demands.
Our clinicians help distinguish temporary stress and burnout from symptoms that may require psychiatric treatment, psychotherapy, or further evaluation.
Read more about anxiety and depression in college students.
Many adults continue performing at a high level while privately struggling with anxiety, depression, ADHD, insomnia, burnout, or declining concentration.
Evaluation looks at how long symptoms have been present, what may be contributing to them, how they affect work and relationships, and whether medical, sleep, medication, hormonal, or other factors should be considered.
Our psychologists provide psychotherapy for adults experiencing anxiety, depression, ADHD, trauma, stress, relationship concerns, and major life transitions.
Pregnancy, postpartum changes, PMDD, PCOS, perimenopause, and menopause can affect mood, anxiety, sleep, attention, appetite, and cognitive functioning.
Our clinicians consider psychiatric symptoms alongside reproductive and hormonal changes, medication, sleep, medical factors, and cognitive concerns when relevant.
For more detailed information, read about mood and sleep changes during midlife and menopause, brain fog, and memory changes.
Later life can bring overlapping psychiatric, cognitive, medical, and medication related concerns.
Depression, anxiety, sleep problems, medical illness, and medications can affect memory and concentration. Cognitive changes can also resemble psychiatric symptoms. Careful evaluation helps determine whether a change is related to mood, sleep, medication, medical illness, neurological changes, or a combination of factors.
Our neuropsychologists provide specialized evaluation when memory, attention, executive functioning, or other cognitive changes require objective assessment.
Our clinicians evaluate and treat a broad range of psychiatric, psychological, and cognitive concerns. The links below provide more detailed information about several of the conditions and symptoms we commonly see.
Explore the complete Conditions We Treat page for additional conditions, symptoms, and treatment information.
A patient’s condition can look different during a psychotherapy session than during a periodic medication management appointment.
A psychologist who sees a patient regularly may notice that someone who had been improving has become significantly more depressed, unusually activated, increasingly anxious, cognitively slowed, or unable to sleep. The psychologist may also observe changes in functioning that the patient did not think to mention during a psychiatric appointment.
With appropriate patient consent, the psychologist can communicate clinically significant changes to the treating psychiatrist. The psychiatrist can then assess whether medication, side effects, diagnosis, sleep, medical factors, or another aspect of treatment needs reconsideration.
Communication works in both directions. A psychiatrist may ask a psychologist to monitor a particular symptom or behavioral change more closely. Findings from neuropsychological testing can help psychiatrists and psychologists understand cognitive strengths and weaknesses that may influence treatment.
Mental health does not exist separately from physical health.
When appropriate and with patient consent, we work with primary care physicians, neurologists, cardiologists, OB-GYNs, and other medical specialists involved in a patient’s care.
This can be particularly important when symptoms may be influenced by neurological illness, cardiovascular health, hormonal changes, sleep disorders, medications prescribed by another physician, metabolic conditions, injury, or other medical factors.
Our clinicians can also work with therapists outside our practice when a patient already has an established therapeutic relationship and comes to us for psychiatric evaluation or medication management.
The goal is to make sure that relevant clinical information is available to the professionals caring for the same patient when coordination is clinically appropriate.
Coordinated care gives each clinician a better understanding of the patient and helps treatment respond when something changes.
Our multidisciplinary team includes psychiatrists, clinical psychologists, neuropsychologists, rehabilitation psychologists, and psychotherapists with expertise across psychiatric, psychological, cognitive, and neurological conditions.
Our psychiatric team includes specialists in adult and geriatric psychiatry, child and adolescent psychiatry, and metabolic psychiatry. Our psychology and neuropsychology team provides psychotherapy, neuropsychological and psychoeducational evaluation, cognitive rehabilitation, and specialized care for a wide range of clinical concerns.
Several members of our team hold academic appointments at leading New York medical institutions.
Meet our psychiatrists, psychologists and neuropsychologists.
Psychiatrist led evaluation. New patients seeking psychiatric care begin with a psychiatrist who evaluates the clinical picture and determines whether medication, psychotherapy, testing, cognitive treatment, medical coordination, or another intervention should be considered.
Collaborative care. Psychiatrists, psychologists, and neuropsychologists can communicate and coordinate treatment when a patient receives care from more than one clinician within our practice.
Coordination with other physicians. With patient consent, we can communicate with primary care physicians and specialists when medical and psychiatric care intersect.
Specialized expertise. Our team includes expertise in adult and geriatric psychiatry, child and adolescent psychiatry, metabolic psychiatry, psychology, neuropsychology, and cognitive rehabilitation.
In person and telehealth care. Patients can see our clinicians at our Midtown Manhattan office, with telehealth available when the patient’s location and clinician’s licensing permit it.
Established in Midtown Manhattan since 2008.
In many practices, patients begin with a therapist and are referred to a psychiatrist later if medication or a more comprehensive medical evaluation becomes necessary.
Our approach to psychiatric care starts with the psychiatrist. Your initial psychiatric visit is with a medical doctor who evaluates your symptoms, psychiatric and medical history, medications, sleep, family history, and other factors that may be contributing to what you are experiencing.
The psychiatrist then determines what type of care is appropriate. That may be medication management, psychotherapy, both, or additional evaluation such as neuropsychological or psychoeducational testing. In some cases, the psychiatrist may recommend coordination with your primary care physician or another medical specialist.
If psychotherapy is recommended, our psychologists can work closely with the psychiatrist. If you already have a therapist you trust, you do not need to change therapists. With your consent, our psychiatrist can coordinate with your existing therapist.
Yes. We provide both in person and telehealth care.
In person appointments are available at our Midtown Manhattan office at 28 W 44th Street. Telehealth is available for appropriate psychiatric and psychological services when the clinician is licensed to practice in the state where you are physically located at the time of your appointment.
Some patients use primarily in person care. Others prefer telehealth, and some use a combination depending on their needs and the type of service.
Possibly. For a telehealth appointment, your clinician must generally be authorized to practice in the state where you are physically located at the time of the appointment.
Dr. Konstantin Nikiforov, Dr. Yana Serobyan, and Dr. Elizabeth Zharovsky can provide telehealth care to eligible patients located in Florida. Dr. Zharovsky can also provide telehealth care to eligible patients located in New Jersey.
If you are temporarily in a state where your psychiatrist is not licensed or otherwise authorized to practice, your doctor may not be able to conduct your usual telehealth appointment while you are there. Depending on the circumstances, you may need to wait until you return to a state where your doctor can treat you or use a local provider while you are away.
If you know you will be traveling, discuss it with your clinician before your trip so you can plan appropriately.
Yes. In person appointments at our Midtown Manhattan office are available to patients regardless of their state of residence.
Telehealth is different. For a virtual appointment, the relevant location is generally where you are physically located during the appointment, not simply your permanent home address. Your clinician must be licensed or otherwise authorized to provide care in that state.
Contact our office if you live outside New York and would like to know whether one of our clinicians can provide ongoing telehealth care where you live.
Yes. Your psychiatrist may recommend medication management, psychotherapy, or a combination based on your evaluation.
If you receive both services within our practice, your psychiatrist and psychologist can communicate about your progress with your consent. This is particularly useful because psychologists often see patients more frequently and may observe meaningful changes between psychiatric appointments.
Yes. You do not need to change therapists to receive psychiatric care from our practice.
With your consent, our psychiatrists can communicate with an established therapist outside our practice when coordination would be clinically useful.
Yes, when clinically appropriate and with your consent.
Our clinicians can coordinate with primary care physicians, neurologists, cardiologists, OB-GYNs, and other specialists when medical conditions, medications, hormonal changes, neurological symptoms, or other health issues may be relevant to psychiatric treatment.
Our psychiatrists and psychologists treat a broad range of conditions and concerns, including anxiety and panic attacks, depression, ADHD, bipolar disorder, PTSD, insomnia, burnout, women’s mental health concerns, and psychiatric symptoms associated with medical conditions.
Our neuropsychologists also evaluate memory, attention, executive functioning, brain fog, cognitive changes following injury or illness, and other cognitive concerns.
Explore our Conditions We Evaluate and Treat page for a more complete overview.
Neuropsychological testing provides a broader evaluation of cognitive functioning, including areas such as attention, memory, executive functioning, processing speed, and language.
Psychoeducational testing focuses more specifically on learning, academic achievement, attention, and factors that may affect performance in school, college, or other academic settings.
Read more about the difference between neuropsychological and psychoeducational testing.
We accept Original Medicare.
For most commercial insurance plans, we are an out of network practice. We submit eligible claims so patients can receive reimbursement according to their individual out of network benefits.
For additional questions about appointments and treatment, visit our Psychiatry and Psychology FAQs.
Important: Please contact your insurance provider before your first visit to verify coverage.
Payment: You pay at time of service. Your insurance company sends reimbursements directly to you. Our billing team handles all paperwork and follow-up with your insurance company.
Dr. Iospa Psychiatry Consulting
28 W 44th Street, Suite 714
New York, NY 10036
📞 (646) 383‑7575
Getting Here
Office hours: Morning, afternoon, evening, and weekend appointments available for flexibility.