Mind & Body

Dr. Raymond Zakhari, NP provides services to help individuals work through their relationship issues via phone, webcam or house call in Manhattan. My approach combines practical solutions and goal-oriented outcomes.  

Integrative care means your physical health, mental health, and spiritual needs are addressed at the same time.

  • Non-medication Management of mental health issues:
    • Traditional talk therapy
      • Solution focused
      • Goal directed
      • Families, couples, children
    • Psychopharmacology with pharmacogenomic testing 
    • Addiction Medication Assisted Therapy and sobriety and recovery maintenance combined with intensive psychotherapy offers the highest success rates.
      • naloxone comes in combination with buprenorphine and is called Suboxone to help with the acute withdrawal and maintenance phase for people wanting to come off opioid narcotics
      • naltrexone comes in tablet and long acting injection (Vivitrol) form and is helpful for people who want stay sober from alcohol or opioids
  • Sex Therapy (Everyone keeps their clothes on.) This is done as a couple, because this is not a his problem or her problem issue. Sexual Dysfunctions are a couple's problem. The evaluation requires 4 sessions. During the 4th session you will be presented with a diagnosis and treatment plan if sex therapy is the right for your situation.  When requesting an appointment indicate the problem as a Sex Therapy Evaluation and Consultation, and include your partner's email address as well. You will receive an email containing assessment forms that you should complete individually and not discuss. You should send the forms back to me electronically separately. Do not include identifying information on your forms. 
    • Evaluation and Consultation
      • Session 1: In your home: "How do you each view this problem and what effect is it having?"
      • Session 2: web-cam with one person: We discuss your individual sexual history, your take on the problem and how your partner is aggravating, perpetuating or alleviating the problem.
      • Session 3: web-cam with the other person: We discuss your individual sexual history, your take on the problem and how your partner is aggravating, perpetuating or alleviating the problem.
      • Session 4: both of you in your home: I answer the question, "Is sex therapy right for you now?" I offer a diagnosis and outline a treatment plan.  Subsequent sessions are done in couples only. 
    • Treatment
      • Sexual dysfunctions: low desire, painful intercourse, inability to orgasm, erectile dysfunction, premature ejaculation, delayed ejaculation, expanding your range
      • Infertility sexual dysfunction
      • Major Medical illness affecting sexual health

What mental health conditions do we treat?

  • Mood Disorders
  • Psychotic Disorders (treat with long-acting injectable antipsychotics)
    • Psychosis
    • Schizophrenia
  • Dementia (Vascular, Alzheimer’s, Fronto-temporal, Lewy Body, Parkinson’s Disease)
  • Addictions (Home Detox and Maintenance) 
    • Opioid/ Alcohol/ Benzodiazapine Addiction (including non-Suboxone, non-methadone)
  • Narcissistic Personality Disorder

Discreet, convenient, affordable mind-body care in the comfort of your Manhattan, New York home is just a phone call away. Call (917) 484-2709 or request a confidential consultation online today.  

Metro Medical Direct