Medical Disclaimer

Everything on this site — the treatment pages, this page, the answers you get in the chat box — is general educational information about psychiatric care. It is written to help you understand your options and arrive at a first appointment with better questions. It is not medical advice, and it is not a diagnosis.

Nothing here can substitute for an evaluation by a qualified clinician who knows your history, your other medical conditions and the medications you are already taking. Two people with the same diagnosis often need very different treatment, and that judgement can only be made in person or in a scheduled visit — not by a web page.

Please do not delay seeking professional medical advice, or disregard advice you have already been given, because of something you read here. If you are already under the care of a clinician, do not stop or change a prescribed medication on the strength of this website. Talk to the person who prescribed it.

Reading this site, filling in a form, using the chat widget, emailing us or calling us does not create a physician-patient relationship. That relationship begins only when you have been evaluated and accepted into care as a patient of this practice. Until then, we cannot advise you on your own situation, and we cannot prescribe. Related terms are set out in our Terms of Use.

Our forms, our chat box and our phone line are not monitored around the clock, and no message you send through this website reaches anyone immediately. Our office hours are Monday to Friday, 9:00 am to 8:00 pm Eastern Time. If you are in danger now, use 911, 988 or your nearest emergency room instead of waiting for us.

Spravato (esketamine), ketamine and the psychiatric medications described on this site are prescription treatments. They are not available over the counter, and they cannot be ordered from this website.

Before any of them can be prescribed, you need a psychiatric evaluation by a licensed physician: a real conversation about your symptoms, your history, the treatments you have already tried, your medical conditions and everything you currently take. Some treatments also require medical screening before a first dose.

Being evaluated is not the same as being prescribed. A treatment is offered only when your psychiatrist judges that it is clinically appropriate for you, and no treatment is guaranteed — not the one you came in asking about, and not any particular result from it. If a treatment is not right for you, we will tell you so and talk through what else might be.

Two things belong beside that disclosure.

• Ketamine is a Schedule III controlled substance. Federal law places it in that schedule because it has a recognised potential for abuse and for physical and psychological dependence. That is one of the reasons every dose is given here, in the office, with a physician present — and never sent home with you.
• Research into how ketamine affects the brain is still under way. Where this site, or anyone else, describes ketamine as promoting neuroplasticity or as rewiring the brain, that language describes what researchers are investigating. It is not an effect the FDA has recognised or approved for any psychiatric use, and it should not be read as a promise about what will happen to you.

The full description of how we deliver this treatment, including monitoring and side effects, is on our ketamine-assisted therapy page.

How Spravato has to be given

Unlike a tablet you collect from a pharmacy, Spravato comes with conditions the FDA attaches to the medicine itself. They are not clinic preferences and they are not negotiable.

• Spravato may only be administered in a healthcare setting certified under the Spravato REMS program. You take the spray yourself, but you do it here, under the direct observation of a healthcare provider.
• It is prescribed together with an oral antidepressant, not instead of one.
• Your blood pressure is checked before the dose and monitored afterwards, and your blood oxygen is monitored if you become sedated. You are observed for at least two hours after every dose.
• You must arrange your transport home. You cannot drive yourself, and you must not drive or operate machinery until the following day, after a full night of restful sleep.
• Spravato is not approved for children. This is an adult practice and we treat adults only.

The FDA also approves a written Medication Guide for Spravato, which lists the boxed warning, the full side-effect profile and the situations in which Spravato should not be used. You receive one with your treatment, and we will give you a copy at any point — before you decide, not only after.

What a Spravato appointment involves in practice is described on our Spravato treatment page.

There is no at-home programme here, no mail-order ketamine, no take-home lozenge or nasal spray, and no arrangement under which someone else ships a controlled substance to you on our recommendation. If you see any of those things offered anywhere using our name, it is not us.

This is partly a safety decision — these treatments change how you feel and how you function for several hours, and someone should be watching you while that happens — and partly a controlled-substance one. Keeping every dose inside the clinic is how we account for it.

Whether a medication can be prescribed during a telehealth visit depends on the medication and on federal and state law, and those rules have changed repeatedly in recent years.

Some medications, including controlled substances, may require an in-person evaluation first. Your clinician may also ask to see you in person before prescribing, or may decide that a video visit is not appropriate for your situation at all. That is a clinical judgement and it is made case by case, not by policy.

Neither ketamine nor Spravato is ever prescribed for you to take at home after a video visit, or after any visit. See Nothing is dispensed for use at home above.

How telehealth works here, where you have to be physically located to use it, and what we do if a connection fails are set out on our telehealth page.

No percentage or outcome figure published on this site describes outcomes measured at Wele Clinic. Where a figure comes from published clinical research, it describes what happened to the people enrolled in that study, under study conditions — a different group of people from you.

Our standard for this site is that a published figure must be traceable: the study it comes from, the population that was studied, what was actually measured and at what point in time, stated alongside the number wherever the number appears. If you find a figure on this site that does not meet that standard, please tell us on (646) 874-9340 and we will correct it or take it down.

Individual results vary. No outcome is guaranteed, by any treatment described here, for any condition.

Star ratings and review counts shown on this site are summaries of reviews posted publicly on outside platforms such as Google and Zocdoc, as at the date at the top of this page. They move over time and we do not control what is written on those platforms. Any sentence shown beneath a rating is our own summary of what reviewers tend to mention — it is not a quotation from an individual patient and it is not presented as one.

We do not publish before-and-after imagery. Where a real patient endorsement is ever used, we say plainly that it is one, we obtain that person’s written permission first, and we disclose any payment or other relationship between that person and this practice. An endorsement describes one person’s experience and is not evidence of what your own result would be.

Wele Clinic is an outpatient psychiatric practice for adults. Care is delivered by Mohammadmehdi Omidvari, M.D.; his licence, board certification and registry identifiers, together with links to the public registers you can check them against, are on our credentials page.

To be clear about the limits of that:

• We are not an emergency service and we are not a crisis line. We do not provide around-the-clock cover.
• We are an outpatient practice. We do not provide inpatient, residential or hospital care, and we do not run a detox or withdrawal-management service.
• We treat adults. We do not provide psychiatric care for children or adolescents.
• We do not provide court-ordered, forensic or disability evaluations.

All in-person care, including every Spravato and IV ketamine treatment, takes place at our Manhattan office at 1123 Broadway, Suite 1117, New York, NY 10010, in New York. Nothing described on this site is delivered at your home.

This site links to other organisations’ websites — the FDA, public licence registers, our booking system, review platforms. Those links are provided for your convenience only. We do not control those sites, we are not responsible for their content or their accuracy, and a link is not an endorsement. When you follow one, that organisation’s own terms and privacy practices apply, not ours.

A question about anything on this site

If something here is unclear, or you think something is wrong, call us and ask. A person will talk it through with you, and you do not have to be a patient to ask.

Phone

(646) 874-9340

Hours

Monday to Friday, 9:00 am to 8:00 pm Eastern Time

Address

1123 Broadway, Suite 1117, New York, NY 10010

Legal identity

Wele Clinic is the registered assumed name of Omidvari Psychiatry P.C., a New York domestic professional service corporation.

Reporting a side effect

If you have a side effect or any unexpected reaction after a treatment here, call the clinic first on (646) 874-9340. We want to hear about it even if it seems minor, and even if it has already passed — it changes what we do at your next appointment. If the reaction is severe or you feel unsafe, treat it as an emergency and call 911 or go to the nearest emergency room first.

You can also report a side effect from any medicine directly to the FDA, independently of us, through the MedWatch programme on 1-800-FDA-1088 or at FDA MedWatch. Reporting to the FDA does not replace telling us, and telling us does not stop you reporting to the FDA.

Making a complaint

If you are unhappy with your care, with something we published, or with how you were treated by anyone here, tell us by phone on (646) 874-9340 or in writing to 1123 Broadway, Suite 1117, New York, NY 10010. Complaints about clinical care are reviewed by Mohammadmehdi Omidvari, M.D. personally.

We will confirm that we have received your complaint, tell you who is looking into it, and come back to you with what we found and what we are doing about it.

Making a complaint will never affect the care you receive here, and we will not treat you differently for having made one.