Innovative Care for Complex Mental Health Needs
From TMS Therapy to Spravato, our next-gen treatments open new pathways to healing and lasting relief.
You’re not alone - and you’re not out of options.
Mental health struggles don’t come with a one-size-fits-all solution. That’s why we start with you —
Your symptoms, Your story, Your needs.
We help people facing:
Depression (including treatment-resistant depression)
Feeling stuck, disconnected, or flat
Anxiety or panic attacks
Emotional overwhelm
Chronic stress or burnout
Fatigue from medications that haven’t worked
Brain fog, focus issues, or sleep problems
TMS Therapy
Consult, Plan, and Treat
Request a free phone consultation via call, form, or online booking.
Meet with a provider, review your history, get a personalized plan, and we'll submit for insurance approval.
First session includes device “mapping” and your initial treatment.
Sessions last 3–20 minutes; relax during treatment and continue your day as usual afterward.
Spravato (Esketamine)
FDA Approved
For adults struggling with
treatment-resistant depression (TRD) and major depressive disorder (MDD) with suicidal thoughts or actions.
Sustainable Relief
About 70% of patients show a clinically meaningful response, with treatments easily integrated into your life.
Covered by Insurance
Spravato is covered by several major insurance payers, making it an accessible option for many if you've tried antidepressants and therapy.
TMS is a non-invasive, non-medication treatment
Intended for patients who have not found relief from antidepressant drugs, TMS uses magnets to stimulate a specific area of the brain associated with controlling mood– decreasing depressive symptoms after repeated sessions.
FDA Cleared
TMS therapy has been FDA cleared since 2008, proven to be safe & effective.
No Systemic Side Effects
While you may feel a slight tapping sensation, most patients adapt to it after just a couple of sessions.
21 Day Difference
Many patients start to see an improvement after just 2-3 weeks of treatment.
Safe & Effective
About 79% of patients who complete a full course of TMS show a clinically meaningful response and about 56% experience a remission, meaning their symptoms go away completely.
Fits In Your Schedule
Sessions are 3-20 minutes and you can drive to and from your appointments. The full course covered by insurance usually takes about 6-8 weeks to complete.
What is Spravato®?
Spravato (esketamine) is a prescription nasal spray that is used to treat adults with treatment-resistant depression (TRD), or major depressive disorder with suicidal ideation.
Unlike oral antidepressants, Spravato is a novel mechanism that acts on different receptors (NMDA vs. serotonin receptors) to treat depression and bring fast relief.
Spravato® is taken at a REMS Certified Treatment Center
3 Treatment Phases
Induction: Twice weekly for the first 4 weeks.
Optimization: Once a week for the following four weeks.
Maintenance: Weekly or bi-weekly treatments for up to 12 months. After this 8-week treatment course, you will meet with your provider to discuss the best treatment cadence going forward.
Treatment Protocol
- Must be taken with an oral antidepressant
- Avoid eating 2 hours before, and drinking liquids 30 minutes before treatment
- Following administration, you will be observed for 2 hours by your provider
- Patients cannot drive from their appointment due to some side effects, so please find a ride on treatment days
Why Patients Choose Dr. Rajagopal
Leena Rajagopal, MD
Dr. Leena Rajagopal is a double-board-certified psychiatrist passionate about helping patients find real relief and lasting hope. At Elevium Health, she offers advanced treatments like TMS, Spravato, and Ketamine therapy, all delivered with compassion and personalized care.
Expertise in treatment-resistant depression and complex mental health conditions
Specialized training in TMS and Ketamine therapy
Warm, patient-first approach that blends science with empathy
Why Patients Choose Dr. Krishnappa
Ritesha Krishnappa, MD, FAPA
Dr. Ritesha Krishnappa is a board-certified psychiatrist and co-founder of Elevium Health, dedicated to helping patients achieve lasting mental well-being through both traditional and cutting-edge treatments. With leadership experience as Interim Medical Director of a New Jersey State Hospital and Associate Director of Psychiatry in New York City, he brings extensive expertise in patient care, clinical innovation, and healthcare leadership. At Elevium Health, he offers advanced therapies such as TMS, Spravato, and Ketamine-Assisted Psychotherapy, combining scientific rigor with compassionate, personalized care.
Board-certified psychiatrist & Fellow of the American Psychiatric Association
Specialized training in TMS and Ketamine-Assisted Psychotherapy
Expertise in treatment-resistant depression and complex mental health conditions
Patient-centered approach that blends evidence-based medicine with innovation
Covered by Major Insurance Providers
Hear What our Patients Have to Say
Judith
"I have been through many physicians in my life, many who just placed you into a category without getting to understand your struggles or even cared about your concerns. In such a short period of time Dr. K. has been a blessing and so much of me has changed for the better since working with him. Compassion, empathy, understanding and excellent bed side manner!! I highly highly recommend!!!"
Ian
"I have had a great experience here; My doctor takes the time to consider my concerns and hesitations before making any decisions. I feel listened to and that all aspects of my health are thoroughly considered, and my opinions and thoughts are never brushed off, something that I have experienced with past doctors."
Thomas
"Everyone I've interacted with have incredibly friendly, patient, and understanding with my mental health journey."