Dr. Elchin Gajiev - Board Certified Psychiatrist Serving New York for Over 20 Years
Online Psychiatrist Serving Manhattan

Expert psychiatric evaluations and medication management from a Board-Certified Physician.
Protect your time and privacy with comprehensive, evidence-based care delivered 100% virtually.
Convenient, Confidential Telepsychiatry
Exceptional Care To Match Your Needs
Living and working in Manhattan requires a high level of functioning, often at the expense of your own mental bandwidth. Whether you are navigating executive burnout, managing Adult ADHD, or seeking precise medication management for anxiety or depression, you need a physician who understands the context of a high-paced lifestyle in New York City.
With over 20 years of clinical experience, Dr. Elchin Gajiev provides thoughtful, highly personalized psychiatry, with the deep, diagnostic scrutiny of an MD combined with the whole-person perspective of a DO. Because our practice is strictly private-pay and out-of-network, our caseload is deliberately limited. This ensures your care is never dictated by insurance constraints, giving you direct, unhurried access to top-tier psychiatric expertise.
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Adult ADHD: Comprehensive evaluations and tailored medication protocols.
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Anxiety & Burnout: Strategic intervention for high-pressure environments.
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Depression & OCD: Evidence-based medication management and care coordination.
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Discreet & Virtual: Secure, HIPAA-compliant sessions from your home or office.
Specialties
We provide online psychiatric care for adults between the ages of 18-65 across New York City. Whether you’re facing a new challenge or managing ongoing symptoms, we’ll focus on clear diagnosis, evidence-based medication options, and coordinated care when therapy is part of your plan.
We specialize in treating:
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Anxiety Disorders (GAD, Panic Disorder, Social Anxiety, Phobias)
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Depression (Major Depressive Disorder, Persistent Depressive Disorder)
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Attentional Difficulties in Adults (ADD/ADHD)
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Obsessive-Compulsive Disorder (OCD)
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Post-Traumatic Stress Disorder (PTSD)
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Insomnia & Sleep Concerns
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Adjustment & Life Transitions
All appointments are virtual and fully secure.
Local Manhattan FAQs
Q: Do I need to be located in Manhattan during my virtual appointment?
A: You do not need to be specifically in Manhattan, but medical licensing laws require that you are physically located within New York State at the time of your secure video session.
Q: Do you collaborate with therapists in NYC?
A: Yes. Dr. Gajiev acts as your medical anchor, managing your neurochemistry and medications. He frequently coordinates care with therapists, psychologists, and primary care physicians across Manhattan and the greater New York area to ensure your treatment is cohesive.
Q: Are virtual psychiatric evaluations as effective as in-person visits?
A: For the conditions we treat—such as ADHD, depression, and anxiety—telepsychiatry has been consistently shown to be just as effective as in-person care. It offers the added benefits of deep privacy, zero commute time, and the comfort of speaking from your own environment. (Note: We do not treat severe substance use disorders or acute emergencies virtually).
How To Get Started
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Step 1. Brief Inquiry: Submit our secure online inquiry form below. This takes less than two minutes.
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Step 2. Prompt Review: Our office will review your request within 1-3 business days. If our telepsychiatry services are a clinical fit for your needs, we will reach out to schedule your initial 60-minute evaluation.
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Step 3. Secure Medical Intake: Before your appointment, you will complete a comprehensive digital intake packet via our Patient Fusion portal. This ensures Dr. Gajiev has the necessary time to thoroughly review your medical history prior to your video session.

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