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

Expert psychiatric evaluations and precise medication management from a Board-Certified Physician. Comprehensive, confidential, evidence-based care—without the commute.
Convenient, Confidential Telepsychiatry
Exceptional Care, On Your Terms
Balancing professional demands, family life, and your own well-being is a complex undertaking. When you are managing high-functioning anxiety, Adult ADHD, or the subtle weight of depression, you require a physician who offers medical precision and expert care.
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 Westchester County. 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.
Practice Areas
Our practice offers a range of online psychiatric services to support your health and well-being, including:
Comprehensive Initial Psychiatric Evaluation
An in-depth initial evaluation to assess, understand, and design a treatment plan that addresses your individual goals and needs.
Confidential Online Telehealth Sessions
Secure video appointments that fit your schedule from the comfort and convenience of your home, office, laptop, or mobile device.
Ongoing Support &
Medication Management
Thoughtful prescribing with careful follow-up, side effect monitoring, and adjustments based on your responses to ensure fitting, effective treatment.
Care Team
Collaboration
We work closely with your primary care physician, therapist, and other healthcare providers to ensure alignment and coordination of care.
Have questions about our telepsychiatric services in New York City—appointments, insurance, or medications?
Please visit our FAQs page to find your answers.
Clear & Transparent Pricing
To provide the highest standard of comprehensive and unhurried care, Dr. Gajiev primarily provides out-of-network, private-pay services through our virtual practice.
Private Pay Rates
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Initial Psychiatric Evaluation: $350
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Follow-Up Medication Management Visit: $150
Out-of-Network Benefits (Superbills):
We provide automated, detailed "superbills" after your sessions. If you have out-of-network mental health benefits (such as a PPO plan), you can easily submit these documents to your insurance provider for potential direct reimbursement. Please check with your coverage to ensure eligibility for reimbursement.
Westchester FAQs
Q: Do I need to commute to an office for my appointments?
A: No. Urban Psychiatry, P.C. is a 100% virtual practice. You receive expert, face-to-face psychiatric care via our secure telehealth platform from the privacy of your home or office in Westchester.
Q: Can Dr. Gajiev coordinate with my current therapist?
A: Yes. Dr. Gajiev acts as your "medical anchor," focusing strictly on diagnostic evaluation and medication management. He routinely collaborates with local therapists, psychologists, and primary care physicians to ensure your care is seamlessly aligned.
Q: Are virtual psychiatric evaluations as effective as in-person visits?
A: For the conditions we specialize in—such as Adult ADHD, depression, and anxiety—telepsychiatry is consistently shown to be just as effective as in-person care, while offering superior convenience and absolute privacy. (Please note: We do not treat severe substance use disorders or acute psychiatric 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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