When Treatment Hasn't Worked — for Depression, Anxiety, or Addiction — We Find Out Why.
Evolution Medicine is a board-certified integrative psychiatry practice in Midtown Manhattan. We investigate the biological, psychological, and neurological root causes most providers never look for — and build personalized treatment plans around what we actually find.
Board-certified in General & Addiction Psychiatry · Self-pay · Midtown Manhattan · NY · CT · CA · Additional states — inquire
What We Treat
We specialize in complex, treatment-resistant cases: Treatment-resistant depression · Anxiety disorders · Addiction and dual diagnosis · Trauma and PTSD · ADHD · Hormonal and metabolic contributors to mood · Burnout and stress-related illness · Physician wellness
Not sure if this is the right fit? See who we work best with →
Our Approach
Comprehensive Evaluation
We begin with a 60-minute psychiatric assessment that goes beyond symptoms — mapping your history, patterns, co-occurring conditions, and contributing biological factors. For more complex presentations, the evaluation may unfold across two to three appointments.
Standard, Functional & Biological Testing
We investigate what standard care often misses: gut health, inflammation, hormonal balance, nutritional status, and metabolic function.
Personalized, Whole-Systems Treatment
Your plan is built around what we find — not a standard protocol. It integrates medication optimization, trauma-informed psychotherapy, nutritional medicine, and nervous system support, coordinated across our full clinical team.
Our Team
Dr. Sonya Lazarevic, MD, MSFounder | Double Board-Certified Psychiatrist
Double board-certified in General and Addiction Psychiatry — a distinction held by fewer than 5% of psychiatrists. Over 30 years in NYC practice, with advanced training in integrative, nutritional, and regenerative medicine.
Dr. Shuki Cohen, PhDClinical Psychologist
Clinical psychologist with broad expertise across trauma-informed psychotherapy, Eye Movement Desensitization and Reprocessing (EMDR), psychodynamic therapy, and integrative approaches to healing.
Helaine Polanco, MSFunctional Nutritionist
Functional nutritionist specializing in gut-brain health and women's mental health.
65+ years of combined clinical experience. Meet the full team →
What Patients Say
“I’ve looked around, you provide really good care. ”
“You’re the only doc who didn’t add more medication, you did the opposite! ”
“I’m go glad I found you, now I understand what is going on. ”
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A: Integrative psychiatry combines conventional psychiatric care with functional medicine, nutritional science, and evidence-based therapies to address root causes — not just symptoms.goes here
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A: If you've tried two or more standard treatments without meaningful improvement, your condition may be considered treatment-resistant. It doesn't mean you can't get better — it means the underlying causes haven't been fully identified yet.oes here
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A: Yes. Dr. Lazarevic is board-certified in Addiction Psychiatry and treats the full spectrum — from active use through recovery. Dual diagnosis, meaning addiction alongside depression, anxiety, or trauma, is a core area of expertise. We also offer a dedicated Physician Wellness Program for medical professionals navigating monitoring requirements or occupational stress.
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A: We are a self-pay practice. We provide superbills for out-of-network reimbursement — many patients receive partial reimbursement depending on their plan and insurer.
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A: We are located at 280 Madison Avenue, Midtown Manhattan — two blocks from Grand Central. Telepsychiatry is available for patients in New York, Connecticut, and California. Patients in other states are welcome to inquire.
If you've been told to try another medication without anyone asking why — you deserve a more thorough answer.
Book Your ConsultationInitial consultations 60-minute psychiatric: $750 | 60 minute psychologist $350| 60 minute nutritionist $295
Nutrition & Momentum Care Packages| Self-pay practice