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, MS Founder | 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, PhD Clinical 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, MS Functional 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 multiple treatments haven't helped, there's a reason. Let's find it.
Book Your ConsultationInitial consultations 60-minute psychiatric: $750 | 60 minute psychologist $350| 60 minute nutritionist $295
Nutrition & Momentum Care Packages| Self-pay practice