Does this practice accept insurance?

No. This is a direct-pay practice. Insurance is not billed. The flat fee is $800 per visit, regardless of visit type.

Do I need a referral to make an appointment?

No referral is required. Patients and families can contact the practice directly.

What areas does Dr. Zakhari cover for house calls?

House calls are available throughout Manhattan. Office visits are available at 1115 Broadway. Telehealth is available to patients located in New York State.

What age groups does this practice treat?

This practice treats children, adolescents, adults, and older adults. Family involvement is incorporated when appropriate.

What conditions does this practice treat?

Areas of focus include geriatric psychiatry, anxiety and mood disorders, men's mental health, sexual health concerns, addiction and compulsive behaviors, and family and young adult mental health.

Is the fee the same for house calls, office visits, and telehealth?

Yes. The fee is $800 per visit regardless of visit format.

Can documentation be provided for insurance reimbursement?

Documentation for out-of-network submission can be provided upon request, but reimbursement is not guaranteed and is the patient's responsibility to pursue.

Men's Mental Health Performance | psychiatryhousecalls

Men's Mental Health and Performance

Psychiatric care for men who are functioning — but not at the level they expect.

Overview

Something is off — and it is worth understanding why

Many men do not present saying they are mentally unwell. They present because something is off. Focus slips. Irritability rises. Sleep worsens. Motivation drops. Work gets harder. Relationships feel strained.

This practice is designed for men who want a serious evaluation of what is driving that change — not reassurance, not generic wellness advice, and not a prescription written in fifteen minutes.

Visits are structured, focused, and practical. The goal is to identify what has changed, understand what is driving it, and build a plan that actually improves function.

Common Presentations

Still performing at work, but not at prior level
Increasing irritability without a clear cause
Sleep disruption — falling asleep, waking early
Difficulty switching off or decompressing
Declining interest in things that used to matter
Tension or distance in key relationships

Evaluation Approach

A complete picture, not just a checklist

Assessment considers psychiatric factors, behavioral patterns, sleep and lifestyle, and medical contributors. Hormonal and physiological factors can be explored in coordination with other medical care when relevant.

The goal is not just symptom labeling. It is to identify what has changed, what is maintaining it, and what will actually improve function — not just make a number on a screening tool go down.

Psychiatric factors

Mood disorders, anxiety, sleep disorders, ADHD, and other conditions that reduce performance and quality of life.

Behavioral patterns

Learned responses, avoidance, overwork, and habits that may be driving the problem or making it worse.

Medical and physiological contributors

Medical illness, sleep apnea, thyroid function, hormonal changes, and medication effects that overlap with psychiatric symptoms.

Relationship and life context

What is happening in the patient's relationships, work environment, and life circumstances that may be shaping the problem.

Who this model suits

Designed for men with high internal standards

This model is especially well suited to professionals, executives, and men in leadership roles who recognize that something has shifted, want to understand it clearly, and expect care to be serious, structured, and confidential.

You are still performing but not at your prior level
You want an evaluation, not reassurance
You want the clinical reasoning explained clearly
You value privacy and direct access to your clinician
You want visits that are structured and use your time efficiently
You have already tried adjustments on your own and they have not been enough

Start with a confidential call

If you are concerned about a parent, spouse, or older family member, the best place to start is a brief call. We can discuss what you are seeing, what level of care may be appropriate, and whether this practice is a good fit.