CNY Psychiatry

Thoughtful Psychiatric Care for Complex Mental Health Conditions

Helping patients through comprehensive psychiatric evaluation, evidence-based treatment, and responsible innovation.

Request a Consultation Refer a Patient

Call 315-671-2140 31 E Main St, Marcellus, NY 13108

Insurance-based psychiatric care according to clinician participation and availability

IV ketamine is self-pay; Spravato may be covered when eligibility requirements are met

WHY CNY PSYCHIATRY?

Psychiatric illness is rarely simple. Symptoms overlap. Diagnoses evolve. Treatments that work well for one patient may do very little for another.

At CNY Psychiatry, our starting point is not a procedure or a prescription. It is understanding the person, the illness, what has already been tried, and what is preventing recovery.

We provide psychiatric evaluation and treatment with particular expertise in difficult-to-treat psychiatric illness and interventional psychiatry, including TMS, IV ketamine, and Spravato®.

OUR APPROACH

Good psychiatric care requires more than identifying symptoms and matching them to a medication.

We listen carefully to you, reconsider diagnoses when treatment has not worked, review the quality and adequacy of previous treatment, and recommend interventions according to the individual patient and the strength of the evidence.

Medication is a tool. Clinical judgment is the service.

We don’t believe in miracle treatments. We believe in making the right diagnosis, recommending the right treatment for you as an individual, and partnering with you throughout recovery.

Real interior of the CNY Psychiatry office

CONDITIONS WE TREAT

Our work includes Depression and Treatment-Resistant Depression, Bipolar Depression, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorder, and Anxiety Disorders. We also provide specialty neuromodulation consultation for selected patients with persistent tinnitus.

Blue water and a distant wooded shoreline

Depression & Treatment-Resistant DepressionDepression can affect motivation, energy, concentration, sleep, appetite, relationships, work, interests, and the ability to imagine a meaningful future.Learn more

Bipolar DepressionDepression occurring within bipolar disorder requires particular diagnostic and treatment consideration.Learn more

Autumn trees on mountain slopes beneath a blue sky

Obsessive-Compulsive DisorderOCD is not simply being organized, particular, or perfectionistic. It is characterized by obsessions, compulsions, or both that can profoundly disrupt daily life.Learn more

Sunlit forest path under a bright leafy canopy

Post-Traumatic Stress DisorderPTSD can affect mood, sleep, relationships, concentration, emotional regulation, memory, and a person’s sense of safety long after danger has ended.Learn more

A dirt path winding through a leafy woodland

Anxiety DisordersAnxiety becomes an illness when fear, worry, physical symptoms, or avoidance become persistent enough to interfere with daily life.Learn more

TinnitusChronic tinnitus can significantly affect sleep, concentration, mood, anxiety, and overall quality of life.Learn more

TREATMENT OPTIONS

Autumn foliage reflected in clear lake water

01Comprehensive Psychiatric Evaluation & Ongoing TreatmentThoughtful diagnosis, medication treatment, longitudinal psychiatric follow-up, and coordination with outside therapists and other clinicians.Explore this care option

Golden autumn trees reflected in a quiet pond

02Transcranial Magnetic Stimulation (TMS)Evidence-based noninvasive neuromodulation, including conventional and accelerated treatment approaches.Explore this care option

03IV Ketamine TherapyRapid-acting, self-pay treatment delivered within psychiatric care, with direct psychiatric assessment at every treatment. For selected patients, CNY Psychiatry also offers in-house psychodynamically oriented Ketamine-Assisted Psychotherapy (KAP).Explore this care option

Orange and yellow autumn leaves in a forest

04Spravato® (Esketamine)FDA-approved esketamine treatment delivered in a REMS-certified setting, with psychiatric assessment at every treatment.Explore this care option

Autumn woodland reflected on still water

05Clinical ResearchParticipation in carefully selected research opportunities as the practice’s research program develops.Explore this care option

How it works

Start with the clinical problem

You do not need to know which treatment you need before contacting us.

Start with the clinical problem. We can help determine what comes next.

Comprehensive psychiatric evaluation

Good psychiatric treatment begins with understanding what we are treating.

CNY Psychiatry provides two related pathways of care: specialty psychiatric consultation for patients being evaluated for TMS, IV ketamine, or Spravato®, and insurance-based ongoing psychiatric care through our psychiatric clinicians.

An individualized treatment plan

Request a Consultation

OUR PRINCIPLES

We Listen First.

Understanding the patient comes before selecting a treatment.

We Pursue Accurate Diagnosis.

When treatment repeatedly fails, the diagnosis and treatment strategy deserve another look.

We Follow the Evidence.

Enthusiasm for innovation should never substitute for scientific rigor.

We Individualize Care.

A diagnosis does not determine a treatment. Two patients with the same diagnosis may need very different approaches.

We Embrace Responsible Innovation.

New treatments matter when the evidence and the individual patient justify using them.

MEET OUR TEAM

CNY Psychiatry brings together psychiatric clinicians providing evaluation, ongoing treatment, and interventional psychiatric care. Our model also welcomes collaboration with community therapists, primary care clinicians, psychiatrists, and psychiatric nurse practitioners.

Medical Leadership

JASON STEPKOVITCH, MD

Founder & Medical Director Psychiatrist | Interventional Psychiatry | Treatment-Resistant Depression

Dr. Jason Stepkovitch founded CNY Psychiatry in 2019 and leads its interventional psychiatry program, with a particular clinical interest in treatment-resistant depression, TMS, accelerated TMS, IV ketamine, and Spravato®. His approach emphasizes careful diagnosis, thoughtful patient selection, and direct psychiatric oversight of advanced treatments.

Read full bio

Psychiatric Clinicians

Hayley Craner, NP

Board-Certified Psychiatric Mental Health Nurse Practitioner

I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care. Since becoming a nurse practitioner, I have worked with individuals across a variety of community health settings, helping patients navigate challenges such as anxiety, depression, trauma, mood disorders, and other psychiatric conditions.

Read full bio

Lindsay Szlamczynski, NP

Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP)

Lindsay is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) who provides compassionate, individualized care to adults seeking support for their mental health. She completed her psychiatric training at SUNY Upstate Medical University and has experience across inpatient and outpatient psychiatry, private practice, and addiction treatment.

Read full bio

Autumn forest floor covered with fallen leaves

FOR REFERRING PROVIDERS

Referral does not have to mean transfer of care.

We welcome referrals for specialty consultation and treatment while respecting established clinical relationships. Our role can be focused: evaluate, recommend, treat when appropriate, communicate, and return the patient to ongoing care.

Refer a Patient For Referring Providers

KEY QUESTIONS

Does TMS require anesthesia?

No. Conventional TMS is noninvasive and does not require anesthesia or sedation.

How long is a conventional course?

Treatment is generally delivered on weekdays over several weeks, with the exact protocol individualized according to indication and clinical circumstances.

Is CNY Psychiatry simply an infusion clinic?

No. Every IV ketamine treatment includes a psychiatric visit.

Does insurance cover Spravato?

Often, when medical-necessity requirements are met. IV ketamine at CNY Psychiatry is self-pay and not covered by insurance.

Start with the clinical problem

You do not need to know which treatment you need before contacting us.

Start with the clinical problem. We can help determine what comes next.

Request a Consultation Refer a Patient 315-671-2140