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Esses Psychiatry
Jacob Esses, PMHNP-BC
Jacob Esses PMHNP-BC · Brooklyn, NY

Compassionate psychiatric care, built around you.

Evidence-based evaluation and medication management for anxiety, depression, ADHD, OCD, and bipolar disorder — serving adults and adolescents in Brooklyn and across New York via telehealth.

✓ Board-Certified PMHNP ✓ Telehealth Statewide ✓ Insurance Accepted ✓ HIPAA Compliant

What to Expect

Initial Consultation A comprehensive psychiatric evaluation to understand your full history, concerns, and goals.
One Provider. Every Visit. You'll see me — Jacob — at every appointment. No rotating providers, no repeating your history. We build a real understanding of your care over time.
Collaborative Approach I coordinate directly with your therapist and other providers — so your care is connected, not siloed. Referrals always welcome.
Flexible Telehealth Secure video visits from the comfort of your home — available statewide in New York.
PMHNP-BC Board Certified
Same-Week Appointments
Insurance Major Plans Accepted
NY Statewide via Telehealth
Jacob Esses, PMHNP-BC

Your Partner in Mental Health

I'm Jacob Esses, a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) practicing in Brooklyn, NY and statewide via telehealth. I started this practice because psychiatric care works best when it's built on a real relationship — not a rotation of providers you have to reintroduce yourself to every few months.

My background spans inpatient units, emergency psychiatric settings, and community mental health — environments where I learned to work with the full complexity of psychiatric illness, not just the straightforward cases. That clinical depth shapes how I approach every patient I see.

When you work with me, you see me — at every appointment, for as long as we work together. I take the time to understand not just your diagnosis, but your life, your patterns, and what actually getting better looks like for you.

  • Psychiatric-Mental Health Nurse Practitioner, Board-Certified (PMHNP-BC)
  • Master of Science in Nursing — Stony Brook University
  • Bachelor of Science — Brooklyn College, CUNY
  • Experience in inpatient, outpatient, and emergency psychiatric settings
  • Brooklyn, NY · Serving all of New York via telehealth

Comprehensive Psychiatric Care

A full range of psychiatric services for adults and adolescents, delivered with care and clinical expertise.

Psychiatric Evaluation

A thorough initial assessment covering your psychiatric, medical, and personal history to establish an accurate diagnosis and a clear path forward.

Medication Management

Thoughtful prescribing and ongoing monitoring of psychiatric medications, with regular follow-ups to optimize your treatment plan over time.

Anxiety & Mood Disorders

Specialized treatment for anxiety disorders, depression, bipolar disorder, OCD, PTSD, and related conditions affecting your daily life.

ADHD Evaluation & Treatment

Comprehensive evaluation and evidence-based management of ADHD in adults and adolescents, including medication and coordination with therapists.

Collaborative Care

Close coordination with your therapist, primary care physician, and other specialists to ensure seamless, integrated mental health care.

Telehealth Visits

Convenient, HIPAA-compliant video appointments from anywhere in New York — no commute required, with the same quality of care.

What We Treat

Click any condition below to learn more and read answers to frequently asked questions.

ADHD

Attention-Deficit/Hyperactivity Disorder

Can adults be diagnosed with ADHD?

Yes — many adults go undiagnosed until adulthood. Adult ADHD often looks different than in children, presenting as chronic disorganization, difficulty sustaining focus at work, and emotional dysregulation rather than hyperactivity.

Is medication always required?

Not always. While stimulant medications are highly effective, treatment is individualized. Non-stimulant options and behavioral strategies are also considered based on your history and preferences.

How is ADHD diagnosed?

Diagnosis involves a thorough clinical evaluation of your history, current symptoms, and functional impact — not just a checklist. We review childhood patterns, current challenges, and rule out other contributing causes.

Depression

Major Depressive Disorder & Persistent Depression

How do I know if it's depression or just a hard time?

Depression involves persistent low mood, loss of interest in activities you once enjoyed, changes in sleep or appetite, and difficulty functioning — lasting more than two weeks. If symptoms are interfering with daily life, it's worth getting evaluated.

What medications are used to treat depression?

SSRIs and SNRIs are commonly used first-line treatments. We work with you to find the right medication and dosage based on your history, prior treatments, and side effect profile.

How long before I feel better on medication?

Most antidepressants take 4–6 weeks to show meaningful effect, with full benefit sometimes taking up to 12 weeks. We monitor your progress closely and adjust as needed.

Anxiety

Generalized Anxiety, Panic Disorder & Social Anxiety

What's the difference between normal anxiety and a disorder?

Anxiety becomes a disorder when it's excessive, persistent, hard to control, and interferes with daily functioning — including work, relationships, or physical health. Everyone feels anxious sometimes; an anxiety disorder is when it takes over.

Can anxiety be treated with medication?

Yes. SSRIs and SNRIs can significantly reduce anxiety symptoms. We may also coordinate with a therapist for combined treatment, which tends to produce the best long-term results.

Do I have to be on medication forever?

Not necessarily. Treatment duration depends on the type and severity of your anxiety. Some people benefit from short-term medication; others do better with ongoing treatment. We discuss your goals openly at every visit.

Bipolar Disorder

Bipolar I, Bipolar II & Cyclothymia

How is bipolar disorder different from depression?

Bipolar disorder includes episodes of mania or hypomania — elevated or irritable mood, decreased need for sleep, increased energy — in addition to depressive episodes. Antidepressants alone can worsen bipolar, which is why accurate diagnosis is so important.

What medications are used for bipolar disorder?

Mood stabilizers such as lithium or valproate and certain atypical antipsychotics are mainstays of treatment. The right medication depends on the type of bipolar disorder, your history, and how you've responded to prior treatments.

Can I live a normal life with bipolar disorder?

Absolutely. With the right treatment, most people with bipolar disorder lead full, stable, and productive lives. Consistent medication, regular monitoring, and a strong support system are key.

OCD

Obsessive-Compulsive Disorder

How do I know if I have OCD or just bad habits?

OCD involves persistent, unwanted intrusive thoughts (obsessions) that cause real distress, and repetitive behaviors or mental acts (compulsions) performed to relieve that distress. Unlike habits, OCD compulsions are driven by anxiety and can consume an hour or more each day.

What treatments are available for OCD?

The gold standard is Exposure and Response Prevention (ERP) therapy, often combined with medication — typically SSRIs at higher doses than used for depression. We manage the medication component and can coordinate closely with an OCD-specialized therapist.

Can OCD be managed long-term?

Yes. OCD is a chronic but highly treatable condition. With the right combination of medication and therapy, most people achieve significant symptom reduction and lead full, functional lives. Many people experience substantial improvement within a few months of starting treatment.

We Accept Major Insurance Plans

Quality psychiatric care should be accessible. I work with many major insurance providers to help make that possible.

Aetna
Cigna
Anthem BCBS NY (formerly Empire)
Highmark BCBS (Western NY)
Highmark BlueShield (Northeastern NY)
Horizon BCBS NJ (Telehealth)
Independence Blue Cross PA (Telehealth)
Quest Behavioral Health
Carelon Behavioral Health
Not sure if your plan is covered? Check your insurance in under a minute — just enter your plan details on Headway and see your estimated cost before booking.
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Transparent Pricing

For patients paying out of pocket, all fees are listed below. A superbill is available upon request to submit for potential out-of-network reimbursement.

Fee Schedule

Free Consultation
15 minutes  ·  Video or phone
$0
Initial Psychiatric Evaluation
60 minutes  ·  Comprehensive intake
$350
Follow-Up Visit
30 minutes  ·  Medication management
$225
Extended Follow-Up
45 minutes  ·  Complex or new concerns
$275
Out-of-Network Reimbursement

What is a Superbill?

Even if I am not in-network with your insurance plan, you may still be eligible for partial reimbursement through your out-of-network benefits. A superbill is an itemized receipt I provide after each visit — your insurance does the rest.

  • 1You pay for your session at the time of service
  • 2I provide a detailed superbill with all required billing codes
  • 3You submit the superbill to your insurance company
  • 4Your insurer reimburses you based on your out-of-network benefits

Call the member services number on your insurance card and ask: "What are my out-of-network mental health benefits?" to find out what you may be eligible for.

💡 Superbills are available upon request. Please let us know at the time of booking and we'll have it ready after your visit.

Psychiatric Care, From Wherever You Are

Available to patients throughout New York State — from the comfort of your home, office, or anywhere with a private internet connection.

HIPAA-Compliant Video Secure, encrypted video visits that protect your privacy at every session.
Flexible Scheduling Appointment times that work with your schedule — no waiting rooms.
Statewide in New York Licensed to see patients anywhere in New York State via telehealth.
Insurance Accepted Most major insurance plans accepted through Headway — easy billing.

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Get in Touch

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Location Brooklyn, NY · Telehealth Statewide
Fax (646) 349-7927

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