About Dr. Manuel Astruc and Team

Discover Relief

Get and stay better with help from Manuel Astruc & Associates.

Who We Serve

Adults

If you’re struggling to cope with life—finding it difficult to concentrate or be productive at work, battling with emotions or dark thoughts, or more, it’s easy to feel helpless…. and hopeless.

At Manuel Astruc & Associates, we’re here to help.

Through compassionate education and medicine management, we strive to help you find the way through the darkness and emerge back into the light. We want to make sure you can seek help as quickly as possible, with appointments available within two weeks or less.

We’ll help:

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Evaluate your symptoms

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Diagnose your illness

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Educate you about your illness and your treatment options

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Create a treatment plan

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Prescribe and evaluate medication

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Work toward remission

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Maintain your medication and treatment during remission

We understand that when something is wrong, it’s hard to function at your best. Our team of experienced, ethical experts is here to help you lift the burden of mental illness so you can feel and stay better.

Children and Adolescents

We understand how difficult it can be for your entire family if your child is suffering. If your child is struggling with feelings and behaviors that they can’t control, we want you to know that there is hope. We work with children and adolescents as young as five years old, with appointment availability in two weeks or less.

At Manuel Astruc & Associates, we’re here to help.

Through compassionate education and medicine management, we strive to help you find the way through the darkness and emerge back into the light.

We’ll help:

N

Evaluate your child's symptoms

N

Diagnose your child's illness

N

Educate you and your child about their illness and treatment options

N

Create a treatment plan

N

Prescribe and evaluate medication

N

Work toward remission

N

Maintain your child's medication and treatment during remission

We understand that when your child is suffering, it’s hard to focus on anything else. Our team of experienced, ethical experts is here to help you lift the burden of mental illness so you and your child can feel better and get back to enjoying life.

Illnesses We Diagnose and Treat

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Depression

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Bipolar Disorder

N

Panic Disorder

N

Generalized Anxiety

N

Obsessive Compulsive Disorder

N

Post-traumatic Stress Disorder

N

Eating disorders

N

Treatment-Resistant Depression

Our Team

Clinicians

Dr. Manuel Astruc, MD

Board-Certified General Adult Psychiatrist

Dr. Astruc is a board-certified psychiatrist with over 20 years of experience helping adults move from feeling overwhelmed to finding real relief and renewed direction. A Virginia Commonwealth graduate, he has served as medical director at Saratoga Hospital and Saratoga County’s Substance Abuse Services, and today brings the insight of 50,000+ clinical hours to his private practice in Saratoga Springs.

Learn more about Dr. Astruc’s approach and experience. ➜

Stacy Colwell

PMHNP-BC, FNP-C

Stacy Coldwell is a dual-certified family and psychiatric nurse practitioner providing compassionate, whole-person care for patients 16 and older. Trained at Binghamton University, she helps individuals manage anxiety, depression, bipolar disorder, and substance use with a collaborative, transparent approach that empowers patients in their treatment.

Discover more about Stacy’s integrative care approach. ➜

Ra-Idah Opoku

PMHNP-BC

Ra-Idah Opoku, PMHNP-BC, is a board-certified psychiatric nurse practitioner providing comprehensive, evidence-based care for adults with depression, anxiety, ADHD, and other mental health challenges. Patients describe her as empathetic, calming, and transparent, and she is especially passionate about reducing the stigma surrounding mental health.

Explore Ra-Idah’s approach to care  ➜

Melissa Seale

PMHNP-BC

Melissa Seale is a board-certified psychiatric nurse practitioner specializing in child and adolescent mental health. She provides compassionate, evidence-based care for anxiety, depression, ADHD, and behavioral challenges, and is known for her collaborative, empowering approach with both children and families.

Discover more about Melissa’s integrative care approach. ➜

Melissa Seale, PMHNP-BC at Manuel Astruc, MD & Associates

Answers to Our Most Frequently Asked Questions

How do I make an appointment?

To make an appointment, call us at (518) 583-7410.

What is the first appointment like?

Our first meeting will last about an hour. We’ll have an in-depth discussion of your medical history, family history of illness, any previous diagnoses, and your current symptoms. We’ll work together to create a treatment plan and prescribe necessary medications.

Do you provide psychotherapy?

Although we work to educate you about your diagnoses, we do not provide comprehensive psychotherapy. We can recommend therapists in the area who could be a good fit for your needs.

Does your practice accept insurance?
  • CDPHP Commercial Insurance
  • Cigna Commercial Insurance
  • Highmark Blue Cross Blue Shield PPO
  • Federal Blue Cross Blue Shield PPO Policy
  • MVP Commercial
  • MVP Managed Medicaid Plan
  • United Healthcare/UMR/Optum Commercial
Do you accept insurance for TMS treatment?

All of the insurances listed above, CDPHP Medicaid and Optum VA Community Care Network. 

If you don’t see your insurance company listed, we often work on receiving a “single case agreement” with insurance companies to help you receive the best treatment possible.

Will I be on medication forever?

It depends. We utilize medication to help alleviate your symptoms and follow up with you regularly to make sure the type and dose of medication is right for you. As you near and enter remission, we may adjust your medications to help maintain your success.

Do I need both psychiatry and psychotherapy?
A combination of both psychiatry and psychotherapy work best for some people, while only one or the other may work best for others. We’ll help you find a balance that works for you.
What if my medication doesn’t work?

If medication alone is not effective, there are other options for treatment, including psychotherapy or TMS. Click here to learn more about TMS.

Where are you located?
You can find our office at 414 Maple Ave Suite 700, Saratoga Springs, NY, 12866.
What are your hours?
Front office: Monday-Friday 8:30am-5pm
Providers: Monday-Friday 7am-7pm (hours may vary)
Do you offer in-person or virtual appointments?
Patients are seen in-person for their first appointment, followed by a discussion with your provider to determine if continuing in-person appointments or virtual visits are the best method moving forward.
Are self-pay options available?

Yes, self-pay options are available. Please contact the office for more information.