TMS, Spravato, and Treatment-Resistant Depression Care for Silver Spring, MD
Silver Spring residents looking for TMS, Spravato, or specialty treatment for depression and anxiety often find that local options are limited. Our Rockville clinic is the closest specialty psychiatric practice offering these advanced treatments, about 20 minutes from most Silver Spring addresses via Georgia Avenue, Veirs Mill Road, or the Beltway.
We focus on treatment-resistant depression, complex anxiety, OCD, and adult ADHD for adults who need more than standard medication management. Our practice is led by a Johns Hopkins-affiliated psychiatrist, and we accept most major commercial insurance, Medicare, and Maryland Medicaid. We also serve nearby communities including Takoma Park, Wheaton, Four Corners, White Oak, Kemp Mill, and Aspen Hill.
Why Silver Spring Patients Choose Bright Horizons
Silver Spring is one of the largest and most diverse communities in Montgomery County, but specialty psychiatric care for treatment-resistant depression is limited locally. Patients who have tried two or more antidepressants without enough relief, or who have been told by their current provider that they should consider TMS or Spravato, usually need to travel north to Rockville for that level of care.
Our clinic is led by Dr. Amir Etesam, a Johns Hopkins-affiliated psychiatrist, alongside two psychiatric nurse practitioners. We offer TMS, Spravato, IM ketamine, and comprehensive medication management in the same practice. After your initial in-person evaluation, follow-up medication appointments can happen via telehealth from your Silver Spring home, anywhere in Maryland.
Conditions We Treat
Specialized Care for Complex Conditions
We focus on conditions that often don’t respond to standard treatments. If you’ve tried other options without success, we can help.
Depression
Including treatment-resistant depression (TRD). We specialize in helping those who haven’t responded to traditional antidepressants.
Anxiety
Generalized anxiety, social anxiety, and panic disorder. Find relief from the constant worry and fear that holds you back.
OCD
Obsessive-compulsive disorder can feel overwhelming. We offer specialized treatments to help break the cycle.
ADHD
Adult ADHD diagnosis and treatment. Improve focus, organization, and daily functioning with personalized care.
*We specialize in treatment-resistant depression. At this time, we’re unable to treat schizophrenia, bipolar I disorder, substance use disorders, or personality disorders.
Depression Treatment for Silver Spring Residents
Bright Horizons Psychiatry specializes in depression treatment for adults in the Silver Spring area, including treatment-resistant cases where antidepressants haven’t worked. We offer TMS therapy, Spravato nasal spray, and IM ketamine, advanced options that are rarely available at general psychiatry practices in Silver Spring or Takoma Park.
If you’ve struggled with depression in Silver Spring, Wheaton, White Oak, Four Corners, or surrounding areas, and standard treatments haven’t given you the relief you need, our Rockville clinic is the closest provider offering this combination of advanced therapies under one roof.
Anxiety, OCD, and ADHD Care for Silver Spring
We treat generalized anxiety, social anxiety, panic disorder, OCD, and adult ADHD for patients throughout Silver Spring and the broader Montgomery County area. Our psychiatrists and nurse practitioners build personalized medication plans and coordinate with your existing therapist for cognitive behavioral therapy or other evidence-based talk therapy when appropriate.
For patients with OCD that hasn’t fully responded to traditional medication and therapy, TMS is also FDA-cleared as a treatment option, and we offer it at our Rockville clinic.
Treatments we offer
Transcranial Magnetic Stimulation (TMS)
Non invasive brain stimulation that helps treat depression, OCD, and migraines without medication, surgery, or anesthesia.
Spravato (Esketamine Nasal Spray)
FDA approved nasal spray for treatment resistant depression and severe depression with suicidal thoughts.
Intramuscular Ketamine (IM Ketamine)
Fast acting ketamine injections used for treatment resistant depression and acute mood symptoms under medical supervision.
Medication Management
Personalized psychiatric medication care with ongoing monitoring to improve symptoms and reduce side effects.
Telehealth Psychiatry
Secure virtual appointments that let you access psychiatric care from home.
We accept major insurance providers
including Medicare & Medicaid
Don’t see your plan?
Call us. We may still be able to help.
Getting to Our Rockville Clinic from Silver Spring
Our office at 6000 Executive Blvd, Suite 101 in Rockville is about 20 to 25 minutes from most Silver Spring addresses, depending on traffic and your starting point. Common routes include:
From downtown Silver Spring: Take Georgia Avenue north through Wheaton, then continue toward Rockville. Or take the Beltway (I-495) west to I-270 north and exit at Montrose Road.
From Four Corners and White Oak: Take University Boulevard or the Beltway west to I-270 north.
From Wheaton and Kemp Mill: Take Veirs Mill Road northwest directly to Rockville.
Free parking is available in the building’s attached garage. The Twinbrook Metro station on the Red Line is also a short distance from our clinic and accessible from Silver Spring via the Red Line.
The Process
How we guide you through every step of your Mental Health journey
Initial Consultation
We understand your mental health, listen to your experiences, and explore your goals in a calm, supportive, and pressure-free space.
Personalised Assessment
We take time to understand your emotional wellbeing, discuss your challenges, and identify the support that fits your needs.
Clear Guidance
We explain your mental health condition in simple terms, answer your questions, and outline practical next steps for your care.
What to Expect at Your First Visit
Your first appointment is in person at our Rockville clinic and runs 60 to 90 minutes. We do a full psychiatric evaluation, review your medication and treatment history, and have an honest conversation about what’s worked, what hasn’t, and what advanced options make sense to try next. If TMS, Spravato, or ketamine is appropriate, we walk through the process and the insurance coverage before anything is scheduled.
After your initial evaluation, ongoing follow-up appointments can be in person or virtual from anywhere in Maryland.
Common Questions
Frequently Asked Questions
Ready to Get Started?
Take the next step from Silver Spring
Book a free consultation, send a message, or call us directly. We’ll verify your insurance, walk through your options, and help you figure out the right next step for your care.
