TMS, Spravato, and Advanced Psychiatry Serving Germantown, MD
Germantown residents looking for TMS, Spravato, or specialized 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 to 25 minutes south on I-270.
We focus on treatment-resistant depression, complex anxiety, OCD, and adult ADHD for patients who need more than standard medication management. Our practice is led by a Johns Hopkins-affiliated psychiatrist, and we accept most major commercial insurance along with Medicare and Maryland Medicaid.
Why Germantown Patients Travel to Bright Horizons
Germantown is well-served by general psychiatric and primary care, but specialty options for treatment-resistant depression are scarce 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 south to access that level of care.
Our clinic is led by Dr. Amir Etesam, a Johns Hopkins-affiliated psychiatrist, alongside two psychiatric nurse practitioners. We focus specifically on adults with complex mood and anxiety disorders, and we offer TMS, Spravato, IM ketamine, and comprehensive medication management in the same practice. After the initial in-person evaluation, follow-up medication appointments can happen via telehealth from your Germantown home.
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.
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 Germantown
Our office at 6000 Executive Blvd, Suite 101 in Rockville is about 20 to 25 minutes from most Germantown addresses, depending on traffic on I-270. The most common route is south on I-270 to the Montrose Road exit, then a short drive east to Executive Boulevard. Free parking is available in the building’s attached garage.
The Shady Grove Metro station on the Red Line is partway between Germantown and our clinic and accessible by Ride On Bus, and our office is a short distance from the Twinbrook Metro stop.
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 makes 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, which makes the long-term care commitment easier to fit into a busy Germantown schedule.
Common Questions
Frequently Asked Questions
Ready to Get Started?
Take the next step from Germantown
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.