TMS, Spravato, and Advanced Psychiatry Serving Bethesda, MD
Bethesda residents looking for advanced psychiatric care have a specialty clinic 15 minutes north on I-270. We focus on treatment-resistant depression, complex mood and anxiety disorders, and adult ADHD for patients who want more than standard medication management.
Our practice offers TMS therapy, Spravato (esketamine), IM ketamine, and comprehensive medication management under one roof, led by a Johns Hopkins-affiliated psychiatrist. We accept most major commercial insurance plans accepted by Bethesda employers and federal benefit programs.
Why Bethesda Patients Choose Bright Horizons
Bethesda has plenty of psychiatrists. Far fewer practices offer TMS, Spravato, and IM ketamine in the same clinic, and even fewer specialize specifically in treatment-resistant depression. That depth is what brings Bethesda patients to us, especially those who have tried two or more medications without enough relief.
Our clinic is led by Dr. Amir Etesam, a Johns Hopkins-affiliated psychiatrist, alongside two psychiatric nurse practitioners. We treat adults who need more than a 15-minute med check, and we build treatment plans around evidence-based combinations of medication, neuromodulation, and care coordination with your existing therapist or primary care doctor.
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 Bethesda
Our office at 6000 Executive Blvd, Suite 101 in Rockville is a 15 to 20 minute drive from most Bethesda addresses. The most common routes are I-270 north to the Montrose Road exit, or Old Georgetown Road north through North Bethesda. 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, accessible directly from Bethesda Metro.
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 in depth, 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.
Common Questions
Frequently Asked Questions
Ready to Get Started?
Take the next step from Bethesda
Book a free consultation, send a message, or call us directly. We’ll verify your insurance, answer your questions about TMS or Spravato, and help you figure out the right next step for your care.
