Conditions We Treat at Bright Horizons Psychiatry
Bright Horizons Psychiatry treats adults with depression, anxiety disorders, OCD, ADHD, PTSD, and complex mood disorders at our Rockville, Maryland clinic. We focus on cases that need more than standard medication management alone, including treatment-resistant depression and patients who haven’t responded fully to traditional treatment.
Our practice is led by a Johns Hopkins-affiliated psychiatrist, and we offer TMS therapy, Spravato, IM ketamine, and comprehensive medication management under one roof.

A Specialty Focus on Adult Mental Health
We are a specialty psychiatric practice. That means we focus deeply on a defined set of conditions rather than treating the full range of psychiatric needs. This focus helps us deliver more thorough evaluations, more individualized treatment plans, and better outcomes for the patients we are equipped to help.
Below is the full list of conditions we treat at our Rockville clinic. For conditions we don’t treat, we coordinate referrals to trusted regional partners including Sheppard Pratt, Johns Hopkins, and other specialty programs.
Conditions We Treat
Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression for adults who haven’t responded fully to traditional antidepressants. We offer TMS, Spravato, and IM ketamine as advanced options when standard medications fall short.
Anxiety Disorders
Generalized anxiety disorder, social anxiety disorder, and panic disorder. Comprehensive medication management with care coordination for therapy when appropriate.
OCD (Obsessive-Compulsive Disorder)
Specialized treatment for obsessive-compulsive disorder, including TMS for patients who haven’t responded fully to traditional medication and therapy. We treat various forms of OCD including those with intrusive thoughts.
Adult ADHD
Comprehensive evaluation and personalized treatment for adults navigating focus, organization, and executive function challenges. We help adults manage ADHD at work, school, and in daily life.
PTSD (Post-Traumatic Stress Disorder)
Adult PTSD treatment combining medication management with care coordination for trauma-focused therapy. TMS may be appropriate for some patients with PTSD.
Treatment-Resistant Depression
Our specialty. If two or more antidepressants haven’t given you the relief you need, we offer TMS, Spravato, and IM ketamine as evidence-based next steps backed by FDA approval and peer-reviewed research.
Conditions We Don’t Treat
Our specialty focus means we are deliberate about what we treat and what we don’t. We currently do not treat:
For these conditions, we recommend trusted regional specialty programs.
Why Specialty Focus Matters
Mental health care benefits from specialization. A practice that tries to treat every psychiatric condition often delivers average care across the board. A practice that focuses on a defined set of conditions can build deeper expertise, more refined treatment protocols, and better outcomes for the patients it does treat.
Our focus on anxiety disorders, including treatment-resistant cases, means we have invested deeply in advanced treatments like TMS, Spravato, and IM ketamine, and we keep up with the evolving evidence base for these therapies. For complex depression and anxiety in adults, this depth of focus is what allows us to offer treatment options that many general psychiatry practices simply don’t have available.
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.
How We Determine the Right Treatment
Every patient who comes to Bright Horizons starts with a thorough psychiatric evaluation, typically 60 to 90 minutes in person at our Rockville clinic. This longer initial visit is how we understand your symptoms, treatment history, and goals before recommending any specific approach.
For some patients, the right treatment is a careful medication plan combined with therapy coordination. For others, especially those who have tried multiple antidepressants without enough relief, advanced options like TMS or Spravato may be the next logical step. We discuss the evidence, the practical experience of each treatment, and the insurance coverage so you can make an informed decision before anything is scheduled.
Common Questions
Frequently Asked Questions
Ready to Get Started?
Ready to discuss your care options?
Book a free consultation, send a message, or call us directly. We’ll discuss your situation, verify your insurance, and help you figure out whether Bright Horizons is the right fit for your needs.
