Defeat your depression into remission with Spravato

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4.8 Stars - Based on 173 Reviews

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Get Started Now
Are you able to travel to our office in North Bethesda 5 times per week for the treatment?*

The process

How does it work?

Highly Effective

About 70% of patients treated with Spravato® show a clinically meaningful response.

Flexible Schedule

You'll take Spravato® twice a week for the first month and once a week for the second month.

Covered by Insurance

Several major payers cover Spravato® treatment for depression.

Try Esketamine, as seen in

and many more

How Esketamine at Bright Horizons Psychiatry Works

Treatment-resistant depression (TRD): This is depression that hasn’t improved after trying at least two different antidepressant medications.

What is Esketamine (Spravato)?

Spravato is a brand-name nasal spray medication containing esketamine, which is a refined form of ketamine.

Who might need it?

People with TRD or severe major depressive disorder (MDD) who haven’t seen improvement with other treatments like antidepressants and therapy.

How does it work?

It affects brain cells and increases glutamate production, potentially improving mood in ways that traditional antidepressants don’t.

Why Esketamine (Spravato)?

Esketamine works quickly to relieve symptoms of treatment-resistant depression when traditional antidepressants haven’t helped.

Not just another pill:
Spravato for treatment resistant depression

Backed by science and most major health insurances

and many more

About Dr. Amir Etesam, MD

Dr. Amir Etesam, MD, is a Johns Hopkins–trained, Board-Certified,  psychiatrist and the founder of Bright Horizons Psychiatry in North Bethesda, Maryland. He is a distinguished member of Alpha Omega Alpha (AOA), the nation’s most respected medical honor society, recognizing excellence in scholarship and integrity in medicine.

Dr. Etesam’s clinical work is exclusively focused on patients with treatment-resistant major depressive disorder (TRD)—those who have not improved despite multiple trials of medication and therapy. His practice centers on advanced neuromodulation therapies, including Transcranial Magnetic Stimulation (TMS) and Intranasal Esketamine (Spravato®), provided in a private, state-of-the-art setting designed for comfort and healing.

He no longer accepts new patients for other psychiatric conditions such as anxiety, ADHD, bipolar disorder, or OCD.

For patients seeking care for other psychiatric conditions—such as anxiety, ADHD, bipolar disorder, and general mood or behavioral concerns—a highly trained team of psychiatric nurse practitioners works side-by-side with, and under the close supervision of Dr. Etesam. This collaborative model ensures that every patient receives the same standard of thoughtful, evidence-based care that defines Bright Horizons Psychiatry.

Meet the people who care

We’re not just healthcare providers. We’re real people who care deeply about your journey.
Led by Dr. Amir Etesam, our compassionate team includes nurse practitioners, mental health coordinators, and neuromodulation specialists—all focused on one thing: helping you heal.

Safe & FDA-Approved

Spravato is FDA-approved—and it’s changing lives for people with depression that hasn’t responded to other treatments.

Covered by Insurance

Depression shouldn’t cost you everything. With insurance coverage and financial guidance, getting better is possible—and affordable.

Minimal Side Effects

Relief without the rollercoaster—Spravato offers powerful results with minimal side effects.

What Our Patients Are Saying About Bright Horizons Psychiatry

Rated 4.8 out of 5 stars based on 176 customer reviews.

Dr. V is very empathetic, understanding, and professional. I thank her immensely for the care that she gives. I would not have recovered and made it this far without her guidance and passion! By far the best experience I have had with a psychiatrist.
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Benjamin Lawrence Avatar
Benjamin Lawrence
31 Dec 2025
She was awesome. She made me feel very comfortable. I would definitely be back.
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Sandra Thompson Avatar
Sandra Thompson
31 Dec 2025
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Niloufar Avatar
Niloufar
19 Dec 2025
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Edward Bennett Avatar
Edward Bennett
18 Dec 2025
I feel like this may be a new beginning for me, the staff was very polite and helpful, the doctor was extremely helpful, made everything crystal clear, having some test done that I’ve never knew existed, so I’m finding new ways with these people to help me feel better about myself and get a new lease on life. Thanks to all Edward.
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Edward Bennett Avatar
Edward Bennett
18 Dec 2025
We had a scheduled appt for my son. He was depressed and upset in the car before his appt. Dr E, walked to car with me and saw my upset son and didn't even try to communicate with him. He said to me he’s not ready(??) !! Then he just walked back in the building and left us. So unprofessional and disappointing. Didn't give recommendations, nothing. What kind of a professional psychiatrist would leave a person in distress?? Just unbelievable and shocking.
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pat mckay Avatar
pat mckay
15 Dec 2025
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Hugo Kotler Avatar
Hugo Kotler
12 Dec 2025
! This experience has had an extraordinary impact on my life. The staff are consistently accommodating and demonstrate exceptional empathy, which is especially meaningful in today
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leengi Edwards Avatar
leengi Edwards
11 Dec 2025
I’ve had multiple issues with this practice, especially with medication management. Several times, prescriptions discussed during my appointments were never sent in, including an essential medication for my sleep and anxiety. This weekend, I was left completely without it and I was left with no medication during an episode of heightened anxiety. When I called this morning to get help, the front desk staff repeatedly interrupted me and tried to direct me to the patient portal, even after I explained that the portal wasn’t working and I had already used the reset link they provided. It wasn’t until I became extremely upset and asked her to stop interrupting me that she finally took my refill request verbally. The lack of follow-through, difficulty communicating with staff, and repeated errors have made this a very frustrating and disappointing experience. Update: I spoke with the clinician manager, Shelly, and she was extremely kind and receptive. She took the time to listen to my concerns, acknowledged the issues, and provided clear solutions. I will now be seeing her for all future appointments and I’m hopeful working with her will turn around my experience.
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Michelle Sorando Avatar
Michelle Sorando
01 Dec 2025
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Ellie R. Avatar
Ellie R.
21 Nov 2025
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Cindy Timm Avatar
Cindy Timm
19 Nov 2025
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Alicia Stern Avatar
Alicia Stern
12 Nov 2025
I had an excellent experience at this practice. The office is impeccably clean, comfortable, and has a calming, positive vibe. Everyone was professional and welcoming. The person I met with was on her A-game—confident, knowledgeable, and genuinely kind. She made me feel completely at ease even though I wasn’t sure what to expect. I left feeling impressed and grateful to have found such a competent and caring practice. 🫶
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Mella Davis Avatar
Mella Davis
04 Nov 2025
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jade bennett Avatar
jade bennett
30 Oct 2025
Friendly people. Prompt attention.
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David Ball Avatar
David Ball
29 Oct 2025
I was very pleased with my visit with the psychiatrist. He was very helpful and obviously was interested in my wellbeing. The doctor is Dr. Amir Estesam.
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arleen bernstein Avatar
arleen bernstein
21 Oct 2025
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Frequently Asked Questions

Spravato is a nasal spray medication containing esketamine, a refined form of ketamine. It’s FDA-approved to treat treatment-resistant depression (TRD) and severe major depressive disorder (MDD) with suicidal thoughts or actions.

Spravato may be an option if you haven’t seen improvement with other treatments like antidepressants and therapy.

Many insurance plans cover Spravato, but coverage can vary. Check with your insurance provider to confirm.

Common side effects include sedation, dissociation, nausea, and increased blood pressure.

Spravato is a safe and effective treatment for TRD and MDD when used as prescribed. However, it’s important to discuss potential risks and benefits with your doctor.

Spravato works differently than traditional antidepressants. It affects brain cells and increases glutamate production, potentially improving mood.

Ready To Leave Depression Behind?

We are here to support you in the healing journey

© 2026 Bright Horizons Psychiatry. All Rights Reserved.

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Get Started Now
Are you able to travel to our office in North Bethesda 5 times per week for the treatment?*