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# Bright Horizons Psychiatry: Bright Horizons Psychiatry is a Johns Hopkins–trained psychiatric practice in Rockville, MD, serving Bethesda, Potomac, Gaithersburg, Silver Spring & Montgomery County. We treat treatment-resistant depression (TRD), ADHD, OCD & anxiety in adults 18+. We offer BrainsWay Deep TMS, Spravato® (Esketamine nasal spray), IM Ketamine injections, psychiatric medication management & telehealth psychiatry. New patients are welcome — consultations at no charge. We accept most major insurance plans including Aetna, BCBS, United Healthcare, Cigna & Medicare, as well as self-pay. Led by Dr. Amir Etesam — board-certified psychiatrist & AOA Honor Society member. Call us today to book a free consultation.

## Sitemaps
[XML Sitemap](https://brighthorizonspsychiatry.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [TMS vs. Spravato: Which Treatment Is Right for You?](https://brighthorizonspsychiatry.com/tms-vs-spravato/): TMS and Spravato are both FDA-approved for treatment-resistant depression — but they work very differently. Compare how they work, speed of relief, side effects, cost, success rates, and who each is right for, from a Maryland psychiatry practice that offers both.
- [Is Spravato Covered by Insurance? A Maryland Guide](https://brighthorizonspsychiatry.com/spravato-covered-by-insurance-maryland/): Yes — most Maryland insurers, Maryland Medicaid (HealthChoice), and Medicare Part B cover Spravato for treatment-resistant depression. Here's how coverage, prior authorization, the appeals process, and a Maryland step-therapy protection actually work.
- [How Long Does Spravato Take to Work? A Week-by-Week Timeline](https://brighthorizonspsychiatry.com/how-long-does-spravato-take-to-work/): Spravato (esketamine) can begin working within 24 hours, but most responders feel meaningful relief over the first four-week induction phase. Here is a realistic, research-backed timeline of what to expect — hour by hour and week by week.
- [Does Medicare Cover TMS Therapy? Coverage, Costs & Eligibility (2026)](https://brighthorizonspsychiatry.com/does-medicare-cover-tms-therapy/): Yes — Medicare Part B covers TMS therapy for severe major depressive disorder when criteria are met. Here's 2026 coverage, costs, eligibility, and exclusions.
- [Spravato Success Rate: How Well Does Esketamine Work?](https://brighthorizonspsychiatry.com/spravato-success-rate/): Spravato (esketamine) produces a response in roughly 50–70% of patients with treatment-resistant depression and remission in about 30–50% — with even higher figures in some real-world data. Here's an honest, research-backed look at how well esketamine actually works.
- [How Much Does Spravato Cost? Insurance, Copay & Out-of-Pocket Costs (2026)](https://brighthorizonspsychiatry.com/how-much-does-spravato-cost/): Spravato costs about $4,000–$8,000 for the first month without insurance, but most insured patients pay just $10–$250 per session. Here's your real out-of-pocket cost with private insurance, Medicare, Medicaid, and the $10 savings program.
- [TMS Success Rate: What the Research Actually Shows](https://brighthorizonspsychiatry.com/tms-success-rate/): For depression, TMS produces a response in about 50–60% of patients and remission in 30–40% — with higher figures for accelerated protocols. Here's an honest, research-backed look at TMS success rates for depression, OCD, and anxiety, and what actually affects your odds.
- [How Much Does TMS Therapy Cost in Maryland? A 2026 Price Breakdown](https://brighthorizonspsychiatry.com/how-much-does-tms-cost-maryland/): With insurance, most Maryland patients pay $0–$50 per session (about $600–$1,800 total) for TMS; without insurance, a full course runs $6,000–$12,000. Here's the complete 2026 cost breakdown by protocol, payer, and the factors that move the price.
- [Spravato Side Effects: What to Expect & How to Manage Them](https://brighthorizonspsychiatry.com/spravato-side-effects/): Spravato side effects like dissociation, dizziness, and nausea usually fade within about two hours. Here's what to expect and how each one is managed at our Rockville and Frederick, MD clinics.
- [Attention Deficit Hyperactivity Disorder (ADHD) Test](https://brighthorizonspsychiatry.com/attention-deficit-hyperactivity-disorder-test/): An ADHD test is a vital step in the diagnosis process. It involves various assessments to identify symptoms and determine their impact. These tests are essential for both children and adults.
- [Geriatric Psychiatrist Near Rockville: Mental Health Care After 65](https://brighthorizonspsychiatry.com/geriatric-psychiatrist-near-maryland/): If you are searching for a geriatric psychiatrist near me, you are usually doing it on behalf of a parent, a spouse, or yourself, and the search is often urgent. Either symptoms have gotten worse, or a primary care doctor has flagged something, or a family meeting has finally agreed that the situation needs more than primary care can provide.
- [Panic Attack vs Anxiety Attack: 7 Key Differences You Must Know](https://brighthorizonspsychiatry.com/panic-attack-vs-anxiety-attack/): The panic attack vs anxiety attack question is one of the most searched mental health topics in the United States, and for good reason. The two terms get used interchangeably, even by clinicians sometimes, but they describe meaningfully different experiences. One is a clinically defined diagnostic event with sudden, peak-intensity symptoms. The other is a colloquial term for the kind of intense, building anxiety that millions of adults live with every day.
- [Spravato REMS Program Explained for Maryland Patients](https://brighthorizonspsychiatry.com/spravato-rems-program-explained/): The Spravato REMS program is a real safety system, not a bureaucratic hurdle, and understanding it helps explain why Spravato treatment looks the way it does. The same rules that feel inconvenient on paper turn out to be the reason Spravato can be used safely in an outpatient setting at all, rather than only in a hospital.
- [Signs You Might Have Adult ADHD: When to Get Evaluated](https://brighthorizonspsychiatry.com/signs-of-adult-adhd/): Adult ADHD is one of the most under-recognized conditions in mental health, especially for women, professionals who managed to compensate through school, and anyone whose symptoms looked more like inattention than hyperactivity. The signs of adult ADHD often look nothing like the running-around-the-room stereotype most people picture.
- [NeuroStar vs BrainsWay Deep TMS: Honest Comparison](https://brighthorizonspsychiatry.com/neurostar-vs-brainsway-deep-tms/): The two most common TMS devices in the United States are NeuroStar (made by Neuronetics) and BrainsWay (made by an Israeli company of the same name). They look similar in marketing photos. They are clinically distinct in important ways. Standard NeuroStar TMS and BrainsWay Deep TMS are not just different brand names for the same thing. They use different coil shapes, reach different depths in the brain, treat different sets of FDA-cleared conditions, and have different treatment protocols.
- [Do Psychiatrists Do Therapy? A Maryland Patient’s Guide](https://brighthorizonspsychiatry.com/do-psychiatrists-do-therapy/): So do psychiatrists do therapy? The short answer is yes, some psychiatrists do therapy, but not in the way most people picture it. How psychiatry actually works in practice depends on the psychiatrist, the practice model, and the specific care plan a patient needs.
- [Adult ADHD Provider Types: Psychiatrist vs PMHNP vs PCP](https://brighthorizonspsychiatry.com/adult-adhd-provider-types/): Type "adhd doctor near me" into Google and the results blend together fast. Private psychiatry practices, large telehealth platforms, hospital clinics, primary care doctors, and psychiatric nurse practitioners all show up. The marketing all sounds similar. Wait times, pricing, and the depth of evaluation each one offers are not similar at all.
- [Outpatient Mental Health Services and When They Fit](https://brighthorizonspsychiatry.com/outpatient-mental-health-services-explained/): Outpatient mental health services sit at the foundational level of that ladder. They are the most common form of psychiatric care, the most flexible, and for most adults dealing with depression, anxiety, ADHD, or other common conditions, they are exactly the right level. But outpatient care is not the right answer for everyone. Patients in genuine crisis, patients who cannot keep themselves safe, and patients whose symptoms have stopped responding to standard medications often need a more intensive level of care, at least temporarily.
- [Comprehensive Psychiatric Evaluation: Patient Guide](https://brighthorizonspsychiatry.com/comprehensive-psychiatric-evaluation-guide/): The first appointment with a new psychiatrist is rarely what patients expect. Many people arrive thinking they will describe their symptoms, get a diagnosis, leave with a prescription, and be done in 30 minutes. A real comprehensive psychiatric evaluation is something quite different. It is the foundation that everything else in psychiatric care is built on, and shortcutting it tends to produce shortcut treatment.
- [Spravato vs IV Ketamine vs IM Ketamine Compared](https://brighthorizonspsychiatry.com/spravato-vs-iv-ketamine-vs-im-ketamine/): Spravato vs ketamine is the question most patients arrive with, and the honest answer is more nuanced than most clinic websites suggest. Most clinics only offer one of the three options, which means most online comparisons are written by people whose answer is shaped by what they sell. The actual clinical picture is that each form has genuine strengths and real trade-offs, and the right choice depends on the patient's situation, insurance, schedule, and preferences.
- [Accelerated TMS Therapy: What It Is, Who It’s For, and How It Works](https://brighthorizonspsychiatry.com/accelerated-tms-therapy-what-it-is-who-its-for-and-how-it-works/): Traditional TMS takes 6–7 weeks of daily appointments. Accelerated TMS compresses that timeline into 1–2 weeks. If you're struggling with treatment-resistant depression, have considered TMS but feared the lengthy commitment, or need relief urgently—this might be the faster path forward.
- [Can You Get a Same-Day Psychiatrist Appointment in Maryland?](https://brighthorizonspsychiatry.com/can-you-get-a-same-day-psychiatrist-appointment-in-maryland/): The truth: finding a same-day psychiatrist appointment in Maryland is possible. It's not always easy, but it's achievable—especially if you know where to look.
- [TMS Therapy Side Effects: What to Expect Before You Start](https://brighthorizonspsychiatry.com/tms-therapy-side-effects-what-to-expect-before-you-start/): The truth is, most TMS side effects are mild, temporary, and manageable. Most patients experience little to no side effects after the first week of treatment. Here's exactly what clinical evidence and my 15+ years of practice shows patients should expect—the honest, evidence-backed breakdown of TMS therapy side effects.
- [TMS for ADHD: Is It an Option When Medications Aren’t Enough?](https://brighthorizonspsychiatry.com/tms-for-adhd-is-it-an-option-when-medications-arent-enough/): If you have reached a frustrating crossroads—where ADHD medications either don't work well enough or cause unwanted side effects—you may be wondering if there is a third path forward. One emerging, medication-free option gaining clinical recognition is Transcranial Magnetic Stimulation, or TMS for ADHD.
- [TMS Therapy for PTSD: What Maryland Patients Need to Know](https://brighthorizonspsychiatry.com/tms-therapy-for-ptsd-what-maryland-patients-need-to-know/): Transcranial Magnetic Stimulation (TMS), a drug-free, non-invasive brain treatment, is emerging as a beacon of hope for people whose PTSD hasn't responded to conventional approaches. At Bright Horizons Psychiatry in Rockville, Maryland, we're using advanced TMS technology—specifically BrainsWay Deep TMS—to help trauma survivors reclaim their lives. This guide explains what TMS for PTSD is, how it works, what the research shows, and whether it might be right for you.
- [Does Insurance Cover TMS Therapy? A Maryland Patient’s Complete Guide](https://brighthorizonspsychiatry.com/does-insurance-cover-tms-therapy-a-maryland-patients-complete-guide/): The short answer is yes — most major insurance plans cover transcranial magnetic stimulation (TMS) therapy. But I understand the anxiety that question carries. Many patients come into our Rockville office worried about the sticker shock of TMS costs, often hearing estimates of $6,000 to $15,000 out of pocket. The reality? With proper insurance verification and coverage, most of our patients pay between $600 and $1,800 total — a fraction of that fear.
- [TMS vs ECT: Side Effects, Cost & Effectiveness Compared](https://brighthorizonspsychiatry.com/tms-vs-ect-side-effects-effectiveness-and-cost/): If you or someone you love has struggled with depression that won't improve with medication or therapy, you've probably come across the debate over TMS vs ECT. Both are recognized brain stimulation treatments used for treatment-resistant depression, but they differ in many ways. This article breaks down the science, side effects, outcomes, and costs so you can understand why many clinicians and patients now recommend TMS, often as a first choice. We'll also naturally highlight how Bright Horizons Psychiatry in Rockville, Maryland offers patient-focused TMS care. 
- [DSM V and Clinical Depression, What a Diagnosis Really Means for You](https://brighthorizonspsychiatry.com/dsm-v-and-clinical-depression-what-a-diagnosis-really-means-for-you/): If you have ever wondered how clinicians decide whether someone has clinical depression, you are not alone. Many people hear the term DSM V and assume it is a rigid checklist that labels people and puts them in a box. Here’s the thing. The DSM V is a tool, not a verdict. Used well, it helps clinicians understand what you are going through and guides thoughtful treatment decisions. Used poorly, it can feel confusing or impersonal.
- [IOP Therapy Explained, A Clear Guide for People Seeking Structured Mental Health Care](https://brighthorizonspsychiatry.com/iop-therapy-explained-a-clear-guide-for-people-seeking-structured-mental-health-care/): If you are struggling with your mental health and weekly therapy does not feel like enough, you are not alone. Many people reach a point where they need more support than a single session each week, but they do not need or want inpatient care. This is where IOP therapy fits in.
- [How to Find the Right Therapists for Postpartum Depression](https://brighthorizonspsychiatry.com/how-to-find-the-right-therapists-for-postpartum-depression/): Having a baby changes life in ways you never imagined. Joy mixes with exhaustion, excitement sits beside fear, and for some people these feelings grow heavy or hard to shake. That heaviness that lasts beyond the first few weeks after birth could be postpartum depression, or PPD for short. It is more than feeling tired or overwhelmed, it is a clinical condition that affects mood, thought, energy, and the ability to enjoy life. It happens to many families and it is real, common, and treatable. 
- [Understanding Anxiety Disorders: Symptoms and Causes Explained](https://brighthorizonspsychiatry.com/understanding-anxiety-disorders-symptoms-and-causes-explained/): Anxiety disorders encompass a set of mental health conditions defined by intense, excessive, and persistent worry and fear about everyday situations. Anxiety disorders can disrupt daily activities, including job performance, schoolwork, and relationships. They are among the most common mental health issues, affecting approximately 19.1% of U.S. adults in the past year and 31.1% at some point in their lives.
- [5 Signs TMS Therapy May Help Your Depression](https://brighthorizonspsychiatry.com/5-signs-tms-therapy-may-help-your-depression/): Explore five signs that TMS therapy may provide relief for your depression when traditional treatments fall short.
- [Common Questions About Esketamine Nasal Spray](https://brighthorizonspsychiatry.com/common-questions-about-esketamine-nasal-spray/): Esketamine nasal spray offers rapid relief for treatment-resistant depression, requiring close supervision and specific eligibility criteria.
- [Depression Not Improving? Here’s What to Try Next](https://brighthorizonspsychiatry.com/depression-not-improving-heres-what-to-try-next/): Explore advanced options for treatment-resistant depression, including TMS, Spravato, and IM Ketamine, tailored to your needs.
- [How to Know if You Have Treatment-Resistant Depression](https://brighthorizonspsychiatry.com/how-to-know-if-you-have-treatment-resistant-depression/): Learn how to identify treatment-resistant depression and explore advanced options when standard treatments fail to provide relief.
- [Spravato vs Traditional Antidepressants: Key Differences](https://brighthorizonspsychiatry.com/spravato-vs-traditional-antidepressants-key-differences/): Explore the differences between Spravato and traditional antidepressants in terms of effectiveness, administration, and side effects for treating depression.
- [Can Depression Cause Memory Loss?](https://brighthorizonspsychiatry.com/can-depression-cause-memory-loss/): Explore how depression impacts memory, the biological reasons behind it, and effective treatment options for cognitive recovery.
- [Can Men Have Postpartum Depression?](https://brighthorizonspsychiatry.com/can-men-have-postpartum-depression/): Postpartum depression affects fathers too, with unique symptoms and treatment options. Learn about the signs, causes, and how to seek help.
- [Treatment-Resistant Depression vs. Major Depression](https://brighthorizonspsychiatry.com/treatment-resistant-depression-vs-major-depression/): Explore the crucial differences between Major Depression and Treatment-Resistant Depression, including symptoms, diagnoses, and advanced treatment options.
- [TMS vs. Medications: Side Effects for Anxiety Treatment](https://brighthorizonspsychiatry.com/tms-vs-medications-side-effects-for-anxiety-treatment/): Explore the differences in side effects between TMS therapy and medications for anxiety treatment, focusing on safety and effectiveness.
- [Spravato (Esketamine) for Treatment-Resistant Depression](https://brighthorizonspsychiatry.com/spravato-esketamine-for-treatment-treatment-resistant-depression/): Treatment-resistant depression affects millions of Americans, leaving patients and healthcare providers searching for effective solutions when traditional antidepressants fail. In March 2019, the FDA approved Spravato (esketamine nasal spray), marking a revolutionary advancement in depression treatment that offers hope for those who haven't responded to conventional therapies.
- [Transcranial Magnetic Stimulation (TMS) Therapy for Depression](https://brighthorizonspsychiatry.com/transcranial-magnetic-stimulation-for-depression/): Millions of people throughout the world suffer from depression, which often doesn't respond to standard treatments like medicine and therapy. Transcranial magnetic stimulation (TMS) therapy for depression is a unique, advanced, and non-invasive therapy that is quickly becoming popular with both doctors and patients. We'll go over everything you need to know about TMS in this article: how it works, who it benefits, its success rate, the risks, and what to expect from TMS therapy.
- [Digital Depression : How Constant Connectivity Is Affecting Our Mental Health](https://brighthorizonspsychiatry.com/digital-depression-how-constant-connectivity-is-affecting-our-mental-health/): Let’s unpack how this digital depression is quietly taking root in our lives.
- [Is Spravato Right for You? Understanding Eligibility and Who Benefits Most](https://brighthorizonspsychiatry.com/is-spravato-right-for-you-understanding-eligibility-and-who-benefits-most/): When traditional treatments for depression and mood disorders don’t provide relief, many people feel stuck in a cycle of frustration and hopelessness. If you’ve been struggling with treatment-resistant depression (TRD) or major depressive disorder with suicidal thoughts, you may have come across Spravato (esketamine) as a potential treatment option.
- [TMS for Workaholics: Can It Help You Break Free from Chronic Stress?](https://brighthorizonspsychiatry.com/tms-for-workaholics-can-it-help-you-break-free-from-chronic-stress/): For many professionals, the hustle never stops. Long hours, endless deadlines, and the constant pressure to perform create an environment where stress becomes the norm rather than the exception. While ambition and hard work are valuable, being in a constant state of stress can take a toll on mental and physical health. Over time, this can lead to burnout, anxiety, depression, and even cognitive decline.
- [The Long-Term Benefits of TMS Therapy: Does It Provide Lasting Relief?](https://brighthorizonspsychiatry.com/the-long-term-benefits-of-tms-therapy/): One of the most compelling aspects of TMS therapy is its potential to provide prolonged relief from debilitating symptoms. Unlike some treatments that primarily address surface-level concerns, TMS works directly with the brain’s neural pathways. This process helps retrain the brain to operate in healthier patterns, making it possible for patients to maintain their progress even after the initial treatment phase. Patients often experience a newfound sense of balance and stability, enabling them to move forward with greater confidence.
- [Managing Weight Gain Caused By Psychiatric Medication](https://brighthorizonspsychiatry.com/managing-weight-gain-caused-by-psychiatric-medication/): Psychiatric medications play a vital role in managing mental health conditions such as depression, anxiety, bipolar disorder, and schizophrenia. While these medications can significantly improve quality of life, they often come with side effects, one of the most common being weight gain. This can be a frustrating and demotivating experience for patients, potentially affecting adherence to treatment and overall mental health. However, weight gain caused by psychiatric medications can be managed effectively with the right strategies and support.
- [From Doubts to Relief: Debunking Myths About TMS Treatment](https://brighthorizonspsychiatry.com/myths-about-tms-treatment/): Transcranial Magnetic Stimulation (TMS) therapy is a groundbreaking treatment that offers hope to individuals with treatment-resistant depression and other mental health conditions. However, like many innovative medical treatments, it is often surrounded by myths and misconceptions that prevent people from considering its benefits. This article aims to clear up some of the most common myths about TMS therapy and provide accurate, evidence-based information.
- [Bright Horizons Psychiatry: Leading the Way in Depression and Anxiety Treatment in Maryland](https://brighthorizonspsychiatry.com/bright-horizons-psychiatry-leading-the-way-in-depression-and-anxiety-treatment-in-maryland/): Bright Horizons Psychiatry: Leading the Way in Depression and Anxiety Treatment in Maryland
- [The Benefits of TMS Therapy for Anxiety in Rockville, MD](https://brighthorizonspsychiatry.com/the-benefits-of-tms-therapy-for-anxiety-in-north-bethesda-md/): Anxiety affects millions of people worldwide. For many, traditional treatments such as medication and psychotherapy provide significant relief. However, not all individuals respond adequately to these approaches, leaving them searching for alternative solutions. Transcranial Magnetic Stimulation (TMS) therapy is a promising and effective anxiety treatment. This blog explores the benefits of TMS therapy for anxiety in Rockville, MD, and provides insights into how it can help those struggling with anxiety disorders.

## Pages
- [Esketamine Treatment Frederick MD](https://brighthorizonspsychiatry.com/locations/frederick-md/esketamine-spravato/): REMS-Certified Provider
- [Esketamine Treatment Rockville MD](https://brighthorizonspsychiatry.com/locations/rockville-md/esketamine-spravato/): Bright Horizons Psychiatry provides Spravato esketamine nasal spray at our Rockville clinic for adults with treatment-resistant depression. Spravato is given and monitored on site by our clinical team, and every course is overseen by our Johns Hopkins trained psychiatrist. If you want the full picture of how Spravato works, our Spravato treatment overview covers the science, side effects, schedule, and how it compares to ketamine. This page is about receiving that care here in Rockville.
- [Frederick, MD](https://brighthorizonspsychiatry.com/locations/frederick-md/): NOW OPEN IN FREDERICK COUNTY
- [Rockville, MD](https://brighthorizonspsychiatry.com/locations/rockville-md/)
- [Locations](https://brighthorizonspsychiatry.com/locations/): Our Locations Rockville Office 6000 Executive Blvd # 101Rockville, MD 20852 Frederick Office 7360 Guilford Dr STE 100Frederick, MD 21704
- [Patient Portal](https://brighthorizonspsychiatry.com/patient-portal/): Bright Horizons Psychiatry uses AdvancedMD, a HIPAA compliant patient portal, to give you secure access to your records, messages, and appointments from anywhere in Maryland.
- [Psychiatrist near Aspen Hill, MD](https://brighthorizonspsychiatry.com/serving-areas/aspen-hill/): Now accepting New Patients
- [Psychiatrist near Wheaton, MD](https://brighthorizonspsychiatry.com/serving-areas/wheaton/): Now accepting New Patients
- [Psychiatrist near Kensington, MD](https://brighthorizonspsychiatry.com/serving-areas/kensington/): Now accepting New Patients
- [Psychiatrist near Chevy Chase, MD](https://brighthorizonspsychiatry.com/serving-areas/chevy-chase/): Now accepting New Patients
- [Psychiatrist near Potomac, MD](https://brighthorizonspsychiatry.com/serving-areas/potomac/): Now accepting New Patients
- [Important Safety Information](https://brighthorizonspsychiatry.com/important-safety-information/): Brainsway Deep TMS & SPRAVATO® (esketamine) at Bright Horizons Psychiatry
- [Generalized Anxiety Disorder (GAD)](https://brighthorizonspsychiatry.com/generalized-anxiety-disorder-gad/): GAD is the most common anxiety disorder and the one most often mislabeled as "just stress" or a personality trait. This guide explains what GAD actually is, how it's diagnosed, and how it's treated in adults.
- [Psychiatrist near Germantown, MD](https://brighthorizonspsychiatry.com/serving-areas/germantown/): Now accepting New Patients
- [Psychiatrist near Gaithersburg, MD](https://brighthorizonspsychiatry.com/serving-areas/gaithersburg/): Now accepting New Patients
- [Psychiatrist near Silver Spring, MD](https://brighthorizonspsychiatry.com/serving-areas/silver-spring/): Now accepting New Patients
- [Psychiatrist near Rockville, MD](https://brighthorizonspsychiatry.com/serving-areas/rockville/): accepting new patients · Rockville, MD
- [Psychiatrist near Bethesda, MD](https://brighthorizonspsychiatry.com/serving-areas/bethesda/): Now accepting New Patients
- [Serving Areas](https://brighthorizonspsychiatry.com/serving-areas/): Areas we serve
- [Telehealth](https://brighthorizonspsychiatry.com/telehealth/): Telehealth Available Statewide · Maryland
- [Medication Management](https://brighthorizonspsychiatry.com/medication-management/): In-Person & Telehealth Available
- [Intramuscular Ketamine](https://brighthorizonspsychiatry.com/intramuscular-ketamine/): Intramuscular (IM) ketamine is a fast-acting treatment for depression, PTSD and anxiety — especially when other treatments haven't worked. Administered by our clinical team in a private, supervised setting. Results often begin within hours, not weeks.
- [Esketamine Nasal Spray (Spravato®)](https://brighthorizonspsychiatry.com/spravato-esketamine/): REMS-Certified Provider
- [FAQs](https://brighthorizonspsychiatry.com/faqs/): Getting the right psychiatric care starts with asking the right questions. Below you'll find honest, detailed answers to the questions we hear most often from new and prospective patients at Bright Horizons Psychiatry in Rockville, MD.
- [ADHD at Work and School](https://brighthorizonspsychiatry.com/adhd-at-work-and-school/): Struggling to stay focused at work? Falling behind in school despite knowing you are capable of more? You are not lazy and you are not broken. ADHD affects how your brain manages attention, motivation, and time — and with the right support, it is entirely treatable.
- [ADHD Evaluation](https://brighthorizonspsychiatry.com/adhd-evaluation/): Think you might have ADHD? You are not alone. Millions of adults go undiagnosed for years — misdiagnosed with anxiety or depression, told they just need to try harder, or relying on online quizzes that were never designed to replace clinical judgment. A proper ADHD evaluation is the only way to know for certain, and it is the first step toward treatment that actually works.
- [ADHD Symptoms](https://brighthorizonspsychiatry.com/adhd-symptoms/): ADHD symptoms in women tend to present differently. Women are more likely to have inattentive ADHD, which is quieter and less disruptive than the hyperactive type. They are more likely to internalize their struggles, develop elaborate coping systems, and mask their symptoms effectively enough to fool everyone — including the clinicians who should have caught it sooner.
- [Intrusive Thoughts](https://brighthorizonspsychiatry.com/intrusive-thoughts/): Intrusive thoughts are unwanted thoughts, images, or urges that enter your mind without warning. They feel disturbing, out of character, or alarming. Many people have them at times. What matters is how your mind reacts to them.
- [Types of OCD](https://brighthorizonspsychiatry.com/types-of-ocd/): OCD is not one condition. It shows up in many forms, some of which don't look like OCD at first glance. Understanding your subtype is the first step toward treatment that actually matches your experience.
- [OCD Symptoms](https://brighthorizonspsychiatry.com/ocd-symptoms/): Yes, in two senses. OCD symptoms exist on a severity spectrum from mild to severe. Clinically, OCD is part of the broader "Obsessive-Compulsive and Related Disorders" category in the DSM-5, which includes related conditions like hoarding disorder, body dysmorphic disorder, and trichotillomania.
- [Social Anxiety](https://brighthorizonspsychiatry.com/social-anxiety/): Social anxiety is more than shyness. It's a clinical condition that can shape careers, relationships, and daily life, and it responds well to treatment. This guide explains what social anxiety actually is, how it differs from similar conditions, and how it's treated.
- [Panic Attacks & Panic Disorder](https://brighthorizonspsychiatry.com/panic-attacks-panic-disorder/): A panic attack is not a heart attack, but it often feels like one. This guide explains what panic attacks actually are, how long they last, what they do to the body, and how panic disorder is treated.
- [Anxiety Symptoms](https://brighthorizonspsychiatry.com/anxiety-symptoms/): Anxiety often shows up in the body before it registers in the mind. Racing heart, dizziness, nausea, chronic fatigue. This guide explains what anxiety symptoms actually look like, why they're often missed, and when to seek a psychiatric evaluation.
- [Treatment-Resistant Depression](https://brighthorizonspsychiatry.com/treatment-resistant-depression/): If you've tried two or more antidepressants without adequate relief, you are not broken. You have treatment-resistant depression, a recognized clinical condition with a growing set of advanced treatment options. Bright Horizons Psychiatry specializes in this population.
- [Types of Depression](https://brighthorizonspsychiatry.com/types-of-depression/): Depression is not one condition. It's a family of disorders, each with its own pattern, cause, and path to recovery. Understanding which type you're experiencing is the first step toward treatment that actually works.
- [Depression Symptoms](https://brighthorizonspsychiatry.com/depression-symptoms/): The neurovegetative symptoms of depression are often what bring people to their primary care doctor first, before they realize depression is the underlying cause.
- [Insurance Eligibility](https://brighthorizonspsychiatry.com/insurance-eligibility/): Insurance & Billing
- [Conditions](https://brighthorizonspsychiatry.com/conditions/): 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.
- [HIPAA Notice](https://brighthorizonspsychiatry.com/hipaa-notice/)
- [Medicare-Accepting Psychiatrists in Rockville, Maryland](https://brighthorizonspsychiatry.com/medicare-accepting-psychiatrists-in-rockville-maryland/): Accepting New Medicare Patients
- [Medicaid-Accepting Psychiatrists in Rockville, Maryland](https://brighthorizonspsychiatry.com/medicaid-accepting-psychiatrists-in-rockville-maryland/): Accepting New Medicaid Patients
- [TMS](https://brighthorizonspsychiatry.com/tms/): Now Accepting New Patients
- [Resources](https://brighthorizonspsychiatry.com/blog/)
- [ADHD Treatment in Rockville, MD](https://brighthorizonspsychiatry.com/adhd-treatment-in-rockville-md/): Whether you're newly diagnosed, still struggling without real support, or just starting to connect the dots — Bright Horizons Psychiatry is here. Led by Dr. Amir Etesam, a Johns Hopkins–trained psychiatrist, our Rockville practice offers the full spectrum of ADHD care: medication management, TMS therapy, and personalized treatment plans — with same-day appointments and most insurance accepted.
- [Testimonials](https://brighthorizonspsychiatry.com/testimonials/): patient testimonials
- [Terms of Service](https://brighthorizonspsychiatry.com/terms/)
- [Privacy Policy](https://brighthorizonspsychiatry.com/privacy-policy/)
- [Refer a Patient](https://brighthorizonspsychiatry.com/referral-by-providers/): Not satisfied with results of antidepressantsResponded to medication but not in remissionStruggling with medication side effectsHas failed 2 or more medication trialsPrefers to avoid antidepressants or augumentors
- [Reviews](https://brighthorizonspsychiatry.com/reviews/): We’re proud to help our patients feel better—and even prouder when they choose to share their experience.

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## Teams
- [Naomi Velez](https://brighthorizonspsychiatry.com/team/naomi-velez/)
- [Isabella Kronau](https://brighthorizonspsychiatry.com/team/isabella-kronau/)
- [Kendall Myers](https://brighthorizonspsychiatry.com/team/kendall-myers/)
- [Mehjabeen Khalid](https://brighthorizonspsychiatry.com/team/mehjabeen-khalid/)
- [Sianne Bell](https://brighthorizonspsychiatry.com/team/sianne-bell/)
- [Nancy Vargas](https://brighthorizonspsychiatry.com/team/nancy-vargas/)
- [Sepideh Adl](https://brighthorizonspsychiatry.com/team/sepideh-adl/)
- [Anita Paudel](https://brighthorizonspsychiatry.com/team/anita-paudel/)
- [Shelly Valliath](https://brighthorizonspsychiatry.com/team/shelly-valliath/)
- [Dr. Amir Etesam](https://brighthorizonspsychiatry.com/team/dr-amir-etesam/): Dr. Amir Etesam, MD, is a board-certified psychiatrist, the founder, and medical director of Bright Horizons Psychiatry, a leading psychiatric practice located in Rockville, Maryland, serving patients throughout Montgomery County and the greater Washington, D.C. metropolitan area.