Still Struggling With Depression?

You're Not Alone — And There Are New Options.

TMS and Spravato® at Bright Horizons Psychiatry

FDA-approved treatments for depression that hasn't improved with medication.

Still Struggling With Depression?

You're Not Alone — And There Are New Options.

TMS and Spravato® at Bright Horizons Psychiatry

FDA-approved treatments for depression that hasn't improved with medication.

Covered by Insurance
Medicare Medicaid Blue Cross Cigna Aetna United Healthcare More

When medication isn't enough… there are treatments that work differently.

Many people with depression try multiple medications without feeling better. That doesn't mean you're out of options — it just means your brain may respond better to a different approach.

At Bright Horizons Psychiatry, we specialize in neuromodulation: safe, evidence-based treatments that directly target the areas of the brain involved in mood.

What We Offer

Evidence-based treatments designed to help when traditional approaches haven't worked.

Transcranial Magnetic Stimulation (TMS)

A safe, non-invasive therapy that uses gentle magnetic pulses to stimulate the parts of the brain involved in mood.

  • No medication. No anesthesia. No downtime.

  • Many patients begin to feel improvement over a series of sessions.

  • FDA-approved and covered by most insurances.

    Helps restart healthy brain activity.

Spravato® (Esketamine Nasal Spray)

An FDA-approved treatment given in our clinic for adults with depression that has not responded well to other therapies.

  • You relax in a comfortable room while the medicine begins working.

  • Our team monitors you throughout the visit.

  • Can reduce symptoms quickly for some patients.

Why These Treatments Help When Medications Haven't

Transcranial Magnetic Stimulation (TMS)

  • Targets mood circuits directly

  • Helps restart healthy brain activity

  • No systemic side effects like weight gain or sexual side effects

  • Covered by most insurances

Spravato® (Esketamine Nasal Spray)

  • Works on a different pathway than traditional antidepressants

  • Can reduce symptoms quickly for some patients

  • Given in a supportive, supervised environment

  • FDA-approved for treatment-resistant depression

Our Approach

Expert Neuromodulation Care, Led by a Johns-Hopkins Trained Psychiatrist

Bright Horizons Psychiatry is led by Dr. Amir Etesam, an engineer-turned-psychiatrist who specializes in advanced treatments for depression.

Our team has helped countless individuals who thought they had "tried everything" finally experience relief.

  • Compassionate one-on-one care

  • Precise clinical decision-making

  • State-of-the-art neuromodulation technology

  • Insurance support and step-by-step guidance

Your story matters — and your treatment should reflect that.

Still not sure which treatment is right for you?

We'll help you figure it out.

Takes less than 2 minutes • No commitment required

What Patients Often Ask

We're here to answer your questions and help you feel confident about your care.

Is this safe?

Yes. Both TMS and Spravato® are FDA-approved and used nationwide. These treatments have undergone rigorous clinical trials and are proven to be safe and effective when administered by qualified healthcare professionals.

Will I feel anything?

TMS feels like a light tapping on the scalp. Most patients find it comfortable and can read or relax during sessions. Spravato® is a nasal spray given in a relaxing room where you'll be monitored throughout your visit.

Do I qualify?

If you've tried at least 2 antidepressants without enough improvement, you may qualify for both treatments. Insurance typically requires this history. We'll help you determine eligibility during your consultation.

How soon can I start?

Most patients can begin treatment within 1–2 weeks, depending on insurance approval. Our team will work with you to streamline the process and get you started as quickly as possible.

Your First Visit: What to Expect

We make getting started simple, supportive, and stress-free.

01.

Friendly Consultation

We listen to your symptoms, history, and goals.

02.

Personalized Plan

We explain whether TMS, Spravato®, or another option fits your needs.

03.

Insurance Support

Our team helps with approvals and paperwork.

04.

Begin Treatment

Start safely, comfortably, and with a supportive team beside you.

People Who Thought Nothing Would Help… Finally Found Relief

You Don't Have to Keep Struggling.

There are options — and we're here to help you explore them.

Bright Horizons Psychiatry

Expert neuromodulation care for treatment-resistant depression

6000 Executive Blvd # 101
Rockville, MD 20852, United States