ADHD therapists and psychiatrists in Gaithersburg, MD

Welcome

Hello, and thank you for considering me as your therapist. My name is Tarianda Ruston, and I have more than 25 years of experience working in the helping profession. I am a licensed clinical social worker in both Maryland and the District of Columbia, with a diverse background that has allowed me to support individuals and families through many of life's challenges.

Throughout my career, I have worked in child welfare, foster care and adoption, inpatient mental health, custody cases, special education, and school mental health. These experiences have provided me with a deep understanding of the unique challenges people face across different stages of life. My passion is helping individuals discover their strengths, overcome obstacles, and build the tools needed for lifelong emotional wellness.

I believe therapy is a partnership built on trust, respect, and authenticity. My role is not to tell you what to do or make decisions for you. Instead, I provide a safe, supportive, and nonjudgmental space where you can explore your thoughts, emotions, and experiences openly. Through thoughtful questions, compassionate reflection, and evidence-based strategies, I will help you gain insight, clarify your values, and make choices that align with the life you want to create.

As a Board-Certified Psychiatric Mental Health Nurse Practitioner with over ten years of healthcare experience and a strong foundation in medical-surgical, oncology, and psychiatric nursing. My diverse clinical background has given me a comprehensive understanding of both physical and mental health, allowing me to provide compassionate, evidence-based care tailored to each individual's unique needs.

I understand that reaching out for help can feel overwhelming. Many of my clients come to me feeling anxious, exhausted, misunderstood, or unsure of what they need. Whether you're facing ADHD, anxiety, depression, PTSD, mood changes, behavioral concerns, or other mental health challenges, I strive to create a space where you feel comfortable, respected, heard, understood, and supported.

My approach is collaborative and personalized. I work closely with each client to develop an individualized treatment plan that aligns with their goals, values, and lifestyle. Depending on your needs and preferences, I offer therapy, medication management, or a combination of both to provide comprehensive, well-rounded care.

Above all, I am committed to creating a safe, welcoming, and supportive environment where you can openly share your concerns, build resilience, develop effective coping strategies, and achieve meaningful, lasting improvements in your mental health and overall well-being.

Welcome! I would be honored to work with you in exloration of you. With many years of experience, I want and intend to understand you, and offer improvement for whatever you seek. You can be your happiest and healthiest self , living your best life.

Let's talk.

I understand that seeking help can feel overwhelming, especially when you’re struggling with anxiety, depression, trauma, or mood changes. As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I provide compassionate, evidence-based care focused on helping you regain stability and move forward with confidence. I earned my MSN from Eastern Kentucky University and my Doctor of Nursing Practice (DNP) from Missouri State University. With experience in urgent psychiatric care, inpatient psychiatry, and outpatient treatment, I work with you to create a personalized plan that supports healing, resilience, and long-term well-being.

Hello, My name is Julia Smail and I am the owner of Spill The Tea Counseling. I believe we all have feelings & thoughts that are waiting to be expressed. Do you find it challenging transitioning through different parts of your life & managing emotions along the way? How about being able to express yourself & be validated in a safe & trusting space? The challenge in life is finding who you are as a person & not what others want you to be. Building a trusting relationship with yourself can lead to strengthening your identity & developing a sense of self through awareness & mindfulness. Transitions can be challenging but beautiful

I am a neurodivergent-affirming therapist who was diagnosed with ADHD as an adult. I provide a safe space to express thoughts & feelings, as well as establish tools to support you in your growth. With various techniques & tools practiced, you will be able to feel mentally, emotionally, & physically balanced as you navigate through life's transitions.

If you’re feeling isolated, unmotivated, or like nothing you do really matters — you’re not alone. I specialize in supporting folks who are struggling with anxiety, depression, or bipolar disorder. I deeply believe that every person deserves to feel respected and seen first and foremost as a human being, not just as a diagnosis.

I’ve seen how hard it can be to feel like your life is on pause — like you’re watching from the sidelines. It hurts. I get how lonely that can make you feel, and I’m here to show you there is a path forward.

I'm Francis Aneke, and I work with adults navigating mood disorders, anxiety, and depression. I believe healing happens when you feel genuinely heard — not rushed through a checklist. My practice is built on the idea that mental health doesn't exist in a vacuum: your relationships, work, sleep, body, and history all shape how you feel today. Whether you've been in therapy for years or are reaching out for the first time, my goal is to make this space feel like one where you can show up exactly as you are. Together, we'll work toward the kind of relief and clarity that lasts beyond our sessions.