Trauma and PTSD therapists & psychiatrists in Gaithersburg, MD

If you've ever felt uneasy, unheard, or just plain frustrated trying to manage your mental health on your own — I want you to know that's exactly where so many of my clients start. And it's exactly why I do this work.

I'm Lisa, a Psychiatric Nurse Practitioner serving clients throughout Maryland through telehealth and in-person visits. My practice centers on helping people navigate anxiety and depression, two of the most common — and most treatable — challenges I see. Whether you're struggling to get out of bed in the morning or caught in a loop of worry you can't seem to escape, I meet you where you are, without judgment.

Hi, I'm Precious! I'm a Licensed Clinical Professional Counselor who believes therapy should feel like a conversation, not an interrogation. I work with teens, adults, couples, and families experiencing anxiety, depression, stress, relationship challenges, life transitions, and trauma. My goal is to provide a supportive, judgment-free space where you can be yourself while learning practical tools that help you feel better, grow, and move forward.

My passion and desire to draw on experiences from my 33-plus-year marriage, including raising four now-adult children, inspired me to return to school and earn a Bachelor’s degree in Christian Counseling. In addition, I earned a Master’s Degree in Professional Counseling with a concentration in Marriage and Family Therapy. Allow me to walk alongside you to help process overwhelming experiences and paralyzing life moments. Hope restored is life regained.

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.

Hi my name is Danielle Spitelle. I am a Licensed Clinical Social Woker. I graduated from the University of Maryland School of Social Work in 2012. I have been doing therapy with children and adults since 2012. I provide a strength-based approach utilizing cognitive behavioral therapy, solution focused brief therapy, mindfulness training, and psychodynamic therapy. I love seeing change in my clients as they work through the healing process.

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.

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.

Meet Toni Session, LPC, LCPC—a steadfast servant and seasoned counselor, passionately advocating for mental health in both the District of Columbia and the state of Maryland. Born in Bridgeport, CT, and blossoming in Southern Maryland, Toni’s journey led her from a BA in Psychology with a Pre-Law minor at Johnson C. Smith University to mastering Marriage, Family, and Couples Therapy at Capella University in 2014. Toni is a proud member of Lambda Omicron Chi Christian Sorority, Inc and Sigma Gamma Rho Sorority, Inc.