Find a therapist in Germantown, MD — covered by insurance

I provide structured, evidence-based psychiatric care for adolescents and adults with anxiety, mood disorders, ADHD, and complex mental health conditions. I specialize in treating individuals who have had limited response to prior treatment and require a more personalized, clinically guided approach. I also have extensive experience supporting individuals with autism spectrum disorder (ASD) and intellectual and developmental disabilities (IDD) in both community and residential settings.

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.

Mental health care should feel approachable, not overwhelming. I'm a board-certified psychiatric provider in Maryland, and my practice centers on creating a space where patients feel genuinely heard and supported. I work with adults navigating anxiety, depression, and PTSD, bringing a warm, energetic, and direct style to every session. My aim is to help you understand what you're experiencing and take concrete steps forward, because progress is possible and you don't have to figure it out alone.

I believe that it is important for everyone to know that they matter! While the content is serious in nature, I imbue a bit of levity and hope as appropriate.

I am motivated to help motivate and assist others to take the steps necessary in combating challenges and improving their quality of life.

I have worked with all ages, with professional experience spanning mental health, behavioral care, education, business, writing and more. I enjoy time with family & friends, fishing, crabbing, sports, writing, cooking, music, the great outdoors and more.

Hi, I’m a board-certified Psychiatric Mental Health Nurse Practitioner providing compassionate, personalized mental health care for adults and young adults. I believe healing happens when you feel heard, understood, and supported — not rushed or judged.

I work collaboratively with my clients to create treatment plans that fit your goals, lifestyle, and values. Whether you’re struggling with anxiety, depression, stress, life transitions, or trauma, we’ll take the time to understand the whole picture and find what truly works for you.

My approach combines thoughtful medication management with therapy-informed care, education, and practical coping strategies. My goal is to help you feel more balanced, confident, and in control of your life.

If you’re ready to take the next step, I’d be honored to support you on your journey.

My clients would describe me as caring, direct, supportive, humorous, affirming, and down to earth. If you are here and need these, then you are in the right place. I have been practicing as a licensed therapist for over 7 years and genuinely enjoy helping others reach their full potential. Life happens. But so does therapy, so let's give this a try!

My intention is to provide a judgment-free space where we can talk about what is going on and collaborate to move forwards in the best way possible. I am flexible in my approach to counseling, and I tailor my counseling style based on the needs of each person I work with. I enjoy working with a wide range of clients (age, gender, concerns, etc.) and I am passionate about what I do. I am into fitness and healthy lifestyle, and I support my clients with creating their own foundation of wellness.

I’m a therapist with more than 10 years experience in the field, in a wide variety of different settings. I prefer to utilize a Person-Centered, Solution-Focused perspective in providing treatment, and I'm highly practiced in a variety of CBT-based techniques. I'm happy to speak at length with patients about childhood traumas, their subconscious needs, and the impact of family upbringing on their adult lives- but that doesn't have to be therapy!

I’m committed to providing a respectful, compassionate, supportive, caring, and evidence-based mental health services in a safe space and supportive environment. I strive to listen without judgement because I understand each client’s unique circumstances, and work collaboratively to maintain and develop individualized treatment plans that promotes recovery, personal growth, and emotional wellbeing.

I am Giesel Kemani, a Board Certified Psychiatric Nurse Practitioner with over 20 years of nursing experience across various healthcare settings and 3 years as a Psychiatric Nurse Practitioner. I obtained my BSc. in Nursing from Chamberlain School of Nursing and my post-master certificate as a PMHNP from Walden University.

At Gigi Psychiatric Services, we make high-quality mental health care accessible from the comfort and privacy of your home. We offer both medication management & therapy in a single appointment — saving you time and money. Pairing therapy and medication to treat depression and anxiety can help you feel better faster, with a 75% improved chance of recovery. We treat Depression, Anxiety, Insomnia, Mood disorder, ADHD, Bipolar and many other psychiatric issues.

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.