therapist in bethesda md

Therapist Bethesda MD

A Bethesda, Maryland therapist allows you to set aside a special time each week to explore aspects of your life that you think might be improved, and to talk about potentially difficult topics in a safe confidential environment. It is a time to focus only on yourself — me time, in the truest sense — and is an enriching way to care for yourself.

What issues can be addressed by our therapists in Bethesda?

  • Struggles with depression;
  • anxiety;
  • making difficult life transitions;
  • preparing for future couple or family work;
  • the desire for personal growth or to individuate; or
  • a personal problem that seems indefinable.

As we explore personal issues during this time, we may also talk about your couple, family, or other relationships, adopting a systemic perspective to explore the ways in which the contexts you are embedded in influence your life.

If you choose, you may transition to couple or family therapy after being in individual therapy for any length of time by inviting loved ones with whom you have important relationships to join you in therapy at our Bethesda, MD location.

Schedule an appointment online for individual therapy with one of our therapists in Bethesda or call our office today.

How Much Time Should I Schedule for a Therapist’s Session?

Seeking help for yourself or your family often means a significant time commitment. Although the timetable shouldn’t discourage you from treatment, it can be helpful to know in advance what to expect. Once you select a therapist in Bethesda, MD, you can speak with him or her about your needs to gain a better understanding of how much time may be needed for you. 

Individual Therapy

Sessions for individual counseling with a licensed therapist, psychologist, or social worker can range anywhere from about 45-85 minutes; however, the most typical session length is 50-55 minutes. Sessions rarely end before the 45-minute mark, as most therapists in Bethesda, MD feel they can provide better treatment in sessions that are at least one hour. Your first session may be longer to complete intake paperwork, the initial assessment, and to allow enough time for you to “interview” your therapist.

Couples Therapy

In couples counseling, sessions tend to hover around 55 or 85 minutes, depending on the issues and what the Bethesda, MD therapist or couple deems necessary. However, the first three sessions will typically last close to 60 to 90 minutes. The therapist needs time to meet the couple together and, in some cases, individually. After he or she can provide a recommendation on how to proceed.

Family Therapy

Family therapy tends to have the broadest range of counseling styles due to the wide variety of issues that a family may have to face. Family therapy may address situations such as:

  • Divorce
  • Domestic violence
  • Mental or behavioral problems in a family member (depression, substance abuse, etc.)
  • Loss of a family member or traumatic experience

Despite the range of treatment types, each visit generally lasts 50-60 minutes. Family therapy is often short-term and goal-oriented, and many therapists in Bethesda, MD can help improve the family dynamic in 6 – 12 sessions.


Psychiatrists differ from other therapists as they can also prescribe medication to treat issues ranging from mood disorders like depression to dissociative illnesses such as schizophrenia. Sessions with a psychiatrist can range from 15 minutes to an hour, with the initial assessment visit ranging from 1-2 hours. Future appointments will generally be shorter, 15-20 minutes for your psychiatrist to check in and determine your medication’s effectiveness. If your psychiatrist is also treating you with a method such as psychotherapy, your appointments will likely average the same as they would with individual counseling; just under an hour.

Psychological and psychiatric therapy can be as varied as the treated individual. Yet, you can generally expect any one session to last about an hour or an hour and a half. It should be understood that a therapist and a psychiatrist is not the same; therefore, if you believe you are in need of a psychiatrist, you should speak with your doctor or therapist to explore your options in further detail. 

Call your therapist in Bethesda, MD, and they can help you determine the exact length and frequency of visits that will be most beneficial to you and your loved ones.

Pregnancy Anxiety and Stress

It is perfectly normal for expecting parents to feel anxious as they plan for their baby’s arrival, especially if this is their first child. However, for many, this anxiousness can turn into depression and anxiety. According to national statistics, one in 10 women suffer from anxiety and depression during their pregnancy. While it is normal to have some worry during this time, if you find that your anxiety or depression is having a negative impact on your life, it is important to seek help from a Bethesda MD therapist.

When depression and anxiety begin during the pregnancy, it is referred to as antenatal depression or antenatal anxiety. While hormones do play a role in a pregnant woman’s moods, when feelings of depression, difficulty staying focused or completing your daily activities, or having intrusive thoughts go beyond what is usually experienced, a woman may require treatment from a Bethesda MD therapist so it does not get worse.

When depression and anxiety are experienced after the baby’s birth, this is referred to as postnatal or postpartum depression or anxiety. Experiencing the “baby blues” after the baby is born is something many new mothers experience. This is caused by hormones trying to go back to normal levels. Many women report feelings of sadness, anxiety, being overwhelmed, and shedding lots of tears. These feelings usually disappear quickly. But if they continue or the woman feels constantly numb, unable to cope, and miserably unhappy for and extended period of time, they could be suffering from postnatal depression.

Signs of That You May Need Help

Although people experience depression and anxiety in different ways, there are some common warning signs that could indicate the need to seek out the help of a Bethesda MD therapist:

  • Constantly feeling nervous or on edge
  • Constantly worried or feelings of anxiety, especially about the health of the baby
  • Difficulty concentrating and focusing
  • Feeling fatigued all the time
  • Feeling sad, tearful, and crying for no apparent reasons
  • Feelings of anger or guilt
  • Feelings of being overwhelmed
  • Insomnia
  • Irritable
  • Lack of energy
  • Lack of interest in activities you used to enjoy
  • Loss of interest in personal relationships
  • Loss of interest in sex
  • Neglecting personal hygiene
  • Not wanting to leave the house
  • Obsessive or compulsive behaviors
  • Overeating or lack of appetite
  • Panic attacks
  • Short-tempered
  • Suicidal thoughts
  • Worrying about harming the baby

Many of these symptoms can be typical of new, sleep-deprived parents, so they may not always indicate a psychological issue, however, if these symptoms last for more than a few days, it is time to contact a therapist in Bethesda MD.

Are Certain People More at Risk for This Type of Depression?

Although anyone can develop antenatal or postnatal anxiety or depression, there are some factors which could increase a woman’s risk of developing these issues, including the following:

  • Having a previous history of anxiety or depression
  • If there is a family history of mental illness
  • If the mother had a prior loss of a baby, either because of miscarriage, stillbirth, or termination
  • If the mother had past fertility issues
  • If the pregnancy is difficult
  • If the birth was difficult
  • If there are medical issues for the mother of the baby
  • If the baby was born premature
  • If there are feeding issues with the baby
  • If the baby cries excessively, wakes up a lot, or has trouble settling
  • If the mother is stressed out about finances, relationships, or job
  • If there is a lack of family and social support for the mother
  • If the mother has a history of childhood trauma or neglect

Call to meet with a therapist Bethesda MD patients recommend from Lindsey Hoskins & Associates today.

Dispelling the Myths and Misconceptions About Infidelity

Many misconceptions and myths about infidelity exist. Many of these stem from black-and-white reasoning. People often like the certainty that this kind of thinking provides. It’s cut and dried. However, the problem is that humans and their relationships are messy and complicated.

Each licensed therapist in Bethesda MD from Lindsey Hoskins & Associates can explain that there’s a lot of gray area that black-and-white thinking doesn’t cover. When we remain inflexible and ignore this fact, we can feel we have very few options. Then, we may be unable to make sense of our lives and feel stuck. Good or bad, black or white—these simply don’t work when we’re talking about human beings and marriages.

Myths About Infidelity

► Divorce is unavoidable. Is divorce inevitable when infidelity happens? It’s understandable why so many people think so. Individuals who experience the unfaithfulness of a spouse might feel and say some specific things. Some spouses say it’s the one thing they can’t get over. Some may demand that their spouse leave immediately or that infidelity is a deal-breaker, and trust can never be re-established. Still, if it happens to you, the decision can seem much less straightforward. It might surprise you to learn that many individuals who experience infidelity stay married.

When a partner in a committed, supposedly monogamous relationship is unfaithful, it can leave people feeling very alone and thinking that no one understands what they are going through. Often, it’s just not something that people who have cheated or been cheated on like to talk about. A therapist in Bethesda, MD understands that affairs are not a thing that couples move on from easily from, laugh about later, and tell the story to their families.

If infidelity has happened in your marriage, no one will blame you if you choose to end it. Or, you could stick with it and try to work it out. A Bethesda MD therapist can help. It’s important to remember that divorce is not the only option. Indeed, couples do stay together and work it out after an affair. Many couples remain married—even happily married—than you may realize.

► The unfaithful partner didn’t love their spouse. Or, the affair was merely about sex.

While some people do cheat for reasons such as these, they aren’t the only ones. Frequently, affairs are not about these things at all. Instead, they are about the partner who strays exploring themself. The unfaithful partner may indeed love their spouse very much and even share a satisfying sex life with her or him.

► The non-cheating partner must have done something or behaved in a way that triggered the affair. Malarkey. No one can make a cheater out of you. Your partner may have treated you poorly; but, you still made your choices.

► Individuals who cheat are terrible people. Of course, this is a very black-and-white thought pattern. Many partners who stray are good, lovable people who made regrettable mistakes. Even the best people make poor choices, and sometimes they are quite costly and hurtful.

Finally, if you’re dealing with an unfaithful partner, you don’t have to go it alone. Reach out to Lindsey Hoskins & Associates to meet with a therapist Bethesda MD couples recommend for help through couples or individual counseling.