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 complex 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 how 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 meaningful 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 better understand how much time may be needed for you. 

Individual Therapy

Sessions for individual counseling with a licensed therapist, psychologist, or social worker can range 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 they 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 a family may 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 are not the same; therefore, if you believe you need 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 suffers 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 crucial 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 play a role in a pregnant woman’s moods, when feelings of depression, difficulty staying focused or completing your daily activities, or 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 called 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 an extended time, they could be suffering from postnatal depression.

Signs of That You May Need Help

Although people experience depression and anxiety in different ways, some common warning signs 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 that 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 prematurely
  • 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 a lot of gray areas 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 committed, supposedly monogamous partner is unfaithful, it can leave people feeling very alone and thinking that no one understands what they are going through. It’s often 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 things that couples quickly move on 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—then 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 them.

► 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 pretty 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.

Common Mistakes to Avoid When Choosing a Therapist

If you’re struggling with your mental health, you may be thinking about seeing a therapist in Bethesda, MD. However, it can be tricky to select the right one with so many different therapists out there. Here are some common mistakes to avoid when choosing a therapist.

  • Not Talking to Several Therapists: Finding the right therapist can take some time. Some people don’t want to spend that much time and settle on the first therapist they speak to. This is a big mistake. Take the time to talk to several therapists before you make a hiring decision. After you consult with multiple therapists, compare their cost, experience, and location.
  • Not Being Honest About What You Want: Before you start searching for therapists, you need to determine what you want in your therapist and stick to your preferences. For instance, you may prefer to speak to a female therapist rather than a male one. Or you may feel more comfortable working with a therapist who shares your cultural background.
  • Choosing Convenience Over Quality: While it would be nice to see a therapist whose office is close to your home, it’s not always in your best interest. If you don’t click with a therapist, it’s not worth going to their office just because they are close. It’s better to drive a little farther if it means finding a therapist who understands you.
  • Neglecting to Speak to Your Insurance Company: Mental therapy doesn’t come cheap. That’s why you should consult your health insurance company before choosing a therapist in Bethesda, MD. If the therapist is in the insurance company’s network, they will cover a big part of the cost.
  • Failing to Ask the Right Questions: Your first meeting with a therapist should be like an interview. Don’t be afraid to ask the therapist tough questions. Although it might seem awkward at first, it’s worth it to ask the right questions initially. For example, you may want to ask the therapist if they have experience in treating your condition or what a typical session will be like. 

Choosing a Therapist Your Friends Likes: Just because your friends like a particular therapist in Bethesda, MD, doesn’t mean they are the right fit for you. Don’t go to a therapist just because your friend sees them.

Choosing the Right Therapist in Bethesda, Maryland

As you might now see, there are so many issues a therapist can address; however, there are also several misconceptions or mistakes that can be made when looking for the right one. If you’re considering therapy, you might know that choosing the right therapist can be quite the task. 

After all, you may feel as if you are putting your well-being into their hands. How you might ask, do you choose someone who will look after you in the way you need? Every therapist is unique. Each one might have their own focuses, specialties, methods, and so forth. One of the most important things to consider is whether or not the therapist is a good fit for your needs – based on how they practice. Take some time to think about what your motivations or goals for therapy might be. Are there things you want to work on? Are you seeking to make changes? What issues would you like to address? Write these things down. If you are unsure, that is okay. You will figure these things out as you meet with the therapist. 

Who Are You Comfortable With? 

Your professional therapeutic relationship is essential. Naturally, you might find it easier to build a relationship with one person over another. When looking for the proper Bethesda, MD therapist, consider the following:

Gender – Some people will be more comfortable when they open up to a therapist of a particular gender. 

Sexual Orientation or Identity – Perhaps you are part of the LGBTQ community. In this case, you might feel comfortable with a therapist in that community too, or very supportive/familiar with it. 

Religion – Some therapists base their therapy around a spiritual or religious set of ideas or principles. 

Race, Culture, Ethnicity – Some people might want a therapist who relates to or shares their ethnic or cultural background.

Language – It can be very beneficial to have a therapist who speaks your native language. 

Sometimes it makes sense to trust someone who shares your ethnic background.

The above are some general considerations, but it might not be possible to find a therapist who meets all of them. Please keep an open mind and know that no one will ever understand you 100% because they are not you. That said, a good therapist will be empathetic and strive to put themselves in your shoes. 

Areas of Focus

Most therapists are well trained in treating depression, anxiety, and other common mental health disorders. If you are dealing with something specific, like a particular trauma, addiction, terminal illness, and so forth, it might be a good idea to look for a therapist who focuses on this area. 

Some therapists might use a certain kind of therapy. While many will be trained to practice several techniques and match them according to your needs, you can look for a therapist specializing in specific methods. 

Remember, Your Needs to Change

Perhaps you’ve tried therapy in the past. It might have worked, or it might not have. Ask yourself if there was anything you liked or didn’t. Use this information to give you some insight. Perhaps you will want a similar therapist. Or, you might look for someone who can bring you a new perspective on things. Just remember, what worked in the past might not work now. And what works today might not have worked in the past. Healing and recovery is a process. Your needs can change. Learn to grow with them to make the best of things. If you are ready to speak with a Bethesda, Maryland therapist, call Lindsey Hoskins & Associates today. 

If you are ready to take the next step…
  1. Schedule a first appointment or complimentary telephone consultation with one of our clinicians using our client portal.

Schedule an Appointment

       2. Call our scheduling office at MD: 240-752-7650, ext. 0.

        3. Fill out the contact form below, and someone from our staff will be in touch with you.

Choosing Therapy for Infidelity Issues

If you and your partner are dealing with relationship issues, working with a therapist in Bethesda, MD, may offer the support you are looking for. While there are many reasons why couples experience relationship issues that call for couples therapy, dealing with infidelity can deeply devastate couples and their families. Infidelity can take on many forms, and a therapist can help you and your partner face these problems to talk through issues and determine how best to move forward with the relationship. Sadly, it may be challenging to recover from infidelity, and you may decide that you can no longer remain in the relationship. However, regardless of the outcome, Lindsey Hoskins & Associates can assist with opening the lines of communication so that you can determine how to move forward. 

Facing Infidelity

Infidelity can be one of the most challenging issues faced by couples today. When infidelity is disclosed, there can be a severe impact on the couple and all connected to them. Dealing with infidelity can be incredibly complex, and at times, it may cause deep distress and intense conflict within the family. While it may sometimes feel as though you will never be able to repair the relationship, seeking therapeutic support will be in your best interest if you are hoping to reach some resolve. While couples therapy may be effective, at times, individual treatment may be appropriate as well. Infidelity is a profound portrayal, one that you and your partner may be challenged to overcome. The emotions will be overwhelming, and facing it with our Bethesda, Maryland therapist can help find peace and resolution.

Types of Infidelity

When thinking about infidelity, physical relationships with another person are usually the first to come to mind. However, it’s essential to know that infidelity can take on several forms. In essence, infidelity is when one or both people violate their agreement(s) with the other. Types of infidelity include: 

  • Cyber Infidelity
  • Physical Infidelity
  • Object Infidelity
  • Infidelity with Money
  • Emotional Affairs

It’s important to know that many types of infidelities can arise, but it’s possible to repair the relationship. Working through infidelity will take commitment and dedication, so support from a therapist can be imperative as they can help ensure that both are heard and supported throughout the process. 

How a Therapist Can Provide Support

A therapist will be able to provide therapeutic strategies for couples. Therapy can take on many forms, and sometimes, there’s not always a one-size-fits-all strategy. You and your partner may choose to attend counseling together or through one-on-one sessions with a therapist. Infidelity can result in anger, depression, and even anxiety. At times, it may be challenging to overcome these issues alone, so a therapist’s support should be a top priority. Therapy can be a way for couples to discuss their experiences, address problems, apply strategies employed by an experienced therapist, and determine what happens next. 

Problems related to marital discord and infidelity can profoundly impact not only the couple but also their families. Lindsey Hoskins & Associates provides a comfortable, safe space to work on your marriage and develop new communication methods. Time is of the essence, and the longer you let things fester, the worse they may become. Schedule therapy with our Bethesda, MD team so that you can begin the process of rebuilding your marriage.