Make an Appointment: (301) 565-2212 | [email protected]

  • “Thoughtful Therapy for Life’s Transitions”

    Private Pay Therapy in Silver Spring, MD — serving High-Achieving Professionals, Women, Teens & Young Adults throughout Bethesda, Chevy Chase, Rockville, Kensington, and Montgomery County.

    Our clients are often capable, driven, and successful, yet privately struggle with anxiety, depression, burnout, stress, life transitions, or emotional overwhelm. Many are used to managing on their own but recognize the value of confidential, professional support to feel more balanced, clear-headed, and in control.

    Our group practice provides personalized, evidence-based therapy tailored to the needs of high-functioning individuals who want thoughtful, experienced care.

    With over 50 years of combined clinical experience, our therapists specialize in helping clients move through anxiety, depression, and life’s most challenging transitions toward greater emotional resilience and well-being.

    Anxiety and Depression Therapy in Silver Spring, MD

    As anxiety and depression therapists in Silver Spring, MD, we help clients understand what’s driving their symptoms — not just manage them. Whether you’re dealing with chronic worry, persistent low mood, overthinking, emotional numbness, or difficulty functioning the way you used to, our approach is focused on lasting change rather than temporary relief.

    Anxiety and depression are the most common reasons people seek therapy, and they frequently occur together. Our therapists are experienced in treating both, using approaches tailored to each person’s specific experience. We help clients feel calmer, clearer, and more like themselves again.

    Therapy for High-Achieving Professionals in Montgomery County

    We provide therapy for professionals in Silver Spring, Bethesda, Chevy Chase, and throughout Montgomery County experiencing anxiety, depression, burnout, perfectionism, career stress, and work-life imbalance.

    For many high-functioning people, anxiety shows up as constant pressure and overthinking, while depression can look less like sadness and more like going through the motions — a quiet flatness that’s hard to explain to the people around you. Therapy offers a confidential space to step out of that pressure, gain perspective, and restore balance.

    Women’s Therapy for Anxiety, Depression & Life Transitions

    We specialize in women’s mental health, helping women in Silver Spring and the DC area navigate anxiety, depression, burnout, relationship challenges, midlife transitions, and menopause. Our therapists understand how anxiety and depression often show up differently in women — shaped by hormonal shifts, caregiving demands, and the weight of managing too much for too long.

    We support women in reconnecting with themselves and feeling more grounded, confident, and emotionally well.

    Teen and Young Adult Therapy in Silver Spring, MD

    We provide therapy for teens and young adults in Silver Spring, MD who are struggling with academic stress, anxiety, depression, emotional challenges, and life transitions. Anxiety and depression are both common in this age group and often go unrecognized — dismissed as typical stress or moodiness.

    Therapy helps young people identify what they’re actually experiencing, build coping skills and confidence, and develop emotional strength during critical developmental years.

    Why Choose Private Pay Therapy

    Our private pay therapy practice allows for the highest level of privacy, discretion, and individualized care. Without insurance limitations, therapy is fully personalized and focused on your specific goals — with no diagnostic requirements, no session limits, and complete confidentiality.

    Our group practice allows us to match you with a therapist in Silver Spring who specializes in your needs, whether you are seeking therapy for anxiety, depression, burnout, women’s mental health, or teen and young adult support.

    Our Approach: CBT and DBT Therapy

    Our therapists use evidence-based approaches including Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) — two of the most well-researched treatments for anxiety and depression. We help clients understand patterns, develop effective coping strategies, and create meaningful, lasting change tailored to their specific needs.

    We are committed to providing high-quality private therapy for professionals, women, teens, and young adults in Silver Spring and the surrounding Montgomery County area.

    Our Therapy Office Location

    Our therapy office is conveniently located in Silver Spring, MD on the DC/Maryland line. We serve clients from Washington DC, Bethesda, Chevy Chase, Rockville, Kensington, Takoma Park, and throughout Montgomery County. Telehealth sessions are also available.

    Thoughts & Emotions, LLC 7981 Eastern Ave, Suite C5 Silver Spring, MD 20910

    Schedule a Private Consultation with a Silver Spring Therapist

    If you are looking for a private pay therapist in Silver Spring, MD, we invite you to contact our practice to schedule a confidential consultation. We will help match you with a therapist who specializes in anxiety, depression, burnout, or whatever you’re navigating — and who is the right fit for your needs

    Compassionate & Professional

    We care about you, your family, and your story. You can trust that we will treat you with respect, dignity and compassion in every interaction, while maintaining the highest standards for integrity and ethics.

    Schedule a Private Consultation

    We invite you to contact our practice to schedule a private consultation and be matched with a therapist who is the right fit for you.

    Meet Our Staff

    Rupal Mistry, LCPC

    Rupal Mistry, LCPC

    Rupal provides personalized therapy for high-achieving professionals, women navigating life/health transitions, and teens & young adults facing academic, emotional, and social stress.