About You

At Comprehensive Behavioral Health, we are here when you feel:

Anyone is alone when no one else is around, but sometimes we feel alone in a crowd or with loved ones nearby. Often depression tells us things that aren't really true about our relationships with other people. Depression may be telling you that being alone is the safest way to be, or that isolation is all that you deserve, or that it is the only option you have. There is help to combat the cycle of mental and physical isolation that depression can make us crave.

How long have you been sad?  Do you know what you are sad about, or is it just a general attitude about life now?  Can you remember a time when life was actually happy?  Depression colors our world blue, but there are so many other colors to appreciate.  Talk to someone who can help you repaint your world in a new palette of colors.

Going nowhere? Can you identify with the basketball player who can’t find a clear pass to another teammate and can’t move without receiving a penalty, so he goes around and around with one foot planted - but gets nowhere?  If you feel like you are stuck in one place mentally or physically and can’t move without being penalized, you may be depressed. The great news is that another perspective can help.  Reach out. We would love to help get you moving in a better direction.

Depression is often misunderstood.  Those who are depressed feel that deeply.  We feel isolated and sad and we are sure no one else feels this way or understands, even though we usually know in the back of our minds that it can’t really be true.  Look for others who can help clear up the misunderstandings, because sometimes we are even misunderstanding ourselves.

Are you invisible?  Does it feel like you are not seen or heard?  Can it be both a comfort and a frustration at times?  Usually we aren’t as invisible as depression makes us feel we are, but being on display can be more uncomfortable than being invisible.  How do you find your comfortable place?  There are people who have worked hard to become a safe person who can help you feel visible and comfortable.

Being depressed feels like being under a lot of pressure.  It is even part of the word: depressed. When you are depressed, it can be difficult to identify accurately where the pressure is coming from.  Is it from outside or inside yourself?  Often being under something heavy is not a very good position from which to get a good perspective on our situation.  Help often comes from someone who can see a bigger picture.  Ask for help.

Anxiety and worry can take over your life.  Sometimes, a brain suffering from depression grabs onto an idea as it spins around inside your head - and won't let go. If you are so anxious that your muscles are often sore, or you can't relax no matter what you try, or your stomach hurts but you aren't sure why, it may be your depression talking.  Ask for help to let go without falling, to stop the cycle of fear and anxiety.

Do you feel like you are yelling in a room full of people with earplugs in?  They might smile at you, or pat you on the head, or nod like they agree with whatever you are saying, but they don’t really hear you?  Maybe no one even looks at you.  Depression makes difficult situations even worse.  It colors our perspective and says it is your fault.  Ask for help to see things without the voice of depression interfering with your communication.

Nothing gets you excited anymore.  Everything just seems like the same old thing. There doesn’t seem to be much of a point to cleaning dishes that will just get dirty again, or mowing the lawn for it simply to grow again, or going to another day of work or school where nothing gets any better.  Even though you used to enjoy these things (or at least some of them), there is no joy in it now.  Depression stole the joy.  Want to find joy and satisfaction in life again?  Talk to us.  We want to help.

Anger can be a secret product of depression.  It might not just be that you have a bad temper.  Have you been angry for a long time and there doesn’t seem to be a source for it - you get angry at anything and everything?  Or maybe you have unexplainable bouts of sudden anger.  Then you are confused and sad, and angry that you are confused and sad.  Tell someone who can help about what you are experiencing.  It isn’t hopeless.

Paranoia is the irrational and persistent feeling that people are out to get you.  It may be a general feeling of not being safe, or it may be coming from a specific source.  Depression often makes us feel that our things or ourselves are unsafe when that is completely untrue.  Don’t live in fear when you can get help to fight back and feel safe again.

How long has it been since you felt strongly about anything?  Numbness can be a safe place for a little while after something exhausting or traumatic.  But living in numbness for long periods of time is not good for anyone.  It isn’t healing after a while. It is probably depression.  When we are still wrapped in a thick wool winter blanket and it is summertime, we need help to safely come back out into the warm weather.  Ask for help.

In a world where everyone else seems to have a map or GPS, you feel left out.  You aren’t sure where to go to get to where you want to be.  You might not even know where you want to be anymore.  Depression takes us into the back streets and drops us off where there aren’t any signs or signals.  We would like to help you figure out where you are and where you want to go.  We aren’t going to make the decisions for you, but we can help.

Fear is a terrible state to live life in.  It limits where you can go, what you can do, and who you can do anything with.  If you experience chronic, persistent fear, it may be a symptom of depression.  Depression is treatable.  Push back at the fear.  Ask for help and expand your limits.

Stagnant water stinks after awhile.  It takes on the temperature of the air around it and isn’t refreshing or appealing.  Is depression making your life feel like it is standing still, a little smelly, and becoming less appealing day by day?  Ask for help.  Find the water source that adds movement back to your life so it can be refreshing and appealing again.

Alone
Sad
Stuck
Misunderstood
Unseen
Depressed
Anxious
Unheard
Unmotivated
Angry
Paranoid
Numb
Lost
Fearful
Stagnant

We understand these are just a few emotions you might be experiencing; reach out at arlington@cbhmh.com or call us at (703) 812-4642. We can help.

How we can help

Are you struggling with any of these?

Treatment for ADHD

Comprehensive Behavioral Health can help you understand ADHD symptoms and learn how they relate to day-to-day life for both children and adults. Individuals with ADHD may struggle with any number of tasks on a daily basis, but with the proper treatment, they can better understand and manage their symptoms. CBH offers treatment for ADHD in the DMV metro area, including Bethesda, Arlington, and Winchester.

What Is ADHD?

Attention deficit hyperactivity disorder creates symptoms related to inattention, hyperactivity or impulsivity. Inattentive symptoms of ADHD include difficulty focusing and disorganization. Hyperactive or impulsive ADHD symptoms include fidgeting, interrupting others and talking without stopping. Individuals with ADHD may have one main category of symptoms or a combination of all three.

The behavior symptoms associated with ADHD can make certain structured tasks difficult for children. These factors often go hand-in-hand with school avoidance — a common situation in which children and teenagers feel anxious or fearful toward schooling. Addressing the underlying symptoms of ADHD can help individuals increase their well-being, making school into a learning environment again rather than a challenge they encounter every day.

About 8.4 percent of children experience symptoms of ADHD, making it one of the most common mental conditions among children. Around 2.5 percent of adults also have ADHD. ADHD can be identified using diagnostic assessments, scales and the individual’s history.

ADHD Treatment Available at CBH

An effective ADHD treatment plan has two elements:

  • Medication management: Taking medication is one of the most effective steps in managing the symptoms of ADHD. Many individuals with ADHD choose to take stimulant or non-stimulant medications to improve their symptoms. These medicines modulate the amount of chemicals in the brain that manage concentration and memory. Our ADHD psychiatrists can work with you or your child to find the right medication for them.
  • Therapy: Behavioral therapy for ADHD involves raising the patient’s awareness of certain behaviors and teaching them how to manage these actions using appropriate skills. Our ADHD psychologists and therapists can provide psychoeducation to help you and/or your child better understand the effects of ADHD and teach skills to better manage symptoms.

Telepsychiatry Services for Individuals With ADHD

CBH offers telemedicine services to individuals across Maryland, and Virginia. You or a loved one may qualify for insurance coverage under our care. Please contact our office to find out if we take your plan.

Schedule an Appointment for You or Your Child

At Comprehensive Behavioral Health, we nurture a compassionate environment where you can receive care without judgment. We understand that managing the symptoms of ADHD can be difficult, and we want you to feel at ease at our practice. Please contact our office online or call 703-812-4642 to schedule an appointment. Our team serves children, adolescents and adults in the Washington D.C., metro area including Arlington, Bethesda and Winchester.



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Treatment of Autism Spectrum Disorder

Individuals with Autism Spectrum Disorder experience symptoms to different degrees and have varying levels of function. Our team has extensive training and experience working with individuals with autism.

What Is the Autism Spectrum?

The autism spectrum encompasses a range of traits and symptoms that impact how someone sees the world and other people. Autism spectrum disorder characteristics include:

  • Sensory processing differences — sensitivity to light or the need for extra sensation
  • Non-standard learning and problem solving
  • A special interest in specific subjects
  • Repetitive, atypical movements
  • A need for order and consistency
  • Issues with verbal and non-verbal language
  • Difficulties with typical social interactions

Every person with autism spectrum disorder faces unique challenges. For example, while some individuals with autism have learning difficulties, others have problems only with socialization.

How Does Autism Affect a Person’s Life?

As you can see, many of the traits associated with autism don’t cause harm on their own. However, they can make it harder to function in society and everyday life. When someone has severe symptoms of autism, they can have difficulty with speaking or becoming independent. Autism spectrum disorder can also cause behavioral challenges that interfere with healthy development in children.

How Does CBH Help Individuals With Autism?

The experienced care team at CBH offers multiple forms of therapy for autism spectrum disorder that help patients live satisfying lives, including:

  • Behavioral therapy: ABA-trained therapists can help manage challenging behaviors and patterns for individuals with ASD. We’re happy to provide referrals to ABA therapists for our patients.
  • Medication management: Medications can go a long way toward helping with behavioral challenges that accompany ASD. Our team can help with understanding and finding the right medications to decrease behaviors associated with the disorder, improving the lives of individuals with ASD.

We may also address any accompanying symptoms or conditions the patient experiences. For instance, individuals with autism can develop anxiety or depression due to the difficulties they face. Our team will provide additional treatments as needed to promote each patient’s well-being.

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Bipolar Disorder Treatment

Bipolar disorder causes changes in mood, behavior, energy and focus. With help from the professionals at CBH, you can manage these symptoms and live a more fulfilling life. We offer therapy and treatment for bipolar disorder in a supportive setting.

What Is Bipolar Disorder?

An individual with bipolar disorder goes through phases of intense emotions and behavior changes. You can categorize these mood episodes into three types based on their symptoms:

  • Manic episodes: A bipolar diagnosis requires that a person experiences at least one manic episode. During these phases, they have an elevated mood that can give them excess energy or make them feel agitated. The feelings caused by a manic episode may feel good to the person, but they can also cause impulsive and reckless behavior.
  • Depressive episodes: Depressive episodes create feelings of sadness and hopelessness. The individual can have low energy levels and problems with focus. During these periods, they can experience many of the symptoms associated with major depression.
  • Episodes with mixed features: Some mood episodes include both depressive and manic symptoms. For example, someone may experience fatigue (depressive) and impulsivity (manic) at the same time.

Individuals who have severe mood episodes can also experience delusions or hallucinations that match their mood at the time.

How Does Bipolar Disorder Affect a Person’s Life?

Bipolar disorder can impact many aspects of a person’s life. Mood episodes of all levels of severity can get in the way of daily function. Depressive symptoms lower energy levels and make it difficult to think or concentrate. While some individuals with bipolar disorder have manic episodes only, the symptoms can still result in dangerous behaviors. Accompanying conditions and symptoms like anxiety and headaches can create more complications. Bipolar disorder treatment can increase quality of life for many individuals.

What Can CBH Do to Help Those With Bipolar Disorder?

Our multidisciplinary team offers bipolar disorder treatments such as:

  • Diagnosis: Bipolar disorder has many symptoms that overlap with other conditions. We can evaluate your symptoms to find the correct diagnosis and treatment.
  • Medication management: A variety of medications can help individuals with bipolar disorder relieve their symptoms. Our psychiatrists will work with you to find the right medicine and dosage.
  • Therapy: Bipolar disorder therapy involves re-framing your thinking patterns and behaviors to develop coping skills. Your counselor will listen to your feelings in a judgment-free environment.
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Depression Treatment

Depression affects 16.2 million American adults and 3.1 million American teenagers. Even though mental health awareness is growing within society, depression can still be a lonely and isolating struggle. At CBH, we strive to help individuals through medication and therapy manage their symptoms and leave their depression behind.

What Is Depression?

Depression is a mood disorder that causes persistent sadness, fatigue, hopelessness and loss of interest. Individuals who are struggling with this condition can experience some or all of the symptoms associated with it. Many factors can cause depression, including genetics and trauma. In some cases, another mental or physical health disorder can result in someone developing depression. Different forms of this condition can even have triggers related to childbirth and the seasons.

How Do I Know If It’s More Than Sadness?

When you have undiagnosed depression, it can be hard to tell if you have a legitimate condition. Some individuals with depression worry that they don’t have an illness but just an overreaction to sad feelings. If you’ve experienced symptoms for two weeks or longer, you could receive a diagnosis of depression. Individuals who have depression find that their mood and low energy interfere with their daily functioning. For example, you might notice yourself getting less work done or sleeping for a shorter or longer time than usual.

We encourage anyone who feels that they may need help to come to us for behavioral health services and depression treatment. Our experts can diagnose and treat your symptoms in a judgment-free environment. Whether you have depression or a combination of disorders, we can find a solution together.

What Can CBH Do to Help Individuals With Depression?

Treatment for depression at CBH includes the following services:

  • Therapy: During therapy for depression, a licensed therapist will work with you to understand your symptoms and behaviors. They’ll provide psychoeducation and explore your thought and behavior patterns with you to help you understand and challenge both in a safe environment.
  • Medication: Your psychiatrist may prescribe you an antidepressant to relieve your symptoms. These medications come in many types, and you’ll receive plenty of support during treatment to find the right choice.
  • Transcranial magnetic stimulation (TMS): TMS therapy involves the use of magnetic fields to stimulate brain cells. This noninvasive procedure uses a magnetic coil placed on the scalp to send pulses to the affected area. TMS has been shown to help individuals with depression where medication may not have worked.

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Obsessive Compulsive Disorder (OCD) Treatment

Obsessive-compulsive disorder (OCD) causes uncontrollable habits and feelings that interfere with daily living. If you think you have OCD, you’re not alone — around one in 100 American adults has the disorder. At CBH, we offer obsessive-compulsive disorder therapy and treatment in a supportive environment.

What Is OCD?

When someone has OCD, they experience repeating obsessions (thoughts) and compulsions (behaviors) they can’t control. The obsessions caused by OCD create anxiety that urges the person to do an action. They may check a locked door, count items or order and arrange things. A person with OCD spends at least one hour every day thinking about their obsessions or performing compulsions.

Most individuals develop OCD symptoms as teenagers or young adults. We don’t know the exact cause of this disorder, but it seems to have a connection to environment and genetics. Trauma may also trigger the issues associated with OCD.

How Does OCD Impact a Person’s Life?

OCD symptoms can interfere with work, school and relationships. Since individuals with OCD spend so much time on their uncontrollable obsessions and compulsions, they have less time for other activities. In some cases, they can’t make it to important functions, like social activities or their job. The individual can become so consumed by their obsession and/or compulsion that it triggers anxiety unless they complete their ritual. Some compulsions, such as excessive hand-washing, can even cause medical issues like skin problems.

The stress caused by OCD can also result in the development of additional mental health problems. Some individuals with OCD have a tic disorder that causes them to make uncontrollable movements or vocal noises. They can also have depression, anxiety disorders or substance abuse disorders.

What Can CBH Do to Help Individuals With OCD?

CBH provides the following treatments for patients dealing with OCD:

  • Medication: As an obsessive-compulsive disorder treatment at CBH, your psychiatrist might prescribe an antidepressant. Antidepressants and other mental health medications can balance the chemicals in your brain to reduce your symptoms.
  • Therapy: Patients at CBH can receive many types of OCD therapy that help them control their behavior. In exposure therapy, the patient practices how to avoid compulsions in response to obsessions. Other approaches, such as cognitive therapy, work on obsessive thoughts.

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What Is Panic Disorder?

Panic disorder is a distinct form of anxiety. While most anxiety disorders cause panic attacks, these attacks have clear triggers. When panic disorder causes an attack, it doesn’t have a clear reason for happening. The panic attacks become a panic disorder when they cause an individual to change their behavior or feel anxious about future attacks.

A panic attack causes many severe and uncomfortable symptoms, including:

  • Feelings of fear and dread
  • Increased heart rate
  • Trouble breathing
  • Nausea
  • Sweating
  • Shaking

While panic attacks don’t pose any physical danger, they can affect a person’s well-being, and these symptoms tend to cause additional stress.

How Does Panic Disorder Impact a Person’s Life?

The unpredictable nature of the attacks caused by panic disorder makes the person with the condition fear having more of them. As a result, they can experience anxiety symptoms or develop additional anxiety disorders. Many individuals with panic disorder have agoraphobia because they create an association between their attacks and specific locations. Some begin to avoid certain places or objects out of fear of triggering an attack. Someone with panic disorder also has a high chance of developing depression or medical problems.

How Can CBH Help?

We specialize in addressing behavioral health conditions like panic disorder — we’ll work to ensure that you can have a more fulfilling life with our panic disorder therapy and treatment. Our mental health team addresses the condition using two approaches:

  • Medication management: Antidepressants and anxiety medicines can relieve the symptoms associated with panic disorder. Our experts will find and prescribe a medication that suits your symptoms. They may prescribe one type of medicine or multiple medications. Over time, they’ll also help you adjust your medication dosages for optimal treatment.
  • Therapy: Understanding your thoughts and feelings and how they relate to your panic disorder can help you manage your symptoms. Therapy for panic disorder involves identifying any triggers, negative thought patterns or unhealthy behaviors and working with you to change these habits. You’ll also learn coping strategies to use when you have a panic attack or related symptoms.

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Post-Traumatic Stress Disorder (PTSD) Treatment

When trauma affects you long after it happens, you could have post-traumatic stress disorder (PTSD). If you think you have this condition, the team at CBH can help. Our providers can evaluate your symptoms and help you find a treatment that improves your well-being.

What Is PTSD?

Individuals who deal with traumatic events or experiences can develop PTSD. This disorder causes symptoms like anxiety and intrusive memories of the trauma. Some of PTSD’s effects have an obvious link to the event. For example, you can have flashbacks, nightmares or unwanted memories of what happened. Meanwhile, other symptoms of PTSD change behavior, which can include unconscious actions like avoidant behavior, sleeping problems and irritability.

How Can Behavioral Health Care Help My PTSD?

The issues associated with PTSD can get in the way of daily functioning and cause distress. PTSD treatment can help you:

  • Change negative thought patterns
  • Feel less anxiety and depression
  • Get a better night’s sleep
  • Improve focus
  • Have more balanced moods
  • Understand your behaviors

Post-Traumatic Stress Disorder Therapy at CBH

CBH uses cognitive behavioral therapy (CBT) and its variants to relieve symptoms. The types of therapy we offer to patients with PTSD include:

  • Cognitive behavioral therapy (CBT): In CBT, the therapist and patient work together to change the thoughts underlying the patient’s feelings and behaviors. PTSD can cause unhelpful thinking that makes it difficult to function. CBT challenges those thoughts to help the patient cope better in everyday life.
  • Cognitive therapy: During cognitive therapy, the therapist and patient reframe the patient’s memories of the trauma. Together, they discuss the patient’s evaluations of their memories and figure out how to look at them in a productive way.
  • Prolonged exposure therapy: In prolonged exposure therapy, the patient has gradual encounters with trauma-related triggers. Therapists provide this service when the patient has avoidant behaviors. Over time, the patient learns that the trigger is safe and that they do not need to avoid it.

Some of our patients with PTSD also receive antidepressants to manage their symptoms. Your psychiatrist will discuss whether they recommend them.

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TESTIMONIALS

We love Dr. Nene and others at CBH. They've been great for us!

We are grateful to have received the mental health care we need for our family member. We have been to many places where they don't get to know their patients. The staff and the doctor were so kind and caring. 

Thank you for giving me a shoulder to cry on and an ear to listen.  

CBH is such a personable practice and the staff really care about your needs! 

~ Jeff Jones
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