Columbia Associates in Psychiatry

Columbia Associates in Psychiatry is the largest and oldest child, adolescent and adult psychiatric practice in the Washington Metropolitan Area. Our group of psychiatrists, psychologists, advanced practice nurses, social workers, and dietitians at locations in Virginia, Maryland, and DC have exceptional experience working with children, adolescents, adults, and families with a range of disorders.

The clinicians at Columbia Associates partner with you, our patient, through the course of evaluation and treatment. This allows us to understand your needs, describe the most effective treatment options, and support you in your efforts toward improving your health. Our primary relationship is with you, not with insurance companies, but we understand financial and insurance considerations that impact your decisions.

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The Perinatal Project


The Perinatal Project is a division of Columbia Associates in Psychiatry, treating women's mental health through the perimenstrual, perinatal, and perimenopausal periods.

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We are proud and pleased to introduce SPRAVATO™ nasal spray, a different kind of prescription medicine for adults with treatment-resistant depression (TRD) and the first one in decades approved by the FDA.

SPRAVATO Risk Evaluation and Mitigation Strategy Program

SPRAVATO is only available under a Risk Evaluation and Mitigation Strategy (REMS) program. The REMS

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TMS Therapy

NeuroStar TMS Therapy is the first non-systemic and non-invasive outpatient depression treatment cleared by the US Food and Drug Administration (FDA) for patients who have not benefited from prior antidepressant treatment.

TMS Therapy Testimonials

Testimonials from Other Patients Who Received NeuroStar TMS

At first I thought that this treatment was just the “same old, same old.” In fact, it turned out to be a very relaxing time which I am now trying to duplicate at home as part of a regular morning routine. I…

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TMS Media Coverage

Transcranial Magnetic Stimulation (TMS) has been featured in several prominent news publications highlighting its success in treating depression. Among these publications are: National Geographic, Scientific American, Psychiatric Times, Harvard Health, Men’s Health, and Forbes. See…

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TMS stands for “transcranial magnetic stimulation.” It is used to treat depression by stimulating the brain noninvasively using electromagnetic fields, similar to…
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Neurostar TMS Safety

Clinical trials have demonstrated the safety of NeuroStar TMS Therapy® in treating patients who have had an inadequate response to prior antidepressant…

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Neurostar TMS Efficacy

Clinical trials have demonstrated the effectiveness of NeuroStar® TMS Therapy in treating patients who have not benefited from prior antidepressant medication. NeuroStar…

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How Does TMS Work?

Through a magnetic coil, the NeuroStar TMS Therapy system generates highly concentrated, magnetic fields which turn on and off very rapidly. These magnetic fields are the same type and strength as those produced by a magnetic resonance imaging (MRI) machine.

The treatment coil is applied to the head above the…

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Depression and TMS

Transcranial Magnetic Stimulation (TMS)

Transcranial magnetic stimulation therapy uses short pulses of magnetic fields to stimulate nerve cells in the area of the brain thought to control mood. It is sometimes referred to as rTMS which stands for repetitive transcranial magnetic stimulation. TMS patients receiving TMS Therapy remain awake and…

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Columbia Associates in Psychiatry is the largest and oldest child and family psychiatric practice in the Washington Metropolitan Area.

Outpatient Services

We understand the importance of consistent treatment. One way that our psychiatrists are able to meet your needs is by working with you during any level of treatment. We offer psychiatric support to our clients including specialty focus on women’s mental health during the perimenstrual, perinatal, and perimenopausal

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Psychiatry for Children and Adolescents

Think of a child’s mind – the possibilities, the openness, the future. You would do anything to protect and nurture the potential. So when difficulties arise in school, at home, or in coping with what life brings, you respond with wisdom and kindness. You know that children are unique and…

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Psychiatry for Adults

Medications specific to mood or anxiety disorders can be as dramatically helpful as some television commercials portray.  At the same time it takes an experienced and perceptive therapist to prescribe the right mix of treatments tailored to each person’s unique strengths, needs, and preferences.

The clinicians at Columbia Associates are…

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Psychological Assessments

Correct Diagnosis + Correct Treatment = Progress

Psychological testing is helpful in understanding in a systematic way (based on well researched evaluation instruments) a person’s intellectual, educational, and emotional functioning. It is often used in situations where it is difficult to determine the underpinnings of intellectual, educational, and/or emotional problems…

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Individual, Family, and Group Therapy


We emphasize the importance of meaningful treatment. We offer the most appropriate combination of therapy geared to your individual needs. We understand the dynamics of working with individuals within the context of their families. Our therapists are trained to work with individuals as well as their families.…

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Art Therapy

What is Art Therapy? A form of psychotherapy where emotions and thoughts are expresses symbolically through the creation of personal imagery. The art produced is reflected upon and explored with the guidance of an art therapist in order to work through areas of conflict and distress.

Art therapy provides a supportive…

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Our Specialties

We have many specialties. Click on one to learn more:

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Our Providers are available for Telepsychiatry as well as offering appointments 7 days a week and evenings!

Meet Dr. Spivack

Now I’m a NeuroStar :60 commercial

Our focus is on helping patients maximize their strengths to lessen the impact of stress in their lives. At Columbia Associates, We Emphasize Results.