Come, let's sit together and talk

Our diverse and experienced group of couples therapists, individual counselors, and family therapists bring warmth and positive energy to help you repair and enrich your relationships--starting with your relationship to yourself. We'll help you find the relief you're looking for.

Individual Counseling

We help individuals increase self-esteem, relieve anxiety and depression, and find relief from painful relationship patterns.

Couples Therapy

We help committed and married couples improve communication, restore trust, and deepen intimacy so that your relationship thrives again.

Premarital Counseling

We help engaged couples prepare for marriage through thoughtful discussion of important topics to craft your vision for a happy married future.

“Owning our story and loving ourselves through that process is the bravest thing that we will ever do.”

Brené Brown

We understand what you’re going through.

And we can help.

Searching for good help and the right therapist can feel like being lost at sea.

Perhaps you’re on the sinking ship of a marriage in desperate need of repairs. Perhaps you’re adrift on a raft without a paddle, feeling unable to steer your life in the direction you want and feeling lonely and sad. Perhaps you’ve been swimming for a long time and you’re tired and afraid that you can’t keep swimming like this for much longer.

Let the diverse and experienced counselors at Emily Cook Therapy be your lighthouse. We’re here to help. Come in to the safe harbor of our practice to learn skills, process experiences, and make plans for a positive future. The relationship with your therapist will be built on trust, mutual respect, and understanding. We are specifically trained to help you repair and enrich your relationships, and we start with the relationship you have with yourself.

Our Bethesda, MD counseling practice offers individual counseling and marriage and family therapy for couples, individuals, adolescents, children, and families. We also specialize in premarital counseling; discernment counseling for couples on the brink; pregnancy and postpartum support; play therapy for children; and treatment for anxiety and depression in adolescents and adults. Our highly trained Bethesda, MD therapists help you reach your unique goals, such as improving work/life balance, healing from an affair, restoring intimacy and connection, building a life that you are proud of, and learning about the ways you think and feel.

We are located in downtown Bethesda, MD, convenient to the Red Line Bethesda Metro station and easy parking options. We accommodate busy schedules by offering morning, daytime, and evening appointments every day of the week, including weekends. We have immediate openings for new client appointments. We do not participate with any health insurance plan directly, but will successfully help with submitting for out-of-network reimbursement.

Contact us today to request a free telephone consultation. We’re looking forward to working with you.

Come, let's sit together and talk

240-424-5328 |

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Quick Guide to Counseling Services in Bethesda MD


Children learn about themselves and their world through play. Play therapy for children ages 3+ is a safe place for them to learn new skills, process trauma, and gain control over their emotions and behaviors. Parents are highly involved in play therapy treatment so that improvements continue at home and at school. If you are seeking support for your child, or support for yourself as a parent, our play therapist can help. Read more about getting help for your child through play therapy in Bethesda, MD.


Our approach with clients suffering from depression is a combination of talk therapy, lifestyle changes (such as diet, exercise, and sleep habits), and coordination of care with other medical professionals who may prescribe medication if appropriate. We work together to process your feelings, we problem solve how depression gets in your way of wholehearted living, and we heal relationships that have changed. Our therapists believe that feeling joyful again is possible, but our optimism and hope will never negate your experience of sadness. Read more about individual therapy for depression.


We offer couples therapy for partners who are looking make positive changes in their relationships, whether they are dating, engaged, married, or committed. Our Bethesda, MD couples therapists blend strategies and interventions from several couple therapy models to fit our conversations to your unique goals. By learning new skills, healing emotional injuries, experiencing each other’s vulnerabilities in a safe way, and gaining insights about how each partner’s past influences current behaviors, we work together to build a compassionate and joyful relationship. Read more about couples therapy in Bethesda, MD.


Our therapists know how challenging the adjustment to parenthood can be. No matter the age of your children, family therapy is a helpful way for each family member to express their concerns and learn to work together toward common goals. Our Bethesda, MD family therapists can help you as you transition to parenthood through pregnancy or adoption, adjust to life with a newborn, set appropriate limits and boundaries for behavior problems in young children, and communicate more effectively in ways children and teens understand. Parents will leave feeling more united as a team, and children/teens will leave feeling understood and loved. Family therapy is also beneficial for siblings and extended relatives. Read more about family therapy in Bethesda, MD.


Discernment counseling differs from marriage counseling in important ways. The goal of discernment counseling is not to solve problems in the relationship, but to figure out whether partners want to solve the problems. Both partners’ agendas (one wanting to stay, one wanting to leave) are honored, so the process balances individual and couple conversations. And discernment counseling is always short term, lasting 1-5 sessions. Our Bethesda, MD discernment counselors know how challenging it can be to make a decision about the future of a troubled relationship. You will leave discernment counseling sessions with greater clarity and confidence to make a decision, based on a deeper understanding of what’s happened to your marriage. Read more about discernment counseling in Bethesda, MD.


Anxiety and stress often get in the way of a fulfilling life and we believe therapy can help. Our individual counselors and marriage and family therapists have been trained to help clients think about the stress in their lives in the context of their relationships. Clients benefit from this ‘systems thinking’ approach because it brings your stress outside of your own self and into the world of your relationships. This is very freeing! We work together to achieve your goals, always reaching toward a more peaceful life. We often incorporate helpful books or in-session tasks that expand our conversations and deepen the benefits of talk therapy. Read more about individual therapy for anxiety and stress.