

Coping with the loss of a loved one requires specialized support. In Baltimore, Headway offers grief therapy with providers experienced in helping you process anticipatory grief, unresolved grief, and complicated grief. Our network includes therapists skilled in imaginal recounting and other proven techniques, available for sessions designed around your schedule and healing timeline.
Whether you are struggling with the far-reaching impact of past trauma, relationship challenges, anxiety, depression, PTSD, or other ongoing health issue or simply wanting to invest in a bit of self-exploration and growth, I am so glad that you have begun your search for the best facilitator in that journey. I believe in meeting people where they are and allowing you to set your own pace for healing. I look forward to assisting on your healing journey in any way that I can.
I focus on three areas I have come to know deeply, both clinically and personally: complex and generational trauma, adult children of narcissistic or emotionally immature parents, and prenatal/postpartum mental health. I can appreciate and understand the feeling of the rug being pulled out from under you and having to create a new identity after these experiences.
Together, we explore how inherited patterns shape identity, relationships, and self-worth.
Because I know how painful it can be to live with patterns you did not choose, I offer therapy that is both compassionate and practical, a space where you can feel understood, make sense of your experiences, and begin moving forward with more clarity, self-trust, and intention with you as the lead expert of your experience.
On a personal note, I am happily married and a new mom. I am a lifelong learner and am committed to personal and professional growth through ongoing education, supervision, and therapy.
I am a board-certified Psychiatric Mental Health Nurse Practitioner with experience across multiple levels of psychiatric care, including outpatient clinics, inpatient psychiatric treatment, partial hospitalization programs, and emergency department psychiatric consultations. This diverse background allows me to work effectively with individuals experiencing a wide range of mental health concerns, from everyday challenges to more complex psychiatric conditions. I am committed to providing culturally sensitive, patient-centered care and building strong therapeutic relationships based on trust, respect, and open communication.
Welcome
Hello, and thank you for considering me as your therapist. My name is Tarianda Ruston, and I have more than 25 years of experience working in the helping profession. I am a licensed clinical social worker in both Maryland and the District of Columbia, with a diverse background that has allowed me to support individuals and families through many of life's challenges.
Throughout my career, I have worked in child welfare, foster care and adoption, inpatient mental health, custody cases, special education, and school mental health. These experiences have provided me with a deep understanding of the unique challenges people face across different stages of life. My passion is helping individuals discover their strengths, overcome obstacles, and build the tools needed for lifelong emotional wellness.
I believe therapy is a partnership built on trust, respect, and authenticity. My role is not to tell you what to do or make decisions for you. Instead, I provide a safe, supportive, and nonjudgmental space where you can explore your thoughts, emotions, and experiences openly. Through thoughtful questions, compassionate reflection, and evidence-based strategies, I will help you gain insight, clarify your values, and make choices that align with the life you want to create.


Headway makes it easy to find a therapist who can support you through loss — from finding the right provider, to understanding costs, to scheduling with ease.
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