Anxiety is the most common mental health condition in the country and one of the most treatable. It is also the one people put off longest. Alice Tran, PMHNP-BC offers full hour evaluations and attentive medication management, in person in Fairfax or by telehealth anywhere in Virginia.
Book an Appointment →Anxiety is not a personality trait and not a failure of willpower. It is a nervous system stuck on high alert, and it costs you sleep, focus, patience, and the ability to enjoy things that should be enjoyable. Generalized anxiety disorder means worry that spreads across many areas of life and will not switch off. Social anxiety is the fear of being judged, which quietly shrinks a career. Health anxiety turns every ordinary sensation into a question. Many Virginia adults arrive here after a normal cardiology workup or a trip to the emergency room, having been told that nothing is wrong, which is true medically and unhelpful practically.
The first appointment is a full 60 minutes, because the useful question is not whether you feel anxious. It is what is generating the anxiety. That means taking a complete history and looking honestly at the things that imitate or amplify anxiety: thyroid problems, sleep loss and insomnia, caffeine and alcohol, ADHD, OCD, past trauma, perimenopause, and medications you are already taking. Depression is present in a large share of anxiety cases, and missing it means treating half the problem. Validated screening tools such as the GAD-7 help track change over time, but they are a thermometer, not a diagnosis.
Treatment is built with you rather than handed to you. SSRIs and SNRIs are first line and usually take four to six weeks to show their real effect, which is why follow up matters more than the initial prescription. Buspirone, hydroxyzine, and beta blockers for situational performance anxiety all have a place. Benzodiazepines are prescribed rarely and carefully, and Alice will tell you plainly why. Supportive therapy and psychoeducation are part of every visit, and she will coordinate with your therapist if you have one. Care is in person at the Fairfax office in the Merrifield area, with free parking, or by secure telehealth anywhere in Virginia, in English or Tiếng Việt.
Worry that jumps from topic to topic, muscle tension, and a mind that will not go quiet at 2 AM.
Dread before meetings, presentations, and calls. Often treatable with a targeted plan rather than lifelong avoidance.
Chest tightness, stomach trouble, and dizziness with a clean medical workup. Real symptoms, treatable cause.
Anxiety rarely travels alone. The evaluation sorts out which condition is driving which symptom.
Practical details for Virginia patients
Related: Anxiety overview · Free GAD-7 anxiety screener · Anxiety treatment in Fairfax · Anxiety care across Northern Virginia · Panic attack treatment · Rates and insurance · Full FAQ
New patients are typically scheduled within one to two weeks. No referral is needed and you can book directly online. Office hours are Monday through Thursday, 9:00 AM to 5:00 PM Eastern.
It is a full 60 minutes. Alice takes a complete psychiatric and medical history, asks how anxiety affects your sleep, work, and relationships, reviews anything you have already tried, and screens for conditions that commonly travel with anxiety such as depression, ADHD, OCD, trauma, and insomnia. You leave with a working diagnosis and a plan you helped build.
SSRIs and SNRIs are first line and usually take four to six weeks to reach their real effect. Buspirone, hydroxyzine, and beta blockers for situational performance anxiety are also options depending on your history. Nobody can promise a specific result in advance, so the plan is adjusted at follow up based on how you actually respond.
Rarely, and with clear limits. Benzodiazepines work fast but carry real risks of tolerance, dependence, and rebound anxiety, and they can make long term treatment harder. The practice does not provide long term daily benzodiazepine management or benzodiazepine tapering, so new patients taking a benzodiazepine daily or long term cannot be accepted; occasional, as-needed use may be considered on an individual basis.
Yes. Evaluation, medication management, and follow up all transfer well to secure video. Alice is licensed in Virginia only, so you need to be physically located in Virginia at the time of your visit, whether that is Richmond, Virginia Beach, Charlottesville, Roanoke, or Northern Virginia. She treats adults 18 to 65.
Yes. Aetna, Anthem, Cigna, Medicare, and Medicaid are accepted. Self pay rates are $400 for the 60 minute initial visit and $200 for a 30 minute follow up.
3060 Williams Drive, Suite 300, Fairfax, VA 22031, in the Merrifield area. Parking is free. In person and telehealth visits can be mixed depending on what works for your schedule.
This practice is not a crisis service and does not operate 24 hours a day. If you are in crisis, call or text 988, the Suicide and Crisis Lifeline, which is free, confidential, and available around the clock. For emergencies call 911 or go to your nearest emergency room.
If you are in crisis right now, please do not wait for an appointment.
Call or text 988, the Suicide & Crisis Lifeline. Free, confidential, available 24/7.
For emergencies, call 911 or go to your nearest emergency room.
Alice Tran Psychiatric Care does not operate 24/7 and does not provide crisis services. Emails, voicemails, text or portal messages are typically responded to within 24 to 72 business hours.
Anxiety care in Fairfax & by telehealth across Virginia. English & Tiếng Việt. No referral needed.
Book Now →Or call/text: (703) 791-9099