Depression is one of the most treatable mental health conditions, yet many people go months or years without help, assuming they should be able to push through on their own. Alice Tran, PMHNP-BC, provides comprehensive depression evaluation and medication management via telehealth for Northern Virginia residents and anyone across Virginia.
Schedule an EvaluationDepression is more than sadness. Major depressive disorder involves a persistent low mood or loss of interest in things you used to enjoy, often accompanied by fatigue, changes in sleep or appetite, difficulty concentrating, feelings of worthlessness or guilt, slowed thinking, and in some cases, thoughts of death or suicide.
Depression affects people differently. Some experience the classic presentation of sadness and tearfulness. Others feel emotionally flat, unmotivated, or irritable rather than sad. Some people continue to function on the surface while feeling empty inside, a pattern sometimes called high-functioning depression. Whatever form it takes, depression is a medical condition and not a sign of weakness or failure.
Before attributing symptoms to depression, it is important to rule out medical causes. Thyroid disorders, anemia, vitamin B12 deficiency, vitamin D deficiency, and certain medications can all produce symptoms that closely resemble depression. A thorough evaluation includes lab work when clinically indicated.
This list is not exhaustive and not a substitute for a clinical evaluation. Many of these symptoms overlap with other conditions. A proper assessment is the only way to know for sure.
Treatment for depression typically involves antidepressant medication, psychotherapy, or a combination of both. First-line antidepressants including SSRIs and SNRIs are effective for most people with moderate to severe depression and are generally well tolerated. It often takes two to four weeks to notice meaningful improvement, and the dose may need adjustment over time.
Alice conducts a full psychiatric evaluation before recommending any treatment, reviewing prior treatment history, current medications, family history, and life circumstances. The goal is not just to reduce symptoms but to understand what is driving the depression and address it as completely as possible. Lab work is ordered when appropriate to rule out reversible medical causes.
Follow-up appointments are important, particularly in the first few months. Alice monitors medication response, side effects, and progress at each visit, adjusting the plan as needed. If therapy would benefit you, she can provide a referral to a therapist who specializes in depression treatment.
Depression affects adults throughout Northern Virginia, regardless of income, education, or outward success. Telehealth with Alice Tran provides accessible, confidential depression care to residents across Fairfax, Arlington, Alexandria, Prince William, and Loudoun counties. No referral is needed, and appointments can often be scheduled within the same week.
Insurance accepted:
Aetna · Medicaid · Medicare · Carelon · Anthem BCBS Virginia · Self-pay welcome
How do I know if I need medication for depression?
Medication is generally considered for moderate to severe depression, depression lasting more than a few weeks, or depression that is significantly affecting your ability to function at work or in relationships. It is also considered when therapy alone has not been enough. A psychiatric evaluation helps clarify what approach makes sense for your specific situation.
How long does it take for antidepressants to work?
Most antidepressants take two to four weeks to produce noticeable effects, with full benefit typically felt at six to eight weeks. If the first medication does not work well, there are many others to try. Finding the right fit sometimes takes patience, but most people do find a medication that helps.
Can depression go away on its own?
Mild depression sometimes improves on its own, particularly when tied to a specific stressor that resolves. However, moderate to severe depression rarely resolves without treatment, and leaving it untreated carries real risks including worsening symptoms, relationship damage, and lost time. Earlier treatment generally leads to better outcomes.
Do I need a referral to see Alice for depression?
No referral is required. Alice Tran Psychiatric Care accepts new patients directly. You can book a new patient evaluation online and typically be seen within one to two weeks.
Is telehealth appropriate for depression treatment?
Yes. Depression evaluation and antidepressant management are well-suited to telehealth. Many patients find it easier to open up about how they are feeling from the privacy of their own home. Secure video visits are HIPAA-compliant and available to anyone in Virginia.
Ready to get started?
No referral needed. Most insurance accepted. Secure video visits available to anyone in Virginia.
Book Online NowOr call (703) 791-9099