Psychiatric evaluations, medication management, and supportive therapy for adults 18 to 65, by secure video or in person a short drive up the parkway.
Book an Appointment →Burke Centre was built to be lived in for a long time, and a great many people took that seriously. Five clusters, a community association that still runs the pools and the paths, wooded trails that connect one section to the next, a VRE platform that has carried the same commuters into Washington for decades. Households here often measure their tenure in school generations rather than lease terms. That stability is real, and it produces a particular problem: when something is wrong, there is enormous pressure to absorb it quietly, because everyone around you has known you since your kids were in elementary school.
Anh "Alice" Tran, PMHNP-BC, FNP-BC, is a dual board-certified psychiatric mental health and family nurse practitioner licensed in Virginia. She treats adults ages 18 to 65 and works with a fair number of Burke Centre residents who have been managing something on their own for years. The office is at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in the Merrifield area, with free on-site parking, and most visits can also be done by video from home.
The reasons cluster differently here than they do in a neighborhood full of new arrivals. Fewer people are in crisis over a first job. More are working out what to do about twenty-five years of accumulated weight, or about a house that suddenly has too many empty rooms in it.
Lake Braddock and Robinson graduations empty out a household on a predictable schedule, and the drop is steeper than most parents expect. When the routine that organized two decades disappears in one August week, mood symptoms that were buried under logistics come up for air.
An adult child back in the basement while they figure things out, and a parent in Ohio or Ho Chi Minh City who needs more help every month. Being the reliable one in both directions is a full-time role that nobody scheduled.
Fifteen or twenty years of early trains and late returns. People rarely name the commute as the problem, but the exhaustion, the shortened fuse, and the loss of interest in weekends have often been building along that exact timeline.
Adults who ran a household, a mortgage, and a career on lists and adrenaline, and who assumed the constant scramble was normal. When the compensations wear out, a first ADHD evaluation in the forties or fifties is common and worthwhile.
Leaving a career, especially a long federal or contracting one, removes structure, status, and daily contact in a single step. The free time everyone congratulated you on can feel closer to a void than a reward.
You know your neighbors on the trail, the cluster board, and the pool schedule, and you would still not tell any of them how the last six months have actually gone. Being known is not the same as being able to say it out loud.
This is adult psychiatry, focused on how a condition is actually shaping your week rather than on how neatly it fits a category.
Mood. Depression in all its forms, including the long low-grade version that never quite stopped you from functioning, along with bipolar disorder and grief that has settled in past the point where people expect you to be over it. The PHQ-9 screener is free to take before you book.
Anxiety, panic, and OCD. Worry that runs on a loop about adult children, aging parents, retirement accounts, and health. Panic attacks that arrive without an obvious trigger. Obsessive compulsive patterns that have been dismissed for years as being detail-oriented. The GAD-7 can help you put words to it.
Attention and focus. Adult ADHD, whether newly suspected or diagnosed decades ago and dropped. The adult ADHD self-check is a reasonable starting point, and ADHD treatment in Virginia explains how evaluation and treatment work here.
Trauma, stress, and sleep. PTSD and trauma responses, including events from long before you moved to Fairfax County. Burnout that has crossed from tired into clinical. Insomnia, which is common in this age range and frequently treatable.
Reproductive mental health. Postpartum and perinatal mood changes for younger households in the neighborhood, and mood shifts tied to perimenopause for those further along.
Intake paperwork arrives before the appointment so the hour itself is spent talking. Fill in what you know and leave gaps where you have them. Insurance benefits are verified in advance, which means you find out what you owe beforehand rather than in a statement six weeks later.
The initial visit runs a full sixty minutes. If a symptom has been around for fifteen years, that history is the useful part, and it takes time to lay out properly. Alice will ask when things shifted, what else was happening in that year, what treatments you tried and how they went, what runs in your family, how you sleep now versus how you slept at forty, and what your caffeine and alcohol pattern honestly looks like. Toward the end she tells you what she is thinking and why, including the parts she is not yet sure about. You leave with a plan you agreed to. Most people set their first follow-up two to four weeks out.
Psychiatric evaluation. A structured, unhurried assessment that produces a working diagnosis explained in ordinary language. Burke Centre patients often arrive carrying a label from a fifteen minute appointment years ago, sometimes an accurate one and sometimes not. Part of the evaluation is testing whether that label still describes what is happening now, and whether anything medical is contributing. Alice's family nurse practitioner training means thyroid function, anemia, vitamin deficiency, sleep apnea, and interactions with medications you already take get considered rather than skipped past, which matters a great deal when the main complaint is fatigue or fog. More on scope is on the services page.
Medication management. If medication is part of the plan, you hear what it is meant to do, how long that usually takes, what to watch for in the first fortnight, and what happens if it does not suit you. Changes are made one variable at a time so it stays clear what is responsible for what. If you already take medication for blood pressure, cholesterol, or diabetes, which is common in this age bracket, interactions are checked before anything is added. Prescriptions go to whichever pharmacy is convenient, whether that is at the Burke Centre shopping area or on Old Keene Mill Road. Controlled medications, including stimulants, follow Virginia's requirements, which sometimes means coming to Fairfax in person. See medication management in Virginia for detail.
Supportive therapy. Follow-ups are conversations, not symptom tallies. That might mean working through what to do about a parent who should not be driving, or deciding whether to retire in eighteen months or five years, or noticing a pattern you have repeated in three jobs. When something calls for structured, longer-term therapy, such as trauma processing or intensive CBT, Alice will name that and help you find a therapist, and she is glad to coordinate with clinicians you already see.
You see Alice every time. There is no rotating panel and no handoff to whoever has an opening. In psychiatry the useful information accumulates: how you responded to a dose change last spring is the reason a particular option makes sense this fall, and that only works if the same person is holding the thread.
Her training is worth knowing about. Alice trained under psychiatrist Dr. Errol Segall, MD, who has over 50 years of clinical experience, and she holds dual board certification in psychiatric mental health and family practice. For a population with real medical histories, that second certification is not decoration.
Pricing is published and flat. Self-pay is $400 for the sixty minute initial visit, $200 for a thirty minute follow-up, and $250 for a forty-five minute follow-up. There are no memberships and no hidden fees. Aetna, Anthem, Cigna, Medicare, and Medicaid are accepted, with coverage verified before your first visit. Current details are on rates, and you can read more about Alice.
Care is available fully in English or fully in Tiếng Việt with no interpreter, which matters in a part of Fairfax County where multigenerational households are common. See Vietnamese psychiatric care.
Burke Centre is close enough to Fairfax that in-person care is a practical choice rather than a theoretical one. The office at 3060 Williams Drive, Suite 300 is roughly fifteen to twenty minutes away outside of peak hours, with free parking right at the building.
Video visits are equally available and happen at doxy.me/alicetran, which opens in a browser with nothing to install. You must be physically in Virginia during the appointment. Visits are conducted by video rather than by telephone; if the connection drops, you rejoin the same link and the office will call to help you reconnect so the appointment finishes on video. Plenty of patients do the initial evaluation in the office and then take follow-ups from the kitchen table. You can read more on the Northern Virginia telehealth page.
Burke Centre sits in the middle of a wide catchment, and patients come from all around it. Alice also sees adults across Burke, Springfield, Fairfax, Fair Oaks, Annandale, and Kingstowne, along with Alexandria and Falls Church. Telehealth reaches anywhere in Virginia. Condition pages on anxiety treatment and depression treatment go deeper on the two most common reasons people book.
No. Alice sees adults through age 65, and a meaningful share of Burke Centre patients are starting psychiatric care for the first time in their fifties or early sixties. Long-standing patterns are still worth treating. In many cases they are easier to describe accurately than recent ones, because you have decades of evidence about what helps you and what does not.
Regular hours run Monday through Thursday, 9:00 AM to 4:00 PM Eastern, which suits people who work from home or have flexibility during the day more than it suits a pre-dawn train. Evening or weekend times may be available on request, so it is worth asking when you book rather than assuming the answer is no.
It can be. When a household reorganizes around a departure, the structure that was holding a lot of things upright goes with it. Sometimes what follows is ordinary adjustment that settles in a couple of months. Sometimes it is a depressive episode that started quietly a year earlier and only became visible once the noise of school pickups stopped. The evaluation is meant to tell those apart.
Yes, if you want him there. A spouse who has watched the last ten years up close often notices things you have stopped noticing, particularly around sleep and irritability. He can join for a portion and step out for the rest. The choice is yours at every visit, and nothing is shared with him without your say.
It is one of the better reasons. Medication that was correct in 2011 may still be correct, or the dose may have quietly stopped doing much while the side effects stayed. A review looks at what the medication was originally for, whether that reason still applies, how you have felt on it recently, and whether anything about your health has changed enough to warrant a different approach.
Most Burke Centre patients come up through Braddock Road or take the Fairfax County Parkway to Route 29 and cut across, which lands you at 3060 Williams Drive, Suite 300, Fairfax, VA 22031 in about fifteen to twenty minutes outside of rush hour. Parking is free and on site, and the suite has accessible entry.
It counts. Sustained caregiving reliably produces broken sleep, resentment that people feel guilty about, anxiety that spikes with every phone call, and a slow flattening of mood. None of that is a character problem. It is a load, and there are treatable pieces inside it even when the underlying situation cannot be changed.
Insomnia is treated here directly, and it is often where a plan starts, because sleep loss makes every other symptom harder to read. That said, Alice's family practice background means she will also ask about snoring, breathing pauses, restless legs, and thyroid function, and will send you for a sleep evaluation if the picture points that way rather than adding a medication on top of an untreated cause.
You rejoin the same link at doxy.me/alicetran, and if you do not reappear the office calls you to help get the connection back. The visit then finishes on video. Appointments are conducted by video rather than over the telephone, so a dropped connection means a reconnection, not a switch to a phone call.
No referral is needed. You can book directly at alicetran.intakeq.com/booking, or call or text (703) 791-9099. New patients are typically seen within one to two weeks, and your insurance benefits are verified before the first appointment so the cost is not a surprise afterward.
No. This is an outpatient practice and messages are not monitored overnight. If you are in danger or thinking about hurting yourself, call or text 988 for the Suicide and Crisis Lifeline, or go to the nearest emergency department.
Broader questions are covered on the FAQ page.
Booking takes a few minutes at alicetran.intakeq.com/booking, or call or text (703) 791-9099 if you would rather ask something first. New patients are usually seen within one to two weeks, no referral needed, coverage verified in advance. Email info@alicetrannp.com. In an emergency, call or text 988.
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