Evaluations, medication management, and supportive therapy for adults 18 to 65, by secure video, scheduled around dockets, hearings, and county business.
Book an Appointment →Courthouse is where Arlington does its official business. The county government center, the courts, the offices that orbit both, and a dense ring of apartment buildings where a lot of the people doing that work also live. The daytime density is real. So is the drop-off: by evening this stretch of Wilson Boulevard is noticeably quieter than Clarendon two stops east, which suits some residents perfectly and leaves others feeling like the day just stops.
Anh "Alice" Tran, PMHNP-BC, FNP-BC, is a dual board-certified psychiatric mental health and family nurse practitioner licensed in Virginia. She sees adults 18 to 65. For Courthouse, video is the practical choice, because a 30 minute follow-up can sit inside a lunch break rather than consuming a half day of leave. The office at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in Merrifield, with free parking, is available when you want to be in the room.
The mix here skews toward legal work, public service, and the professions that support both. Each of those carries its own occupational weather.
Attorneys, clerks, social workers, and investigators who read and hear about harm all week. Repeated indirect exposure has real effects on sleep, startle, and mood, and it accumulates quietly because nothing happened to you personally.
A filing date, a hearing, a board meeting. When the calendar belongs to institutions rather than to you, anxiety attaches itself to dates you cannot move, and the week before is where symptoms cluster.
Work that gets discussed in meetings, in the press, and by residents with strong feelings. Being accountable to the public is meaningful and also draining in a way that private-sector colleagues do not always recognize.
The neighborhood quiets early. For people who moved here for the commute rather than the community, that quiet turns into isolation faster than they expect, particularly in the first year.
A drink to stop thinking about the case, then two, then a routine that nobody planned. It comes up often enough that it is worth asking about directly rather than waiting for someone to volunteer it.
Jobs where a missed date has consequences reward vigilance and punish drift. Adults with undiagnosed ADHD often compensate for years in exactly these roles, then hit a load where compensation stops being possible.
Psychiatric evaluation. A full 60 minutes for the first appointment, which is enough time to lay out a history properly. When symptoms started, what was happening around you at the time, what treatments you have already tried and what each one did, family history, medical history, sleep, caffeine, alcohol, and what an average Wednesday feels like from the inside. People in demanding professional roles are practiced at giving the compressed executive summary. The hour exists so you do not have to.
Medication management. Nothing gets prescribed without the reasoning attached: the intended effect, the honest timeline, what to watch for in the first two weeks, and what happens if it turns out to be a poor fit. Adjustments follow your reported experience rather than a fixed protocol. Prescriptions go to whichever pharmacy is convenient, whether that is near the Metro entrance or somewhere on your way home. Controlled medications, including stimulants for ADHD, are handled under Virginia requirements, which sometimes means an in-person appointment in Fairfax.
Supportive therapy. Follow-ups involve genuine conversation rather than a symptom tally and a refill. That might mean working out how to leave the job at the office, deciding whether a particular role is sustainable, or building a plan to protect sleep during a trial or a budget cycle. If your situation calls for structured longer-term therapy, trauma processing or a full CBT course, Alice will say so and help you find someone, and she coordinates with a therapist you already have. See the services page for more.
Video is the primary route. Visits are secure and happen at doxy.me/alicetran, which opens in a browser with nothing to download. Appointments are conducted by video and never by telephone. If your connection drops mid-appointment, you rejoin the same link while the office calls to help you reconnect, so the visit finishes as a video visit. You must be physically in Virginia during the appointment.
In-person appointments are at 3060 Williams Drive, Suite 300 in Fairfax, usually 25 to 35 minutes from Courthouse depending on the hour, with free on-site parking. A common arrangement is an in-person evaluation followed by video for the ongoing work. You see the same provider regardless. The Northern Virginia telehealth page has the practical detail.
Adult psychiatry, with attention to how symptoms behave under professional obligation rather than in isolation.
Trauma and PTSD. Trauma responses, including the cumulative kind that develops through work rather than through a single event, and trauma that predates your career entirely.
Anxiety, panic, and OCD. Generalized anxiety, panic attacks, and obsessive compulsive patterns, including checking behavior that hides comfortably inside a job where checking is a virtue. The GAD-7 is a useful starting point, and the anxiety treatment page goes further.
Depression and bipolar disorder. Depression that never misses a filing deadline, bipolar disorder, and grief that outlasted the sympathy cards. The PHQ-9 is free, and there is a statewide depression treatment page.
ADHD, burnout, and insomnia. Adult ADHD, evaluated properly rather than assumed from a busy calendar, plus clinical burnout and insomnia. The adult ADHD self-check and the ADHD treatment page are both available.
Reproductive mental health. Postpartum and perinatal mood changes, which do not schedule themselves around the court calendar.
Intake paperwork is sent in advance so the appointment is not spent completing forms. Fill in what you can, leave what you cannot. Insurance is verified before the appointment, so the cost is a known number rather than a later surprise.
You join doxy.me/alicetran a few minutes before the hour. No app, no account. The first stretch is conversation, and Alice generally opens with why now, because the specific event that produced a booking is usually the most informative single detail available. She then moves through symptoms, history, medical background, and current medications, and tells you what she thinks and why she thinks it. You leave with a plan you agreed to. Most people schedule a first follow-up two to four weeks out.
You get the same clinician every appointment. That continuity is not a courtesy, it is how psychiatric decisions get better over time. What happened when a dose was changed in April is precisely the information needed in November, and it is worth much less if a different person is reading it cold.
Alice trained under psychiatrist Dr. Errol Segall, MD, whose clinical experience exceeds 50 years, and she is dual board-certified in psychiatric mental health and family practice. That second certification means the medical contributors to psychiatric symptoms get checked rather than skipped: thyroid function, anemia, sleep apnea, and interactions with anything else you take.
Pricing is published and flat. Self-pay is $400 for the 60 minute initial evaluation, $200 for a 30 minute follow-up, and $250 for a 45 minute follow-up. No memberships and no hidden fees. Aetna, Anthem, Cigna, Medicare, and Medicaid are accepted, and coverage is confirmed before the first visit. Details are on the rates page, and there is background about Alice.
Care is available fully in English or fully in Tiếng Việt, with no interpreter in the room.
Patients come from up and down the Orange Line and the corridor south of it. Alice sees adults across Arlington, including Ballston, Pentagon City, Crystal City, and Shirlington, plus Alexandria and Fairfax. Video visits are available anywhere in Virginia.
Yes, if you have somewhere private with a decent connection. A 30 minute follow-up fits inside a lunch hour with room to spare. Booked conference rooms, wellness rooms, and parked cars all work. The visit opens in a browser at doxy.me/alicetran with nothing to install.
It does. Repeated exposure to other people's trauma has measurable effects on sleep, mood, irritability, and how easily you are startled, and it is a legitimate reason to be evaluated. You do not need to have been in danger yourself for the effects to be real, and you do not need to disclose case details to describe what it is doing to you.
This practice does not do forensic evaluations, expert testimony, or disability determinations, and Alice does not give legal advice. She documents clinical care accurately, and with your written permission she can share records with a provider or a party you designate. If you need an evaluation for a legal purpose, you want a forensic psychiatrist, which is a different specialty.
Yes. Adult ADHD is diagnosed clinically, through history rather than a single test, and childhood records are helpful but not required. Alice will ask about school, early work, and the strategies you built without realizing you were building them. Old report cards or a relative's recollection can add useful detail if you have access to either.
Directly and without a lecture. Alcohol interacts with sleep, anxiety, mood, and most psychiatric medications, so it belongs in the conversation. Alice will ask what a normal week looks like and what role the drinking plays. If a formal substance use program is the right level of care, she will tell you and help you find one rather than working around it.
Headphones handle most of it, since your neighbor can only ever hear your half. A fan or a speaker with white noise near the shared wall covers the rest. Some patients simply take the appointment from the building garage. None of that changes the quality of the visit.
Yes, at any point, and you can switch back. In-person appointments are at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, roughly 25 to 35 minutes from Courthouse with free on-site parking. Some patients alternate depending on what a given month looks like.
A list of current medications with doses, including anything from primary care and any supplements. A rough timeline of psychiatric medications you have tried before and what happened with each. Recent lab results if you have them. Your pharmacy of choice. And, if you can manage it, a sentence about what would need to change for you to consider this worthwhile.
It depends on the medication and the person. Early on it is often every two to four weeks while a dose is being sorted out. Once things settle, many patients move to every one to three months. Controlled medications generally require closer intervals. The spacing is a clinical decision, not a subscription.
Yes. Medicaid is accepted, along with Aetna, Anthem, Cigna, and Medicare. Coverage is verified before your first appointment so there are no surprises afterward. Self-pay rates are published if you prefer not to use insurance at all.
Let the office know as far in advance as you can by calling or texting (703) 791-9099, and we will reschedule. The current cancellation policy is published on the rates page. Missing one appointment does not end your care, and it is better to reschedule than to disappear.
Additional questions are answered on the FAQ page.
Online booking takes a couple of minutes, or call or text (703) 791-9099 to ask a question first. New patients are typically seen within one to two weeks, no referral is needed, and your coverage is confirmed in advance. Email info@alicetrannp.com works as well. This is not a crisis service; if you are in danger, call or text 988.
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