Evaluations, medication management and supportive therapy for adults 18 to 65, by secure video, with an office in Fairfax if you ever want to sit in the room instead.
Book an Appointment →Haymarket sits at the foot of the Bull Run Mountains, where western Prince William still looks like farm country until the next rooftop line appears. Fields that grew hay a generation ago now hold subdivisions, and the households inside them mostly work somewhere the other direction: east on I-66, up Route 15, along the Route 29 corridor. The bargain was space for driving, and plenty of people would make it again. It still costs something.
Anh "Alice" Tran, PMHNP-BC, FNP-BC, is a dual board-certified psychiatric mental health and family nurse practitioner licensed in Virginia, treating adults 18 to 65. Haymarket patients are seen by secure video. The office itself is at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in Merrifield, with free on-site parking, and it is there if you want it.
The reasons look different out here than they do closer in. Distance shapes most of them, one way or another.
Leaving before dawn and coming home after the kitchen is cleaned up is not a scheduling quirk. It is chronic short sleep, meals eaten alone, and a nervous system that never fully unclenches. Irritability usually arrives before anyone says the word depression.
Families moved west for a yard, a school and a mortgage that worked. Years later the arithmetic still adds up on paper while feeling worse in practice. That mismatch is a common opening line at a first appointment.
Care that would take fifteen minutes in Fairfax takes an afternoon from Haymarket. People put off appointments for years, not because they do not want help, but because the trip never fits.
Semi-rural has real advantages and one drawback. Nothing is walkable, neighbors are spread out, and a hard month can pass with almost no contact outside the house. Low mood grows well in that soil.
Adults who were never assessed as children and coped through energy and long hours. Add a commute, a mortgage and two kids, and missed deadlines start looking less like personality and more like untreated ADHD.
Children at home and a parent who moved out to be nearby, or one still elsewhere and calling at night. Managing both while driving two hours a day leaves no hour that belongs to you.
There is no Haymarket location and no satellite in western Prince William. Suggesting otherwise would only waste your time. Haymarket to Fairfax is a genuine drive, worst at exactly the hours people are free, so telehealth is the practical answer rather than a consolation prize. Visits happen at doxy.me/alicetran, in a browser, with nothing to install. You need to be physically in Virginia during the appointment, somewhere private enough to talk.
Appointments are by video only. There is no telephone option and no phone fallback, because seeing you carries clinical information a voice does not. If the connection drops, rejoin the same link and the office will call to help you get back on so the visit finishes on video. In-person appointments in Fairfax remain available to anyone who prefers them. More on virtual care in this county sits on the Prince William telehealth page.
Psychiatric evaluation. The first appointment runs a full 60 minutes. That is long enough for the story rather than the summary of it. Alice asks when things shifted, what your weekdays and weekends actually look like, how many hours of sleep you truly get once the drive is subtracted, what has already been tried, what runs in your family, where caffeine and alcohol fit, and what else is going on medically. Patients from out this way often arrive carrying a diagnosis handed over quickly somewhere years ago. Checking whether that label still fits is part of the job, not a criticism of whoever wrote it down.
Medication management. If medication makes sense, it is explained before it is prescribed: what it should do, how many weeks that generally takes, which side effects tend to appear early and settle, which ones mean call the office today, and what the next option is if this one turns out wrong for you. Dose changes follow your response rather than a schedule. Prescriptions go wherever is genuinely convenient, including the pharmacies along Route 15 and out toward Gainesville. Controlled medications, stimulants included, follow Virginia rules, and where that requires a visit in Fairfax you will hear so up front. There is more on the medication management page.
Supportive therapy. Follow-ups are conversations, not a checklist read aloud. That might mean deciding whether the job closer to home is worth the pay cut, protecting six hours of sleep during a stretch of overtime, or naming a pattern that keeps repeating at home. When what you need is structured longer-term work, such as trauma processing or a full course of CBT, Alice will say so directly and help you find the right clinician, and she will coordinate with anyone you already see. The services page covers the rest.
The label matters less at first than what the symptom is doing to your week. The evaluation starts there and works backward.
Sleep and exhaustion. Insomnia is one of the most common first complaints from this end of the county, and it rarely arrives alone. Five hours of sleep because of a 5:15 departure looks a great deal like depression from the outside. Separating the two is usually the first task. See insomnia and burnout.
Anxiety, panic and OCD. Generalized anxiety, panic attacks that arrive on the interstate and get mistaken for a heart problem, and OCD. The free GAD-7 screener is a way to put words to it before you call.
ADHD. Adult ADHD, including the version that stayed hidden until responsibilities outgrew the workarounds. The adult ADHD self-check is a fair starting point.
Trauma, mood and reproductive mental health. PTSD and trauma responses, bipolar disorder, postpartum and perinatal mood changes, and grief that has outstayed what anyone expected. The PHQ-9 is available as well.
Intake paperwork arrives ahead of time so the hour belongs to the conversation instead of to forms. Fill in what you can and leave the rest. Nothing on it is scored, and nothing is held against you for being blank. Insurance is checked before the visit, so the cost question is settled before you are sitting in front of a camera.
You join at doxy.me/alicetran a few minutes early. It opens in a browser, with no app and no account. The first stretch is talking. Alice usually begins with why now, because the timing of the decision tends to explain something a symptom list never will. From there the conversation moves through history, medical background, current medications and sleep, and then she says out loud what she is thinking and why she is thinking it. You leave with a plan you helped shape and a clear idea of what should change and by when. Most people book the next visit two to four weeks out.
You see Alice at every appointment. There is no rotating panel and no whoever is available that week. Psychiatric care improves as information accumulates, and what a dose change did in March is often the reason a different choice makes sense in November. That only helps if the same person remembers it.
Her training covers more ground than most. Alice trained under psychiatrist Dr. Errol Segall, MD, who brings over 50 years of clinical experience, and she holds dual board certification in psychiatric mental health and family practice. The family practice half earns its keep here. Thyroid disease, anemia, untreated sleep apnea and interactions with blood pressure or diabetes medication all get considered, which matters when the main complaint is fatigue or fog and someone has already been told it is just stress.
Pricing is published and flat. Self-pay runs $400 for the 60 minute initial evaluation, $200 for a 30 minute follow-up and $250 for a 45 minute follow-up, with no membership and nothing added later. Aetna, Anthem, Cigna, Medicare and Medicaid are accepted and verified before your first appointment. See rates, or read more about Alice.
Visits can be conducted fully in English or fully in Tiếng Việt, with no interpreter involved and no third person listening. For households where the harder subjects only come out in a first language, that removes a step that otherwise keeps people from booking at all.
Patients come from across western Prince William and the corridor beyond it. Alice also sees adults in Gainesville, Bristow, Woodbridge and Dale City, along with Manassas, Catharpin and the communities north toward Loudoun County. Statewide reading is available on ADHD treatment, anxiety treatment and depression treatment. Telehealth reaches anywhere in Virginia.
No. There is one office, at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in the Merrifield area, with free parking on site. Haymarket sits a long way east of it on I-66, which is the reason care for this community runs by video. You are welcome to come to Fairfax if you would rather be in the room, but no one expects you to.
The length of the appointment and nothing more. A 30 minute follow-up takes 30 minutes, because there is no drive attached to either end of it. Standard hours run Monday through Thursday, 9:00 AM to 4:00 PM Eastern, and evening or weekend times may be available on request if none of that block works.
Adult ADHD is evaluated and treated here. Stimulants and other controlled medications are prescribed under Virginia rules, and depending on your situation that can mean one in-person appointment in Fairfax. If it applies to you, you will hear about it at the start rather than after a full evaluation, so you can plan the trip once instead of being surprised by it.
No. Visits are by video only. There are no telephone appointments and no phone fallback. If the connection drops partway through, you rejoin the same link at doxy.me/alicetran and the office will call you to help get the video back so the visit finishes properly. Most people find a cell hotspot works when home service does not.
It is worth raising. Losing two or three hours a day to the road produces real effects: short sleep, a temper that shows up at home rather than at work, and a slow sense that you are missing your own family. Some of that responds to treatment, some of it responds to changes you decide on yourself, and sorting out which is which is a reasonable use of a first appointment.
It is worth a careful look. What matters is which medications, at what doses, for how long, and what specifically happened, because a trial that stopped at two weeks or at a starting dose has not really been tested. It is also worth confirming the diagnosis being treated is the right one. That review is a normal part of the first visit.
Yes. Moving out for space often costs proximity, and in a place where nothing is walkable, that isolation compounds quietly. It shows up as low mood, less motivation, and a shrinking week. Naming it is useful even when the answer is not a prescription.
Whichever you want. Alice sees patients fully in English or fully in Tiếng Việt, with no interpreter in the room and no third party listening. You can also start in one language and switch when a topic is easier in the other.
Aetna, Anthem, Cigna, Medicare and Medicaid are accepted, and your coverage is verified before the first appointment so you know the number in advance. Self-pay is flat: $400 for the 60 minute initial evaluation, $200 for a 30 minute follow-up, $250 for a 45 minute follow-up. No memberships and no hidden fees.
New patients are typically seen within one to two weeks, and no referral is needed. Follow-ups are booked one at a time rather than as a standing slot. If something comes up, call or text (703) 791-9099 as early as you can and the visit gets moved.
Call or text 988, or go to the nearest emergency department. This practice is not a crisis service and messages are not monitored around the clock. Nothing here takes the place of emergency care when someone is unsafe.
More general questions are answered on the FAQ page.
Booking online takes a few minutes, or call or text (703) 791-9099 if you would rather ask a question first. New patients are usually seen within one to two weeks, no referral needed, and coverage is checked before the first appointment. Email works too: info@alicetrannp.com. If someone is in danger right now, call or text 988 instead.
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Many people searching for a psychiatrist in Haymarket end up here, so it is worth being clear about who you would be seeing. Alice Tran is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), not a psychiatrist. For outpatient care in Virginia that distinction matters less than most people expect: she evaluates and diagnoses mental health conditions, prescribes and manages psychiatric medication including ADHD medication, and provides supportive therapy.
The practical differences tend to favor the patient. Psychiatrist offices in this area commonly quote waits of one to three months and many do not take insurance. This practice usually sees new patients within one to two weeks, accepts most major plans including Medicare and Medicaid, and gives every new patient a full 60 minute first appointment. Alice also trained under psychiatrist Dr. Errol Segall, MD, who brings over 50 years of clinical experience.
Want the full comparison? Read what a PMHNP is or how a PMHNP and a psychiatrist differ in Virginia.