Confidential psychiatric evaluations, medication management, and supportive therapy for adults 18 to 65, by secure video or in person about fifteen minutes away in Fairfax.
Book an Appointment →Lake Barcroft is unusual. A private lake with its own beaches and association, custom houses built across several decades, and a road pattern that keeps traffic out, all of it sitting inside the Beltway with dense commercial corridors pressing in on every side. People know each other here. That is most of the appeal, and it is also the reason a certain kind of problem stays unspoken for years.
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. Care here is deliberately quiet. Visits happen by secure video from your own house, or in person at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in the Merrifield area, a short drive out Route 50 with free parking. Either way, you are not sitting in a waiting room where someone from the pool committee might walk in.
Psychiatric evaluation. Sixty minutes, unhurried, and structured. The point is to arrive at a working understanding rather than a quick label. Alice asks about the sequence of things: when the change started, what was going on that year, what you have already tried and what it did, what runs in the family, how sleep and appetite and concentration have shifted. She also takes a proper medical history. Her family nurse practitioner certification means thyroid disease, anemia, sleep apnea, and interactions with medications you already take get examined rather than assumed away, which matters when the presenting complaint is exhaustion or fog. Scope is outlined on the services page.
Medication management. Nothing is prescribed before you understand it. You hear what a medication is meant to do, how long it typically takes to know, what to look for in the first two weeks, and what the plan is if it does not suit you. Adjustments happen one change at a time so cause and effect stay legible. Prescriptions go electronically to whichever pharmacy you use, in Seven Corners, Falls Church, or anywhere else. Controlled medications, including stimulants, follow Virginia's rules, which can mean an in-person appointment in Fairfax. There is a fuller explanation at medication management in Virginia.
Supportive therapy. Follow-ups are conversations, not checklists. For people who have spent a career being the composed one in the room, this is often the part that does the work: saying something out loud to a person who is not a colleague, a spouse, or a neighbor. When the situation calls for structured, longer-term therapy, Alice will name it and help you find a therapist, and she coordinates with clinicians you already see.
The presenting problems here are rarely dramatic. More often they are quiet, long-running, and carefully hidden from everyone who might otherwise notice.
Senior professionals, attorneys, foreign service and agency staff, physicians, and consultants whose work depends on appearing unbothered. The skill is real. It also makes it very hard to admit, even privately, that something has been wrong for two years.
Households that rotate abroad and return, sometimes repeatedly. Each move resets friendships, schools, and routines. Re-entry is frequently harder than departure, and the mood dip that follows is easy to mistake for jet lag that never ended.
In a community where people genuinely look out for one another, seeking care can feel like a leak waiting to happen. That worry keeps people out of treatment longer than the symptoms themselves would.
Parents in their fifties and sixties carrying real fear about an adult child's mental health, substance use, or stalled launch. The parent often ends up in treatment first, which is a reasonable place to start.
Retirement from a demanding career removes structure and standing in one step. The empty calendar that sounded appealing for years can turn out to be the hardest part of the week.
Waking at three and never getting back. It is common at this stage of life, it worsens mood, memory, and patience, and it is one of the more treatable places to begin a plan.
Adult psychiatry, for the version of a condition that is actually in front of you rather than the textbook picture.
Anxiety in its quieter forms. Generalized anxiety that reads as conscientiousness. Panic that shows up in the body first. Obsessive compulsive patterns dismissed for decades as high standards. The GAD-7 screener is a useful way to start describing it.
Mood. Depression, including the high-functioning version that never missed a meeting, plus bipolar disorder and grief that has outlasted everyone else's patience. The PHQ-9 is free to take.
Attention. Adult ADHD, often surfacing when a person moves into a role that demands sustained administrative attention rather than crisis response. Try the adult ADHD self-check or read about ADHD treatment in Virginia.
Trauma and burnout. PTSD and trauma responses, including events from overseas assignments, and burnout that has moved past a vacation problem into a clinical one.
Sleep and reproductive mental health. Insomnia, and postpartum and perinatal mood changes for younger families around the lake.
Video is the discreet option and the one most Lake Barcroft patients use. Appointments open at doxy.me/alicetran in a browser, with no app and no account to create. You need to be physically in Virginia during the visit. Visits are by video rather than by telephone. If the connection fails, you rejoin the same link and the office calls to help you get back on so the appointment finishes on video.
In person is genuinely practical too. The Fairfax office is about fifteen to twenty minutes out Route 50 or Little River Turnpike, at 3060 Williams Drive, Suite 300, with free on-site parking and accessible entry. Many patients do the evaluation face to face and then switch to video for follow-ups. The Northern Virginia telehealth page covers how virtual care works in more detail.
Paperwork goes out ahead of time so the appointment is not spent filling in boxes. Answer what you can. Benefits are checked before you arrive, so the financial side is settled in advance rather than by mail afterward.
Alice usually opens with why now, because the timing of a decision to seek care carries real information. From there the conversation moves through symptoms, history, medical background, current medications, and what you want to be different. She then says what she is thinking, including where she is uncertain, and the two of you decide together what to do. If medication is not indicated, she will say so. Most people schedule a follow-up two to four weeks out.
You see Alice at every appointment. No rotating panel, no whoever-is-available. In psychiatry the record of what worked and what did not is the treatment plan, and it only functions if one clinician is carrying it.
She trained under psychiatrist Dr. Errol Segall, MD, who has over 50 years of clinical experience, and holds dual board certification in psychiatric mental health and family practice. The medical training is not incidental for a patient population that already takes several prescriptions.
The money is published rather than negotiated. Self-pay is $400 for the sixty minute initial visit, $200 for a thirty minute follow-up, $250 for a forty-five minute follow-up, with no memberships and no add-on fees. Aetna, Anthem, Cigna, Medicare, and Medicaid are accepted, and coverage is verified before your first appointment. See rates or read about Alice.
Visits can be conducted fully in English or fully in Tiếng Việt with no interpreter present. Details are on the Vietnamese psychiatric care page.
The lake is quiet, but it is surrounded by some of the busiest parts of the county, and patients come from all of it. Alice also sees adults in Falls Church, Bailey's Crossroads, Annandale, Alexandria, Fairfax, and Springfield, with telehealth available anywhere in Virginia. For condition-level detail, see anxiety treatment and depression treatment in Virginia.
This is an independent practice, not a department inside a hospital system, so your record lives here and is protected under HIPAA. Nobody at the beach association, your employer, or your neighborhood is told anything. Video visits mean you are not sitting in a shared waiting room where a familiar face might walk in, which for a community this small is often the deciding factor.
No, and it is better to know that in advance. Virginia licensure means you must be physically in Virginia during a visit, so care cannot continue once you are living overseas. What Alice can do is get you stable before you go, write a clear summary of your history, dosing, and response for whoever picks up your care, and see you again if a future posting brings you back to Virginia.
Performance is a poor test. Plenty of people meet every deadline while sleeping four hours, dreading Monday from Saturday afternoon onward, and feeling nothing much about anything. Depression and anxiety are diagnosed on symptoms and their effect on your life, not on whether you have started dropping visible balls. Waiting until you do simply makes the problem larger.
Yes. Self-pay is a straightforward option and the rates are published: $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 charges. Aetna, Anthem, Cigna, Medicare, and Medicaid are also accepted if you would rather use coverage.
It is a genuinely short trip, roughly fifteen to twenty minutes out Route 50 or Little River Turnpike to 3060 Williams Drive, Suite 300, Fairfax, VA 22031, with free parking at the building. Late afternoon adds some time but not much, and because the office closes at 4:00 PM most in-person appointments happen before the worst of it.
Yes. Losing a role is a genuine loss even when the retirement was voluntary and well planned. What follows can be grief, a depressive episode, or an adjustment that resolves on its own, and those are worth telling apart because they call for different responses. It comes up often among people who spent thirty years in demanding professional or government work.
Thirty minutes at $200 is enough to review how a medication is working, adjust it, and talk through the week. Forty-five minutes at $250 gives room for a real conversation about what is driving the symptoms rather than only managing them. Many patients alternate depending on what is going on, and you choose when you book.
Gladly, with your written permission. Medication and therapy tend to work better when the two clinicians are not guessing at each other's reasoning. If you do not have a therapist and the situation calls for structured, longer-term work such as trauma processing, Alice will say so and help you find someone rather than stretching supportive therapy past what it is designed to do.
Plan them into the appointment. Prescriptions are sent electronically to your pharmacy, and timing can be arranged so a refill is not due while you are out of the country. Controlled medications such as stimulants have stricter rules under Virginia law, so those need more advance planning than an antidepressant does. Mention travel at the visit rather than after you have booked the flight.
Yes. Alice treats adults 18 to 65, so he is well within range, and he can book on his own at alicetran.intakeq.com/booking without a referral. Because he would be the patient, his visits and records are his, and nothing would be shared back with you unless he asks for that in writing.
This practice keeps outpatient hours, Monday through Thursday, 9:00 AM to 4:00 PM Eastern, and does not provide crisis coverage. If someone is in danger or thinking about suicide, call or text 988 for the Suicide and Crisis Lifeline, or go to the nearest emergency department.
General policies and practice questions live on the FAQ page.
Book at alicetran.intakeq.com/booking, or call or text (703) 791-9099 to ask a question first. New patients are usually seen within one to two weeks, no referral required, and coverage is confirmed before the first visit. Email info@alicetrannp.com. If this is an emergency, call or text 988.
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