Adult evaluations, medication management and supportive therapy by secure video, booked one visit at a time so the schedule can move when your shifts do.
Book an Appointment →Lansdowne curves along the Potomac at the northern edge of the county, set apart from the Route 7 rush by a few miles and a very different pace. There is a resort, there is golf, there is river on one side. There is also the Inova Loudoun Hospital campus, which means a large share of the people living nearby work in healthcare and keep hours the rest of the county does not. Retirees share streets with families raising school-age children. The quiet is the appeal, and the quiet is occasionally the problem.
Anh "Alice" Tran, PMHNP-BC, FNP-BC, is a dual board-certified psychiatric mental health and family nurse practitioner licensed in Virginia, seeing adults 18 to 65. Lansdowne patients are seen by video. The practice office is at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in Merrifield, with free on-site parking.
Psychiatric evaluation. Sixty minutes, which sounds long until you are in it. Alice wants the shape of your actual week, not an average one: which nights you work, when you sleep on the days after, how much of the day off is spent recovering, what changed and roughly when. She asks about medical history, family history, current medications, caffeine, alcohol and anything else in the picture. Clinicians are frequently the worst historians about themselves, having spent years assessing other people, so the questions are deliberate rather than rhetorical.
Medication management. Where medication fits, it is explained before it is started: the intended effect, the realistic timeline, which side effects usually appear first and settle, which ones mean call, and what the alternative is if this one does not suit you. Timing gets special attention here, because a medication taken at 8:00 AM behaves differently in someone who will be awake until 8:00 AM. Adjustments follow your response. Controlled medications, including stimulants, are prescribed under Virginia rules, which can require one in-person visit in Fairfax, and you will be told that at the outset. See medication management.
Supportive therapy. Follow-ups are conversations rather than symptom checklists read back to you. That can mean working out how to protect sleep during a stretch of nights, deciding whether to step down from a role that is grinding you flat, or handling the guilt that arrives when you have nothing left for your own family after giving all day to other people's. When structured longer-term therapy is the right tool, such as trauma processing or a full CBT course, Alice will say so and help you find it. The services page has more.
Two patterns dominate here, and they rarely appear in the same household: people whose work never sleeps, and people whose days have gone very quiet.
Three twelves, then nights, then a swing week. The body clock never settles, and sleep debt accumulates into something that feels like depression, reads like anxiety and responds to neither if the schedule is left out of the conversation.
Nurses, techs, therapists, aides and the administrative staff who absorb everyone's worst day. Compassion does not run out all at once. It thins, then flattens, and people usually describe numbness before they describe sadness.
Structure, purpose and daily contact all end on the same Friday. What follows can be excellent or can be a slow slide, and the difference is rarely about money. It is about what fills the hours and who notices you.
Being off the main corridor is peaceful and also isolating. A hard stretch out here can go weeks without anyone outside the household seeing it, which lets things get further along than they would somewhere busier.
Adults managing a parent's appointments and a teenager's schedule in the same week, often while working clinical hours themselves. The hardest part is usually not any one task. It is that no hour is unclaimed.
Adults who compensated for years with checklists, adrenaline and long hours. Charting backlogs, missed renewals and a permanently full inbox eventually stop looking like a habit problem.
What matters first is the effect on your week. The label follows from a careful history rather than the other way around.
Sleep, exhaustion and burnout. Insomnia is the single most frequent opening complaint from this area, and shift work makes it its own category. It sits close to burnout, which is not a lesser problem for having a mild-sounding name.
Depression and mood. Depression that keeps functioning at work and collapses at home, bipolar disorder, and grief that has outlasted what anyone expected of it. The PHQ-9 screener is free to use before you decide.
Anxiety, panic and OCD. Generalized anxiety, panic that arrives in the car or in the parking garage after a shift, and OCD. The GAD-7 is there too.
Trauma, ADHD and reproductive mental health. PTSD and trauma responses, including the cumulative kind that builds in people who witness emergencies for a living. Adult ADHD, with an adult self-check to start. Postpartum and perinatal mood changes.
Nothing about this practice is located in Loudoun County, and there is no reason to pretend otherwise. Lansdowne to Merrifield is the length of the county plus the Beltway approach, which is not a trip anyone should make twice a month for a 30 minute conversation. Visits are held at doxy.me/alicetran, which opens in a browser with nothing to install and no account to create. You need to be physically in Virginia during the appointment, somewhere private enough to speak plainly.
Appointments are by video only. There are no telephone visits and no phone fallback, because how you look and move carries information a voice alone 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 are available to anyone who wants them. There is more context on the Loudoun County page.
Forms arrive by email beforehand so the hour is spent talking rather than typing. Answer what you can and skip what you cannot. Insurance is verified in advance, so the cost is a known figure before the appointment rather than a surprise afterward.
You join at doxy.me/alicetran a few minutes ahead. Alice generally opens with why now, because the timing of the decision explains things a symptom list will not. From there the conversation covers history, medical background, medications, substances and sleep, with particular attention to how your schedule is built. Then she tells you what she is thinking and what she is uncertain about, which are both useful to hear. You leave with a plan you helped write, including what should improve and roughly when to expect it. Most patients book the next visit two to four weeks out.
The same clinician sees you every time. That matters more in psychiatry than in most fields, because the useful details are cumulative. A medication that helped for six weeks and then flattened out, a dose that caused trouble at one level and not another, a pattern that shows up every February. Continuity is what turns those into a decision instead of a footnote in a chart nobody rereads.
Alice trained under psychiatrist Dr. Errol Segall, MD, who brings over 50 years of clinical experience, and she is dual board-certified in psychiatric mental health and family practice. That second certification is directly relevant in a community full of healthcare workers, who tend to know exactly enough medicine to worry about the right things. Thyroid function, anemia, sleep apnea, and interactions with blood pressure or diabetes medication all get considered rather than waved off as stress.
Costs are published and do not move. 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, with no membership fee and nothing added later. Aetna, Anthem, Cigna, Medicare and Medicaid are accepted and checked before the first appointment. See rates or read about Alice.
Care can be delivered entirely in English or entirely in Tiếng Việt, with no interpreter and no third party on the call. Eastern Loudoun has sizeable immigrant communities, and for many families the difference between a visit that works and one that does not is simply which language it happens in.
Patients come from up and down the county. Alice also sees adults in Leesburg, Ashburn, One Loudoun, Broadlands, Brambleton and Sterling, plus Waterford, Purcellville and the river communities north of Route 7. Statewide condition pages cover ADHD treatment, anxiety treatment and depression treatment. Telehealth reaches anywhere in Virginia.
No. The practice has one office, at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in Merrifield, with free on-site parking. Lansdowne care runs by secure video. Coming to Fairfax is available if you would prefer to be in the room, though almost nobody from this side of the river chooses the drive twice.
Appointments are booked one at a time rather than as a fixed recurring slot, which is the arrangement that survives a rotating schedule. Standard hours run Monday through Thursday, 9:00 AM to 4:00 PM Eastern, and evening or weekend times may be available on request. When your next block posts, you book the visit that fits it.
No, and it is often not the first one. Shift work disrupts the body clock itself, so the useful work usually starts with light exposure, timing of meals and caffeine, what happens on the drive home after a night shift, and how the days off are structured. Medication has a place, particularly short term, but it works better once the schedule questions have been dealt with honestly.
There is no waiting room to be seen in and no parking lot to be recognized in, which is one quiet advantage of video. Visits are conducted over a secure connection and records are handled under the same confidentiality rules that apply anywhere in medicine. Nothing is shared with an employer, a neighbor or a family member without your written permission.
It is a common and underdiscussed reason to come in. Work provides structure, contact and a sense of usefulness, and losing all three at once can leave a gap that looks nothing like the retirement people picture. Sleep drifts, days blur, and the days get quieter than expected. That is a reasonable thing to bring to a first visit.
Yes, and that combination often works well. Alice handles the diagnostic and medication side and provides supportive therapy inside visits, while your therapist continues the weekly work. With your permission the two can communicate so you are not the one relaying messages between them.
You review what has changed since the last visit, what the medication is doing and not doing, how sleep and appetite are running, and whether side effects have shown up. Then whatever is on your mind gets talked through. Thirty minutes is enough for a real conversation and not enough for a rushed one, which is why it is the standard length.
That is worth planning for out loud rather than hoping about. Part of a treatment plan can be deciding what a bad stretch would look like from the outside, who you would tell, and at what point you would call the office rather than wait for the next appointment. Living alone is not a barrier to care here, but it does change what the plan should include.
No. This practice treats adults 18 to 65. If you fall outside that range, the office can point you toward clinicians who work with older adults, and it is worth asking rather than assuming, since geriatric psychiatry involves medication considerations that deserve a specialist.
Usually. New patients are typically seen within one to two weeks and no referral is needed. Call or text (703) 791-9099 and mention the date your supply ends, because that changes how the appointment gets scheduled. Bring the bottle or the pharmacy list to the first visit so doses are recorded exactly.
Yes. Visits can be conducted fully in Tiếng Việt, with no interpreter present and no third party on the call. Some patients keep the medical vocabulary in English and switch to Vietnamese for everything harder to say, which is entirely fine.
Call or text 988, or go to the nearest emergency department. This practice is not a crisis service and messages are not monitored overnight. Nothing on this page replaces emergency care when someone is in danger.
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 something first. New patients are usually seen within one to two weeks, no referral needed, and coverage is verified before the first appointment. Email works as well: 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 Lansdowne 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.