Adult psychiatric evaluations, medication management, and supportive therapy, delivered by secure video so the historic district stays outside your appointment rather than around it.
Book an Appointment →Old Town holds two lives at once. There is the working one: attorneys walking up from the courthouse, shop and restaurant owners opening at seven, federal staff heading for the King Street Metro, contractors and consultants with offices above the storefronts. Then there is the visiting one, the buses and the sidewalks full of people photographing the cobblestones. Living inside both at the same time is its own low-grade tax on attention.
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 18 to 65. For Old Town, the practical route is video: nothing to park, no lost afternoon, no walking into a waiting room three blocks from people who know you. The office itself sits at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in Merrifield, with free on-site parking, and it is there for anyone who would rather be in the room.
The pressures here are not the same as the ones a few miles north in the office towers. Old Town has more owners, more solo practitioners, more people whose income depends on foot traffic, and a lot of housing that predates central air. The patterns that follow are recognizable.
When you own the shop, the practice, or the firm, there is no bad quarter that belongs to somebody else. Owners describe a specific kind of anxiety that is always financial, always personal, and hard to put down at closing time.
Adversarial days, deadlines set by a judge, and case material that stays in your head after hours. Attorneys and court staff often present with insomnia and irritability long before they use the word anxiety.
Warm months bring crowds to the waterfront and King Street. Older housing stock means single-pane windows and sound that carries. Sleep suffers on a predictable schedule, and everything else follows it down.
Reorganizations, hiring freezes, and detail assignments that arrive without warning. Uncertainty about a job you organized your life around is a genuine stressor, not an overreaction to one.
People who have been in the same house for twenty years, watched neighbors turn over, and gradually stopped mentioning that mornings have gotten harder. Depression that arrives slowly is easy to explain away.
Old Town is dense but socially narrow. The pharmacist knows you, so does the person at the counter. Some patients want care that does not involve walking past anyone they recognize.
The focus is adult psychiatry, with attention to how a condition behaves in a real week rather than how it reads on an intake form.
Anxiety, panic, and OCD. Generalized anxiety that has settled into the background, panic that arrives before a hearing or a client meeting, and obsessive compulsive patterns that quietly reorganize a day. If you want language for what you are noticing, the GAD-7 screener is free and takes two minutes.
Depression and grief. Depression, including the kind that still opens the store on time, alongside bipolar disorder and grief that has outlasted what the people around you expect. The PHQ-9 is available too.
Attention. Adult ADHD, including people who ran a business on adrenaline for a decade and only noticed the problem when the business got bigger. Start with the adult ADHD self-check if you want a reference point.
Trauma, burnout, and sleep. PTSD and trauma responses, occupational burnout that has crossed into clinical territory, and insomnia that no longer responds to better habits alone.
Reproductive mental health. Postpartum and perinatal mood changes, which do not politely wait for a convenient season.
Psychiatric evaluation. The first appointment is a full 60 minutes, and the length is the point. It leaves room for the order of events: when things shifted, what was happening around you then, which treatments you have already tried and what they did, family history, alcohol and caffeine, how you sleep, and what an ordinary Wednesday feels like from the inside. Old Town patients often arrive carrying a diagnosis handed to them years ago in a fifteen minute appointment. Part of this hour is testing whether that label still describes you.
Medication management. If medication is a reasonable option, you hear the reasoning before anything is written: what it is meant to do, how long that usually takes, what to watch for in the first fortnight, and what happens if it is the wrong fit. Adjustments follow your actual response, not a template. Prescriptions go wherever is convenient, whether that is a counter on King Street or a pharmacy near the Beltway on your way home. Controlled medications, including stimulants for ADHD, follow Virginia requirements, which occasionally means coming out to the Fairfax office in person.
Supportive therapy. Follow-ups are conversations, not symptom audits. That might be working through whether to keep a lease, naming the pattern where you take on other people's crises, or building a plan to protect sleep through a heavy month. When what you need is structured longer-term therapy, trauma processing or a full course of CBT for example, Alice will tell you plainly and help you find someone, and she is glad to coordinate with a therapist you already see. The services page goes into more detail.
Intake paperwork arrives ahead of time so the appointment is not spent filling in boxes. Answer what you can and leave the rest blank; it is not an exam. Insurance is verified beforehand, so you know the number before you sit down instead of learning it from a statement three weeks later.
For video, you open doxy.me/alicetran a few minutes early. Nothing to install, no account to make. The opening minutes are simply talking. Alice usually asks why now, because the timing of a decision to seek care tends to be informative on its own. From there she works through symptoms, history, medical background, and current medications, then says what she is thinking and why she thinks it. You leave with a plan you actually agreed to. Most people book their first follow-up two to four weeks later.
Video is the main route, and for Old Town it is the honest recommendation. A 30 minute follow-up taken from your kitchen or your office above the shop costs you 30 minutes, not an afternoon spent on parking and traffic. Visits are secure and happen at doxy.me/alicetran. Appointments are by video, never by telephone, and if the connection drops you rejoin the same link while the office calls to help you reconnect.
In-person appointments are available at 3060 Williams Drive, Suite 300 in Fairfax, roughly 25 to 35 minutes from Old Town depending on the hour, with free parking outside the door. Some patients do the evaluation in person and everything after that by video. Either way it is the same provider. More on how virtual care works regionally is on the Northern Virginia telehealth page.
You see Alice every time. Not a rotating panel and not whoever had the opening. Psychiatry rewards continuity, because the useful information accumulates: what happened when a dose changed in March is exactly what tells you what to try in October.
Her background is a practical advantage. Alice trained under psychiatrist Dr. Errol Segall, MD, who has more than 50 years of clinical experience, and she holds dual board certification in psychiatric mental health and family practice. The family practice half means thyroid function, anemia, sleep apnea, and drug interactions are considered rather than assumed away, which matters a great deal when the complaint is fatigue or fog.
Prices are 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, no hidden fees. Aetna, Anthem, Cigna, Medicare, and Medicaid are accepted, and coverage is verified before the first visit. Current details live on the rates page, and there is more about Alice if you want to know who you would be talking to.
Care can happen fully in English or fully in Tiếng Việt, with no interpreter in the room.
Patients come from across the city and the neighborhoods just north of it. Alice sees adults throughout Alexandria, including Del Ray and Potomac Yard, along with Shirlington, Pentagon City, Arlington, Springfield, and Fairfax. Statewide options are covered on the ADHD treatment, anxiety treatment, and depression treatment pages. Video visits are available anywhere in Virginia.
No. The practice office is at 3060 Williams Drive, Suite 300, Fairfax, VA 22031, in the Merrifield area, with free on-site parking. Old Town Alexandria is a community Alice serves, and most Old Town patients are seen by video. There is no King Street location and no satellite office in the historic district.
A standard follow-up is 30 minutes. A longer 45 minute follow-up is available when there is more to cover. By video, that is the whole commitment. Several Old Town business owners book a follow-up between the morning setup and the lunch rush and are back on the floor without closing anything.
No. In-person visits happen in Fairfax, not in Old Town, and parking there is free and on site. That is one of the small reasons people who are tired of circling for a space find the Fairfax option less irritating than a downtown appointment.
Psychiatric records are confidential health records and are not filed with courts or licensing boards by this practice. Questions about what a specific application asks you to disclose are legal questions, and Alice does not give legal advice. Take those to your own attorney or to the board itself. What she can do is document your care accurately and clearly.
Yes, with your written permission. Alice regularly shares medication lists and relevant findings with primary care so that thyroid results, blood pressure medications, or sleep studies are part of the same picture. Her family practice certification makes those conversations straightforward.
It is. Predictable seasonal sleep disruption is worth treating, because short sleep magnifies almost everything else. An evaluation looks at what is environmental, what is habit, and what is a sleep or mood condition underneath, then addresses each of those differently rather than reaching straight for a sleeping pill.
It changes where you take the appointment. Alice is licensed in Virginia, so you need to be physically in Virginia during the visit. Patients in this situation usually book early in the morning before crossing the bridge, or take the visit from home on a remote work day.
Headphones solve most of it, since only your side of the conversation is audible in the room. Some patients add a fan or white noise near the door. Others take the appointment from a parked car. None of that is unusual, and it does not affect the quality of the visit.
You call or text (703) 791-9099 or email info@alicetrannp.com and describe what is happening. Side effects in the first two weeks are common and often manageable with a timing or dose change. You will not be left waiting until your next scheduled visit to raise it. This practice does not monitor messages around the clock, so anything urgent belongs with 988 or an emergency department.
No. Visits are done by video, not by telephone. If the connection drops, you rejoin the same link at doxy.me/alicetran, and the office will call to help you get reconnected so the visit can be completed on video.
You pay directly and nothing is billed to a health plan. The initial 60 minute evaluation is $400. Follow-ups are $200 for 30 minutes and $250 for 45 minutes. There are no membership fees and no add-on charges. Plenty of Old Town patients choose this route simply because they prefer it.
Broader questions are covered on the FAQ page.
Book online in 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 is required, and your coverage is checked before the appointment. Email works too, at info@alicetrannp.com. If you are in danger right now, call or text 988 instead.
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