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Shirlington, Arlington, Virginia

Unhurried Psychiatric Care
for Shirlington Adults

A small practice, one provider, and appointments long enough to actually get somewhere.

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Hello

A quieter corner of Arlington, and care that matches it

Shirlington has its own pace. The Village is walkable in a way that feels neighborly rather than crowded, Signature Theatre draws people in on weeknights, and I-395 is right there when you need it. The mix of residents is wide: people early in their careers in the newer buildings, families in Fairlington nearby, and long-settled households who have watched the area change for decades.

Anh "Alice" Tran, PMHNP-BC, FNP-BC, treats adults 18 to 65 who live around Shirlington. She is licensed in Virginia and dual board-certified as a psychiatric mental health nurse practitioner and a family nurse practitioner. Most visits happen by secure video. The physical office is in Fairfax at 3060 Williams Drive, Suite 300, with free on-site parking, for anyone who prefers meeting in person.

Conditions

Areas of focus

Depression is one of the most common reasons people from this area book a first appointment, sometimes after years of assuming it was just their personality. Alice looks at how long it has been present, whether it comes in episodes, and what else could be contributing, including thyroid function, sleep, and medications prescribed elsewhere.

Anxiety, panic disorder, and OCD are treated as well. So is adult ADHD, which frequently comes up in people whose jobs became more complicated than their systems for managing them. Trauma and PTSD, bipolar disorder, insomnia, burnout, postpartum and perinatal mood changes, and grief round out the list.

Grief deserves a specific mention here. Neighborhoods with long-tenured residents see a lot of loss, of partners, of parents, of a version of life that has ended. Grief is not a disorder, but it can turn into a depression that will not lift on its own, and telling the difference is worth a conversation.

Three free screeners are available if you want a starting point: the PHQ-9, the GAD-7, and an adult ADHD self-check.

DepressionAnxietyGriefADHDInsomniaOCDPanicPTSDBipolar disorderBurnoutPerinatal mood
Local context

What Shirlington residents tend to be dealing with

Because the population here spans a wider age range than the Metro corridor to the north, the reasons people seek care span more of life too. Some patterns come up repeatedly.

Caregiving in both directions

Adults managing children and aging parents at the same time, often while working full time. It is a load that rarely gets named until something gives, usually sleep or patience.

Long commutes down 395

The drive south or into the District takes what is left of the evening. When recovery time disappears from the week, mood and concentration follow it down.

Retirement and role change

Stepping back from work or watching a career wind down can be disorienting even when it was planned. What follows sometimes looks like depression and responds to treatment as such.

Quiet isolation

A calm neighborhood can also be a solitary one, particularly after a loss or a divorce. Being surrounded by pleasant streets is not the same as having someone to talk to.

Shift and irregular schedules

Healthcare workers, hospitality staff around the Village, and anyone on rotating hours. Sleep that never lands at the same time takes a measurable toll.

Symptoms managed by primary care for years

Many people have been on the same antidepressant since a fifteen minute visit a decade ago, without anyone revisiting whether it is still the right one at the right dose.

Services

What an appointment includes

A full psychiatric evaluation. The first visit lasts 60 minutes, which is unusual and intentional. Alice wants the whole story: when things started, what was going on around that time, how it has changed, and what you have tried, including medications from years ago that you may barely remember. She asks about sleep in specifics rather than generalities, about alcohol and caffeine, about medical history, about what other providers have prescribed, and about family history. For people who have been carrying an old diagnosis, part of the work is checking whether it still describes what is actually happening.

Medication management that gets revisited. Medications are explained before they are started: what the goal is, how long it should take to notice something, which side effects are expected and which ones warrant a call, and what the alternative is if it disappoints. Follow-ups exist to adjust. If you have been on the same prescription for eight years without a review, that review is a reasonable thing to want. Prescriptions go to whichever pharmacy you use. Controlled medications, including ADHD stimulants, follow Virginia requirements and may involve an in-person visit in Fairfax.

Supportive therapy woven in. Appointments include time to talk, because medication decisions made without context tend to be poor ones. That covers caregiving strain, a marriage under pressure, retirement that feels emptier than expected, or a grief that has not moved. When longer structured therapy would help more, Alice will tell you and help you find a therapist, and she is happy to coordinate care with providers you already see. See the services page for more.

Getting to your visit

Video from Shirlington, or a short drive to Fairfax

There is no office in Shirlington or anywhere in Arlington, so telehealth is how most patients here are seen. Visits run at doxy.me/alicetran, which opens in a browser with no app, no account, and no setup beyond clicking a link. From a home in Fairlington or an apartment near the Village, that turns a two hour errand into a 30 minute appointment.

If you prefer to be in the room, the Fairfax office at 3060 Williams Drive, Suite 300 is about 25 minutes out via 395 and the Beltway, with free parking at the door. Some patients start in person and continue by video. Both formats get the same provider and the same length of appointment. See the telehealth page for details.

Before you come

The first appointment, plainly described

You will receive intake forms by email. A list of current medications with doses is the single most useful thing to have ready; the rest can be filled in as you go. Your insurance is verified in advance, so the cost is known before the visit rather than after.

The hour itself is a conversation. Alice will ask what prompted you to make the call now, then move through history at a pace that lets you finish your sentences. Nothing you say is graded. At the end she will summarize what she thinks is going on, in ordinary words, and lay out options rather than a single instruction. If the right answer is a referral or a lab test rather than a prescription, she will say so. Follow-up is usually scheduled two to four weeks out.

Why this practice

What patients say they were looking for

Mostly, time and continuity. A 30 or 45 minute follow-up with the same clinician every visit is a different experience from a rushed appointment with a rotating panel, and it is the main reason people from Shirlington and Fairlington stay.

The clinical background supports that. Alice trained under psychiatrist Dr. Errol Segall, MD, whose experience spans more than 50 years, and she holds dual board certification as a psychiatric mental health nurse practitioner and a family nurse practitioner. That second credential is practically useful for older adults and anyone with a longer medication list, because interactions and medical contributors to mood and energy get examined instead of assumed away.

Pricing is simple and posted. 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. Most major insurance is accepted, including Aetna, Anthem, Cigna, Medicare, and Medicaid, with coverage verified before the first appointment. Details are on the rates page, and background is on the about page. Visits can be conducted fully in English or fully in Tiếng Việt without an interpreter.

Around Shirlington

Other neighborhoods and communities served

Patients come from Fairlington, Douglas Park, Arlington Ridge, and across the rest of Arlington, including Pentagon City to the east and Ballston, Clarendon, and Rosslyn to the north. Alexandria is minutes away, and Alice also sees adults in Falls Church and Fairfax. Telehealth covers the entire state. For condition-specific reading, see anxiety treatment in Arlington or ADHD treatment in Arlington.

Questions and answers

What people ask before their first visit

I am in my fifties and have never done this before. Is that unusual?

Not unusual at all. A good number of first-time patients are well into adulthood and finally addressing something they have managed around for decades. Alice treats adults 18 to 65, and starting later does not make treatment less effective.

Do you handle care for someone with several medical conditions already?

Yes, and it is one of the reasons the family nurse practitioner certification matters. Alice reviews your full medication list, looks for interactions, and considers medical causes for symptoms rather than assuming everything is psychiatric.

Can I bring my spouse or adult child into part of the appointment?

If you want someone present for part of a visit, that is your call. Many patients find it useful for a family member to join briefly, especially at the first appointment, then step out so the rest of the conversation stays between you and Alice.

I am caring for an aging parent. Does that belong in a psychiatric visit?

It belongs there. Caregiving is one of the more reliable routes to exhaustion, anxiety, and low mood, and it usually goes unaddressed because the person doing it is focused on someone else. It is a legitimate reason to be seen.

Is a nurse practitioner able to prescribe the same medications a psychiatrist would?

In Virginia, a psychiatric mental health nurse practitioner evaluates, diagnoses, and prescribes psychiatric medications. Alice is board-certified in that specialty and trained under psychiatrist Dr. Errol Segall, MD, who has more than 50 years of clinical experience.

How many visits does this usually take before something changes?

That varies by person and by condition, and nobody can promise a timeline honestly. What is predictable is the structure: an initial evaluation, a follow-up in two to four weeks, then a rhythm that stretches out as things stabilize.

Can I do the first appointment in person and the rest by video?

Yes, and quite a few people prefer exactly that. Meet once at the Fairfax office at 3060 Williams Drive, Suite 300, where parking is free, then handle follow-ups from home. Either way you see the same provider.

What happens if I need to cancel?

Let us know as early as you can by calling or texting (703) 791-9099 so the slot can go to someone else. Cancellation terms are listed on the rates page, and the practice is not in the business of surprising people with fees.

Do you accept Medicare?

Yes. Most major plans are accepted, including Aetna, Anthem, Cigna, Medicare, and Medicaid. Your coverage is verified before the first visit so you know what to expect rather than finding out from a bill.

What if I mostly need someone to talk to rather than a prescription?

Then say that at the first visit. Supportive therapy is part of every appointment, and Alice will tell you honestly if she thinks a therapist rather than a medication is the better fit. Recommending less care when less is right is part of the job.

More is covered on the FAQ page.

A first appointment is a low-risk step.

You are not committing to medication by booking an evaluation. You are committing to an hour of being listened to carefully. Reserve a time online, or call or text (703) 791-9099, or email info@alicetrannp.com with a question. New Shirlington patients are typically seen within one to two weeks, and no referral is required. For urgent help, call or text 988.

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