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Anxiety Disorders are due to brain alarm systems that are out of balance, running in overdrive. Many depressions have a genetic or biological basis, so we use medical as well as psychological treatments. When what should be a satisfying exchange of caring and love turns difficult and exhausting, we provide couples counseling.

In the course of a career, distractibility, restlessness and impulsivity can get in the way of performance and promotions. Stress and strain associated with life transitions triggers distress that could benefit from our attention. We're the leader in the DC area for helping people overcome career-damaging fear of public speaking.
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Roundhouse Square Counseling Center was established in 1979. Dr. David Charney decided to expand his Old Town, Alexandria, solo private practice into a small group specializing in anxiety disorders called The Phobia Treatment Center. In Northern Virginia at that time there were no specialized programs for treating agoraphobia, phobias, panic attacks and other anxiety disorders.
We've been in practice for over 40 years. We like to see ourselves as a "boutique" practice, meaning not too small, not too large, with a warm, comfortable atmosphere and offices that are modern, bright, elegant and filled with art. Our staff members are very experienced, sharp, friendly and engaging.
When we schedule an appointment for you, we set aside that block of time for you exclusively. It's not like a typical doctor's waiting room where if you don't show up, there are people lined up waiting to take your place. To make our practice viable, we generally require 2 days notice for a cancellation; otherwise, you will be charged for a missed appointment.
Our fees range from $150 to $325 for an appointment depending on which professional you see and for how long. Our Payment Policy is to expect payment at the time of the visit. If you have insurance, you can apply for reimbursement back to you and we will be glad help you with that process. As for insurance, we are always "out-of-network, " meaning that we have no contracts with insurance companies and thus are not "preferred providers."
We at Roundhouse are a group of mental health professionals in Alexandria, Virginia who specialize in Anxiety, Depression, Work Stress, Relationships, Adult ADD, Adult OCD, Parenting, Fear of Public Speaking, Severe Phobias and more. Our two psychiatrists, physician assistant, two psychiatric social workers, and our other staff members have a combined experience and expertise that spans a wide range of problems.
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