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47 Years
experience
Your Trusted Mental Health Partner in Alexandria, VA
Established in 1979, Roundhouse Square Counseling Center has provided specialized mental health care for over four decades. Our team of psychiatrists, psychiatric social workers, and physician assistants combines medical and psychological treatments to address anxiety, depression, work stress, and other complex conditions. We pioneered Contextual Therapy, a groundbreaking approach that integrates cognitive-behavioral techniques with real-world exposure to treat phobias and anxiety disorders effectively. Our practice has evolved to include treatment for mood disorders, adult ADD, OCD, and relationship challenges while maintaining our commitment to personalized care. With a collaborative team approach, we coordinate psychological therapies, medication management, and specialized programs like fear of public speaking treatment.

Our professionals bring decades of combined experience, offering both traditional talk therapy and innovative solutions tailored to individual needs. Located in historic Old Town Alexandria, we maintain a boutique practice environment that balances professionalism with personal attention. Our staff's expertise spans treating panic disorders, social anxiety, generalized anxiety, and career-related stress through customized treatment plans. We emphasize rapid symptom relief while addressing root causes through comprehensive evaluations and ongoing progress tracking.
Services
Anxiety Treatment Depression Management Work Stress Counseling Relationship Therapy Adult ADD Treatment OCD Treatment Fear of Public Speaking Phobia Treatment Couples Counseling Medication Management
Details
  • Year established: 1979
Highlights and features
  • We offer 40+ years of specialized experience in anxiety and depression treatment
  • Our team pioneered Contextual Therapy for real-world anxiety disorder treatment
  • We combine medical, psychological, and cognitive-behavioral approaches for comprehensive care
  • Our physician assistant provides cost-effective medication management options
  • We specialize in career-related stress and fear of public speaking treatment
What people say
Panic attack free Career transformation Effective phobia treatment Compassionate support Proven results
Services
Anxiety Treatment
Our anxiety treatment program addresses panic disorders, phobias, and generalized anxiety through medication management and cognitive-behavioral therapy. We specialize in real-world exposure techniques developed through 40 years of clinical experience. Treatment plans combine rapid symptom relief with long-term coping strategies tailored to individual needs.
Depression Management
We treat biological and psychological depression through comprehensive evaluations and customized treatment plans. Our approach combines antidepressant medication optimization with talk therapy to address root causes and develop effective coping mechanisms for lasting recovery.
Work Stress Counseling
Our work stress program helps professionals manage job-related anxiety, difficult workplace dynamics, and career burnout. We provide safe, confidential counseling to develop coping strategies and improve work-life balance without professional repercussions.
Adult ADD Treatment
We offer specialized assessment and treatment for adults with attention deficit disorder. Our approach combines medication management, cognitive-behavioral techniques, and counseling to help patients develop effective organizational strategies and maximize their natural creativity and energy.
Fear of Public Speaking
As DC area leaders in performance anxiety treatment, we help professionals overcome career-limiting fear of public speaking. Our program combines exposure therapy with confidence-building techniques to transform presentation skills and reduce performance anxiety.
People
David L. Charney
Psychiatrist
Founder and Medical Director with 40+ years experience treating anxiety disorders. Developed Contextual Therapy approach for real-world anxiety treatment. Specializes in panic disorders and phobias.
Scott Williams
Psychiatrist
Board-certified psychiatrist with expertise in mood disorders and medical hypnosis. Provides comprehensive treatment combining medication management and psychotherapy for depression and anxiety.
Kathleen Simpson
Social Worker
Licensed clinical social worker specializing in relationship therapy and couples counseling. Helps clients improve communication and resolve conflicts in personal and professional relationships.
Ruth Ruskin
Social Worker
Expert in treating anxiety disorders and fear of public speaking. Has successfully treated hundreds of patients using cognitive-behavioral techniques and exposure therapy.
Rachel Young
Physician Assistant
Psychiatric PA-C providing medication management services at reduced fees. Specializes in treating anxiety and depression with evidence-based pharmacological approaches.
Questions
What mental health services do you specialize in?
We specialize in anxiety disorders, depression, work stress, adult ADD, OCD, relationship counseling, and fear of public speaking treatment.
How do I schedule an appointment?
Call 703-836-7130 to speak with Dawn who will arrange a consultation with the appropriate professional within hours.
Do you accept insurance?
We are out-of-network providers but provide documentation for insurance reimbursement. Medicare patients require self-payment.
What is your cancellation policy?
We require 48-hour notice for cancellations to avoid charges for missed appointments.
How long are therapy sessions?
Session lengths vary based on treatment needs and professional, with fees ranging from $175-$350.
What makes Roundhouse different?
Our combination of medical and psychological treatments, real-world exposure therapy, and 40+ years experience treating complex anxiety disorders.