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Psychiatric Treatment & Counseling (Psychotherapy)

There’s no sidestepping it–life can be overwhelming. Whether it’s challenges at work, home, or in relationships, it’s easy to feel like we’re barely keeping our heads above water. Add to that symptoms of anxiety, depression, or other mental health issues, and life becomes even more difficult.  That’s where we come in. Our board-certified psychiatrists and psychotherapists are highly trained, compassionate, providers well-versed in diagnosing and treating a variety of mental health conditions and sources of distress using psychotherapy (counseling) and medication when appropriate.

Whether we are providing talk therapy (psychotherapy), prescribing medication, or using a combined approach, our psychiatrists and psychotherapists always prioritize understanding your unique background and needs in working together to develop a personalized treatment approach that will best meet your needs and goals.

Conditions Treated:

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Mood symptoms and disorders (e.g., depression, bipolar disorder)

anxiety, panic, generalized anxiety, generalized anxiety disorder, GAD, social phobia, social anxiety disorder, PTSD, OCD, psychotherapy, panic, panic disorder

Anxiety symptoms and disorders (e.g., generalized anxiety disorder, panic disorder, social anxiety disorder, phobias and fears)

adjustment disorder, adjustment disorders, stress, mourning, grief, bereavement, loss

Adjustment disorders (grief, bereavement, stress)

OCD, obsessive compulsive disorder, obsessive-compulsive disorder, ERP, CBT, cognitive behavioral therapy

Obsessive-compulsive disorder (OCD)

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gambling, sexual addiction, impulse control disorder, sex addiction

Impulse-control disorders

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Trauma-based conditions (including PTSD and dissociative conditions)

ADHD, attention deficit hyperactivity disorder, ADD attention-deficit/hyperactivity disorder

Attention-deficit/hyperactivity disorder (ADHD)

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Sleep disorders with psychiatric components
interpersonal, conflicts, interpersonal conflict, interpersonal conflicts, family therapy, family counseling, couples counseling, couples therapy

Interpersonal challenges and relationship difficulties

occupational, work, work problems, fitness for duty, work impairment

Occupational difficulties

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Anger management issues

identity, sexual identity, gay, lesbian, LGBTQ

Self-esteem and identity issues, including sexual identity

GID, gender, gender identity, gender identity disorder, transgender, transgender therapy, transgender counseling

Gender identity-related issues

sexual disorders, intimacy disorders, sexual dysfunction, men's sexual, women's sexual

Men’s and women’s sexual disorders

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Psychotic disorders (schizophrenia, schizoaffective disorder, delusional disorders)

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Maintenance of sobriety (for individuals who are presently sober and involved with external sources of recovery)


Psychiatric symptoms of neuropsychiatric disorders

What’s the Right Path for You?

Our practice offers psychotherapy for persons ages 13 and above, and both psychotherapy and medication management for persons ages 16 and above.

All of our providers are skilled psychotherapists, with training in cognitive-behavioral (CBT), psychodynamic, and supportive psychotherapy.

If you are seeking counseling alone, please inquire about scheduling with Kristin Harkins, LMFT or with one of our two board-certified psychiatrists, Ryan Shugarman, M.D. or James Rives, M.D.  If you think you may benefit from medication, please ask about scheduling with Dr. Shugarman (ages 18 and older) or Dr. Rives (ages 16 and older). Persons in treatment with outside providers are always welcome to the practice.

At the end of each session, we will provide you with a detailed receipt designed to help maximize insurance company reimbursement. Costs for treatment vary by provider and service–additional information is available upon request.

Our Providers:

Ryan Shugarman, M.D.

Board-Certified General and Forensic Psychiatrist

Dr. Shugarman is a board-certified general and forensic psychiatrist and founder of the practice. He provides medication management and psychotherapy for adults. Additionally, he performs forensic psychiatric evaluations and serves as an expert witness.

James Rives, M.D.

Board-Certified Psychiatrist

Dr. Rives is a board-certified psychiatrist. He provides medication management and psychotherapy for persons ages 16 and older. Dr. Rives also has extensive experience evaluating and treating U.S. military veterans.

Kristin Harkins, LMFT

Individual, Couples, and Family Therapist

Ms. Harkins is a licensed marriage and family therapist (LMFT). She provides psychotherapy and counseling for clients ages 13 and older, including for couples and families. When appropriate, she is also available to work with clients remotely, via teletherapy.

Have questions?  Interested in scheduling?

Please call us at (703) 596-1024 or complete our contact form.

For more information about mental health conditions and treatment in general, the American Psychiatric Association's and NAMI's websites offer excellent resources.


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