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Individual Psychotherapy (Counseling), Family Therapy, & Couples Counseling / Marriage Counseling

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 providers are highly trained, compassionate therapists and board-certified psychiatrists well-versed in diagnosing and treating a variety of mental health conditions and sources of distress. We work with clients (ages 13 and above, dependent upon the provider) to help to define your goals for treatment and to devise a personalized treatment plan.

Kristin Harkins, LMFT is also available for couples counseling / marital therapy and family therapy, and our two board-certified psychiatrists, Ryan Shugarman, M.D. and James Rives, M.D., are available for medication management.

Though our therapists come from unique backgrounds and disciplines, we are all highly dedicated to helping you achieve your goals!

Conditions Treated:

mental health, therapists, psychiatrists, psychotherapists, mood disorders, depression, bipolar disorder

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

Our mental health counseling practice can provide psychotherapy to treat depression and dysthymia utilizing cognitive behavioral techniques, supportive psychotherapy, and psychodynamically-informed psychotherapy to improve your quality of life, relationships, and general well-being. Our psychiatrists are also available to provide medication management for depression and bipolar disorder for clients ages 16 and older.

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):

If anxiety has taken over your life, we provide evidence-based psychotherapy for anxiety to identify the sources of your anxiety and help you to better cope with your specific triggers. Our psychiatrists are also available to provide medication management for anxiety-related conditions to clients ages 16 and older.

adjustment disorder, adjustment disorders, stress, mourning, grief, bereavement, loss
Adjustment disorders (grief, bereavement, stress):

Our therapists in Alexandria, VA are available to provide grief counseling in the D.C. area or to assist in dealing with stressful situations over which you have little control.

OCD, obsessive compulsive disorder, obsessive-compulsive disorder, ERP, CBT, cognitive behavioral therapy
Obsessive-compulsive disorder (OCD):

If you are experiencing unwanted, intrusive thoughts and/or compulsive behaviors, we offer support and cognitive therapy in Alexandria so you can learn to manage your symptoms and live a more normal life. Our psychiatrists are also available to provide medication management for OCD to clients ages 16 and older.

gambling, sexual addiction, impulse control disorder, sex addiction
Impulse-control disorders:

Cognitive and behavioral techniques can help you to diminish detrimental behaviors that you may be experiencing.

mental health, therapists, psychiatrists, psychotherapists, trauma, ptsd, posttraumatic stress disorder, post-traumatic stress disorder, childhood trauma, DID, dissociative, dissociation, EMDR
Trauma-based conditions (including PTSD and dissociative conditions):

If trauma has left behind emotional scars, our metro D.C. counseling and psychotherapy center offers a wide range of treatment options to help you to overcome the effects of a challenging past, including trauma-informed psychotherapy, EMDR, supportive psychotherapy, and medication management.

ADHD, attention deficit hyperactivity disorder, ADD attention-deficit/hyperactivity disorder
Attention-deficit/hyperactivity disorder (ADHD):

While ADHD is often treated with medication (which our psychiatrists can provide for clients ages 16 and older), our family therapy in Alexandria, VA can teach you how to work with a hyperactive child, communicate better with him/her, and help your child thrive despite his/her difficulties.

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Sleep problems:

Many of the underlying causes of irregular sleep patterns can be addressed via our metro D.C. talk therapy and other psychotherapy services so you can achieve a normal level of rest and experience the benefits that adequate sleep can have upon your life.

interpersonal, conflicts, interpersonal conflict, interpersonal conflicts, family therapy, family counseling, couples counseling, couples therapy
Interpersonal challenges and relationship difficulties:

Whether in individual psychotherapy, family therapy, or couples counseling / marriage counseling in D.C. and Northern Virginia, Shugarman Psychiatric & Counseling is equipped to address a wide range of issues.

occupational, work, work problems, fitness for duty, work impairment
Occupational difficulties:

Challenges at work can create stress, anxiety, and depression, but our compassionate therapists offer counseling in Northern VA and the Greater D.C. area to assist you in better managing your personal and professional life.

mental health, therapists, psychiatrists, psychotherapists, anger, anger management, temper, anger management treatment, anger management therapy
Anger management issues:

Problems with irritability, temper, and impulsivity can affect both you and those you care most about. Our treatment options of cognitive-behavioral therapy, family therapy in Northern Virginia, and medication management can help you to gain a sense of control over your temper and its detrimental effects upon your mind, body, and relationships.

identity, sexual identity, gay, lesbian, LGBTQ
Self-esteem and identity issues (including sexual identity):

Low self-esteem can limit many aspects of your life, and confusion over aspects of your sexual identity can cause distress. If self-esteem or identity issues are affecting you, contact our metro D.C. counseling and psychotherapy center. We are an LGBTQ / LGBTQIA friendly practice.

GID, gender, gender identity, gender identity disorder, transgender, transgender therapy, transgender counseling
Gender identity-related issues:

Shugarman Psychiatric & Counseling offers counseling in Northern Virginia and the Greater D.C. Area to help you to explore your gender identity, feel comfortable in your own skin, and excel in life. We are an LGBTQ / LGBTQIA friendly practice.

sexual disorders, intimacy disorders, sexual dysfunction, men's sexual, women's sexual
Men’s and women’s sexual disorders:

Whether sexual dysfunction or relationship issues are at play, we provide individual counseling and couples therapy in Northern Virginia. We also provide psychiatric evaluations and offer medication management of sexual dysfunction when appropriate.

mental health, therapists, psychiatrists, psychotherapists, substance, alcohol, sobriety, maintenance, substance abuse therapy, substance abuse counseling, alcohol dependence, alcohol abuse, substance dependence, substance abuse, substance use disorder, alcohol use disorder, recovery
Maintenance of sobriety (for individuals who are presently sober and involved with external sources of recovery):

From cognitive therapy to family counseling in Northern Virginia, our team can help you live a sober life and continue with recovery from drug or alcohol addiction.

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, you are welcome to schedule an evaluation 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:

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.

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.

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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