Psychodynamic Psychotherapy & Psychoanalysis
There is more to your story than what you already know.
I’m Dr. Anthony Koch, Psy.D.
Dr. Koch, Psy.D. is a Licensed Clinical Psychologist in the Commonwealth of Virginia and Washington, D.C. He provides in-person psychotherapy in Alexandria, VA, and also sees patients virtually across all PSYPACT states.
Services Provided:
Individual Psychotherapy
Psychotherapy for the LGBTQ+ Community
Psychoanalysis
Couples Therapy
Supervision & Consultation
2026 Fees:
Individual Psychotherapy: $235 per 45-minute session
Couples Therapy: $275 per session
Psychoanalysis: $150 per session
Many clients receive a 50-80% reimbursement using their out-of-network benefits.
Sliding Scale Offered
You find yourself in another relationship that feels strangely familiar. You know you're being too hard on yourself, but knowing doesn't seem to help. You have a successful career, good relationships, and much of what you once hoped for, yet something still feels unsettled.
Or perhaps you're struggling with anxiety, depression, loneliness, or a feeling you can't quite explain.
People come to psychotherapy for different reasons. Some want relief from symptoms that have become difficult to manage. Others are troubled by patterns they recognize but haven't been able to change. Still others want to understand themselves more deeply.
Whatever brings you here, I believe there is value in taking the time to understand your experience rather than rushing toward an explanation.
Perhaps you've been here before.
There is hope…
Psychotherapy has been shown to be highly effective for a wide range of psychological concerns.
Taking the first step to see a therapist can open the door to healing and transformation. Through compassionate guidance and support, therapy offers a safe space to explore your thoughts and feelings, empowering you to overcome challenges and find renewed strength and hope on your journey to psychological wellness.
Beginning Psychotherapy or Psychoanalysis
An Initial Conversation
We begin with a complimentary 15-minute phone consultation. You can tell me a little about what brings you to therapy, ask questions about my approach, and get a sense of whether working together might be a good fit.
Our First Meetings
During our initial sessions, I'll want to learn about your current concerns, your personal history, and the relationships and experiences that have shaped your life. You don't need to arrive with a clear explanation of what's wrong or know exactly what you want to accomplish.
The Ongoing Work
Psychotherapy develops through regular meetings and the relationship we establish over time. We may explore current difficulties, memories, dreams, recurring relationship patterns, or feelings that emerge unexpectedly during our conversations.
Some changes happen relatively quickly. Others take time, particularly when we are working with longstanding ways of experiencing ourselves and others.
"Knowing your own darkness is the best method for dealing with the darkness's of other people. One does not become enlightened by imagining figures of light, but by making the darkness conscious. The most terrifying thing is to accept oneself completely. Your visions will become clear only when you can look into your own heart. Who looks outside, dreams; who looks inside, awakes."
- Carl Jung
Click this link to choose a day and time for a free, confidential consultation.