More Specialties


You raised your kids from helpless little things. They proceeded to pass through so many stages, named and unnamed, on their paths to growing up. Once they hit puberty, it was your turn to be amazed. Where did this creature come from? In front of your eyes, overnight, they grow bigger. They consume vast quantities of food, time, energy and money. Their pace of change accelerates to the point of making you breathless, impressed, and also fearful. How do you manage these surprising new arrivals? They oscillate in their moods. By turns, they assert independence, bravado, oppositional and defiant behavior, then moments later, they regress to being needy, scared, clingy and dependent. They keep throwing you off balance. Every night you have a conference with your spouse about what’s the latest development and what you need to do next.

If your teenagers are boys, they were once loving and chatty, but now they go silent, as though entering a kind of Stone Age. When they shut off essential communication with you, how do you evaluate their capacity to keep their balance, stay on course, both academically and socially?

If your teenagers are girls, they start off awkward and gangly, and then ripen to an early maturity, perhaps too soon, and now you’re inundated with TMI (too much information). It gets confusing and sometimes plain embarrassing.

In bringing up your kids, as parents, you have invested so much of yourselves and your precious resources. These kids represent the projection of everything you stand for, your hopes and your dreams, into the far future. You desperately want to make sure they will make it. You want them to become strong, successful, self-reliant and independent adults, a credit to themselves and to the both of you.

However, sometimes, your teenagers get thrown off course. They seem beset by internal forces and stormy upheavals that overwhelm them. They give you mixed signals of distress. You don’t quite know what to do.

How much of this wild ride can you guide them through, especially when they push back at your best advice and counsel? When do you conclude that things have gotten so much out of hand that you have to admit you really don’t know what to do next? When is it time to seek professional help because they just won’t let you in anymore even though they seem to be sinking?

You will know that time.
We will be there when you’re ready to reach out for the help you need.

Fear of Public Speaking

Anxiety Disorders have been a specialty at Roundhouse from the beginning. We learned that some problems deserve customized approaches to help optimally. Fear of Public Speaking is one of them. For over 25 years, our fear of public speaking program, led by Burt Rubin, has been the leader in the Washington area for helping hundreds overcome this career-damaging problem. Several years ago, we renamed our program the Stagefright Survival School and were honored to be featured in the Washington Post. For more information, please visit our dedicated web site:


We have specialized in Medical Hypnosis at Roundhouse from our earliest years. Ruth Ruskin, MSW, our resident expert, has treated hundreds of people for:

  • Smoking Cessation
  • Pain Management
  • Stress
  • Weight Loss
  • Finding Lost Items
  • Helping with Other Therapy Efforts

Hypnosis Treatment at Roundhouse

  • Initial Consultation
  • Devising a Treatment Plan
  • Hypnosis appointments
  • You experience induction
  • You learn self-hypnosis
  • You record a session to take home and practice
  • You customize the hypnosis to fit your needs

Often just a few appointments will work.

Life Transitions

Another way to look at what we do at Roundhouse is to get away from Diagnoses and Therapies and focus on what really brings people to our Center: Key Life Transitions. Stress and strain associated with these transitions triggers distress that could benefit from our attention.

We are skilled and experienced at helping with these Life Transitions:

  • Changing schools
  • Graduation
  • Going off to college
  • Starting a new job
  • On-the-job work stresses
  • Dating and getting engaged
  • Marriage
  • Separation
  • Divorce
  • Births of children
  • Illness
  • Death
  • Empty Nest Syndrome
  • Return home of an adult child
  • Retirement
  • Other important transitions


Obsessive-Compulsive Disorder (OCD)

Obsessions refer to troubling thoughts that keep recycling through your mind giving you no peace. Compulsions refer to repetitive acts that are like rituals you employ to ward off high anxiety. Between these two symptoms of OCD, the constant strain of overthinking, worry and high anxiety can exhaust you. Your mental anguish can operate 24/7.

We can help by combining Cognitive-Behavioral strategies and specific medications to finally get you some relief. Therapy for OCD is not quick or easy as you can guess. You can take comfort in knowing we have the experience and patience to help you work through it.


Parenting is the hardest job one will ever do and, unfortunately, children do not come with a “How To” manual. Every parent will tell you there are times when they could use some help, whether it is to talk to someone about typical parenting questions, get through their child’s current stage, get help with major behavioral problems, and anything and everything in between. We are here to provide concrete skills and step-by-step instructions to assist you through the challenging times.

You love your children and want the absolute best for them. We can help you discover the most effective ways to parent using strategies proven by research, not opinions.

How do you know if you could benefit from talking to a specialist?

Does your child?

  • Have a hard time with homework
  • Struggle with making and keeping friends
  • Hit, kick, bite you or others
  • Talk back
  • Throw temper tantrums
  • Whine and complain
  • Spin out of control

Do you?

  • Find yourself often frustrated
  • Argue with significant others, friends, family members about your child and/or how to deal with difficult behaviors
  • Feel like you are constantly yelling, arguing, battling, and/or debating with your child
  • Get calls from teachers, administrators, counselors, or others at your child’s school
  • Feel like nothing you try works
  • Worry about your child
Feel like you do not enjoy spending time with your child

If this sounds like your life, we can help. Our goal is to make parenting easier and improve your relationship with your child, which can lead to a happier home for everyone.

Psychological Testing

“What is going on?”

This is a perplexing question that you, or someone you care about, encounters thoughts, feelings, or behaviors that defy immediate explanation.

Psychological assessment is a process that uses various methods to assist gaining insight. This includes behavior, feelings, personality, beliefs, thoughts, and abilities. Psychological assessment can begin to unravel the mystery of many concerns you or a loved one may have, such as:

  • Why do I have these thoughts, behaviors, or feelings?
  • Why does everything seem harder for me than for other people?
  • How can I improve myself and improve my life?
  • Why does my child or spouse act the way they do?
  • Why is my child not doing as well in school as he or she should?
  • Why has my child’s or spouse’s behavior changed dramatically?
  • Why is he or she now struggling with work or with relationships?

“What can I expect from psychological testing?”

  • Your initial appointment will take approximately 90 minutes. You will be asked numerous questions about what is going now, what has gone on in the past, and what you hope to gain in the future. Then we design a testing plan in order to answer the specific questions you and the psychologist identified. The psychologist will explain the test plan, including the number of tests and the approximate time needed to conclude the testing.
  • You will then schedule and complete the testing appointments.
  • Following the completion of the testing, you will schedule an appointment to review the results. The psychologist will explain the results in detail and will ensure that any questions or concerns are fully addressed. Each test completed during the assessment will be explained, followed by an open discussion regarding what it all means. A detailed, written report is also provided at this appointment. This session will take approximately 1 to 1.5 hours.

Every client who completes psychological testing at Roundhouse will receive unbiased and unprejudiced information that can be used to provide a clearer picture of you or a loved one. Furthermore, you will receive tangible information on what you can do to improve your life. Some things you may gain from testing:

  • Make an accurate diagnosis (ADHD, Autism Spectrum Disorder, Anxiety Disorders, Depression, Personality Disorders, and more)
  • Determine approximate IQ
  • Screen for possible neuropsychological issues, such as dementia
  • Admissions testing for Independent Schools
  • Verify accommodations needed for ADHD and other disorders
  • Identify strengths and weaknesses
  • Discern problem solving and learning tendencies
  • Provide a direction for treatment
  • Assist parents, spouses, children, and/or friends how to best help their loved one

The cost of a psychological testing may be covered by your health insurance. You will be responsible for contacting your insurance company prior to making your initial appointment, in order to determine your benefits. Even when your insurance company offers a psychological testing benefit, the entire cost will probably not be covered, resulting in some out of pocket expense.

If you intend to file for benefits with your insurance company, it is critical that you provide us with this information in advance of the evaluation. Generally, insurance companies require that you follow a specific protocol for approval of psychological testing benefits. This requires pre-authorization and completing forms before any assessments commence. This cannot be done retroactively; therefore we cannot change the payment arrangements once the evaluation has been started.

Transcranial Magnetic Stimulation (TMS)

TMS is a new, cutting-edge, FDA-Approved treatment for Resistant or Refractory Depression. For some, medication just doesn’t result in good recovery or results are just mediocre. Sometimes there is recovery but at the price of excessive, unwanted side effects. Now, TMS at Roundhouse provides hope for a better day. We call this specialty practice TMS of Northern Virginia, and Roundhouse was the first to offer this innovative option in Northern Virginia. Please visit our companion web site dedicated to TMS: