Anthony Koch

I use a contemporary psychoanalytic approach that looks beneath the surface to understand patterns, emotions, and the deeper story shaping your life. My style is warm, curious, and collaborative. I don’t just listen, I help you connect the dots. Together we make meaning of your struggles, fostering lasting change, healing, and a more authentic way of living.

Together, we'll understand the history shaping your emotions, relationships, and sense of self. Through a compassionate and professional relationship, you'll gain lasting insight, strengthen emotional resilience, and create meaningful change that extends beyond symptom relief.

My clients describe me as thoughtful, respectful, and deeply engaged. They appreciate my ability to engage dynamically, ask meaningful questions, and create a space where they feel genuinely understood while also being gently challenged to grow.

I specialize in working with thoughtful, motivated adults who feel stuck in recurring patterns despite their best efforts to change. Many are navigating anxiety, relationship difficulties, life transitions, or questions of identity and want to understand not just what is happening, but why. They are open to exploring the past and dreaming of the future.

I became a therapist because I'm endlessly curious about the complexity of human experience and believe that understanding ourselves more deeply can be profoundly life-changing. It's a privilege to help people make sense of their emotions, relationships, and suffering so they can live with greater freedom, authenticity, and purpose.

I offer both long-term psychotherapy and psychoanalysis. While many clients meet weekly, psychoanalysis involves meeting three or more times per week for those seeking a deeper understanding of themselves. I can see clients virtually and in-person in Alexandria, VA. Please feel free to reach out if you have questions or would like a free consultation.