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Our Treatment Approach

At Reflections, you benefit from our comprehensive treatment for eating disorders that incorporates multiple modes of therapy. To ensure we create an appropriate plan of care tailored to your specific needs, we integrate group and family therapy, cognitive behavioral therapy, expressive therapy and individual therapies.

Reflections Intake Coordinator 24/7
703-538-2886


Reflections employs a multimodal treatment approach for eating disorders, with a major focus on group therapy, including expressive therapy. All participants receive family and individual therapy several times a week. The multidisciplinary treatment team includes board certified psychiatrists, psychologists, internal medicine physicians, licensed therapists, registered dietitians, social workers, and nursing support.

All program participants are assigned a physician upon admittance to the program. Your physician will meet with you daily. He or she may speak to you about how medication may help you in your recovery process.

Upon entering our center, you receive a complete physical exam from our full-time internist. Because many people with eating disorders have a variety of medical needs, our internist makes appropriate referrals if specialists are needed.

Reflections has several dedicated therapists. Patients meet with their assigned therapist several times each week. This is in addition to several group therapy sessions each day. Each patient works with a therapist to create an individual treatment plan.

Group therapy has been shown to be an essential piece of the treatment for individuals with eating disorders. The majority of the day will be spent participating in a variety of groups geared towards understanding your eating disorder. Our groups are conducted using Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) methods.

Clinical research indicates cognitive behavioral therapy (CBT) is one of the most effective treatment approaches for eating disorders. CBT is based on the theory that a person’s emotions, thoughts and behaviors are all connected. We work with patients to change their thoughts about themselves and food, which has a direct impact on their emotions and disordered eating behaviors.

Proper nutrition supports good health. At Reflections, you’ll meet regularly in a group setting with our registered dietitians for education on various nutrients and why the body needs them. They’ll help you question your negative thoughts about food, teach you about meal planning at home and discuss nutrition-related challenges and possible solutions.

Family therapy is a critical element of the Reflections program, especially for adolescents in our care. Through family therapy, we teach family members about the recovery process and causes of eating disorders. Our family therapists work with participants and their families to develop greater understanding, improve communication, change behavior patterns and nurture a supportive home environment.

Expressive therapy uses creative arts—including dance/movement, art, poetry, creative writing, drama and play—within a professional therapeutic relationship to create awareness of self and others, help individuals cope with symptoms and stress and enhance cognitive awareness and abilities.

Expressive therapy, which allows participants at Reflections to share feelings nonverbally before they can put them into words, is particularly useful in addressing the distorted body images associated with eating disorders.

School-age Reflections participants receive age/grade-appropriate direct instruction in math, science, language arts and social studies from our teaching staff in onsite classrooms to help them maintain their academic standing while in our care. Our curriculum meets Virginia State Standards of Learning (SOL) and graduation requirements. Education Services team members coordinate activities and facilitate communication among Reflections’ staff and the participant’s school and parents to keep everyone aligned and moving forward.

Our Participants Say…

“I have been to a lot of treatment centers for both my substance abuse and my eating disorder. For the first time, I feel prepared to reenter the world.”

Learn more about our program to address self-injurious behavior and additional mental health services available at Dominion Hospital.

Review a range of mental health topics and special information about teen health issues in our online Health Library.