Psychiatric hospital in Washington, D.C.

Dominion Hospital is the only freestanding mental health care facility in Northern Virginia, specializing in effective intervention to stabilize crisis situations and co-occurring substance abuse. Our multidisciplinary team approach allows us to treat mental illnesses and identify symptoms associated with any mental illness and co-occurring substance abuse.

For a free, confidential and immediate mental health assessment, call (703) 538-2872 at any time to talk to one of our First Step counselors.

Our adult mental health program outcomes

Dominion has a track record for helping adults with common mental health disorders and co-occurring substance abuse. According to the National Alliance on Mental Illness, 43 million people 18 years old and older in the U.S. have had a mental health illness.

With our multispecialty approach to mental health treatment, we have helped decrease mental health symptoms in our adult patients. Our program has:

  • Decreased anxiety symptoms by 41 percent
  • Decreased depression symptoms by 56 percent
  • Decreased fatigue and/or loss of energy by 60 percent

Adult mental health treatment components

We work with you to help stabilize your symptoms, understand your diagnosis and develop a plan tailored specifically to help you manage your illness in the least restrictive environment possible. Our adult mental health program includes four components to your individualized treatment plan.

Those program components include:

  • Psychoeducation—Provides information about the causes and effects of the particular mental illness to expand understanding of the condition, reduce feelings of helplessness and increase opportunities for better self-care
  • Psychotherapy—Employs evidence-based treatment methods, such as cognitive behavioral, dialectical behavioral, solution-focused and family and group therapies, to enhance your sense of well-being
  • Expressive therapy groups—Incorporates art, dance/movement, music, yoga and recreation therapies to help address key emotional, behavioral or mental health issues that may not be accessible through words
  • Psychopharmacology—Uses medication to assist in treatment, when appropriate

Multiple levels of mental health care

Our highly structured programs—both inpatient mental health and partial hospitalization—feature psychological and educational groups, electroconvulsive therapy and alternative therapies, such as music therapy and art therapy. Our therapeutic process focuses on recovery through goal setting, gender-specific issues, medication education, planning for your life after discharge and other topics relevant to your individual circumstances.

Adult inpatient mental health treatment

Our inpatient mental health treatment is provided for adults 18 years old and older. Patients will have ongoing medication monitoring, medication administration and 24/7 access to psychiatrists and nursing staff.

Our mental health specialists also put an aftercare plan into place to avoid rehospitalization. To avoid another hospitalization, we offer partial hospitalization and outpatient mental health services to ease the transition back into the community.

Trauma disorder treatment

Our TraumaSci Complex Trauma Disorders Program consists of a 10-bed adult inpatient unit that provides a nurturing environment for patients in a crisis. This program specifically targets issues such as PTSD, split personalities or sleep disorders stemming from physical, emotional or sexual trauma.

This inpatient unit is located at our Falls Church campus, which is one mile from our main campus: 6565 Arlington Blvd, Falls Church, VA 22042

Adult partial hospitalization program (PHP)

Dominion's partial hospitalization program combines a highly structured environment during the day with the opportunity to spend evenings at home. Adults benefit from care plans that integrate elements of three evidence-based treatment models:

  • Cognitive behavior therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Seeking safety

Our educational and therapeutic peer-group meetings are provided three days a week, and we also offer special events and opportunities to practice self-sufficiency behaviors.

Our group meetings include:

  • Community meeting—Nursing staff and individuals meet at the beginning and end of the day to complete worksheets that highlight treatment goals, obstacles, accomplishments and concerns.
  • Health education and wellness—This nursing education group provides individuals tools to manage and recover from their illnesses, plans for transitioning outside of hospital care, developing coping skills and teaching skills to have a healthier lifestyle.
  • Weekend planning—This group meets every Friday to address any anxieties or concerns about the upcoming weekend. Individuals will receive assistance to create a structured plan for Saturday and Sunday.
  • Success Life Skills (SLS)—This is a psychoeducation group focused on broad-based skill-building to help patients manage self-identified problem areas.
  • Safe Actions for Everyone (SAFE)—Individuals will attend this group during their first five days of programming. This group focuses on crisis management skill-building to support and increase stabilization.
  • Mood management—This group is an emotional processing group combined with psychoeducational components to help patients who have stabilized.
  • Nutrition group—This group focuses on healthy living and making the necessary diet choices to maintain overall health. It is led by a registered dietitian.
  • Alternative therapy—Using the creative arts (art, music and movement), this group focuses on self-expression and self-awareness to support recovery. These groups are led by our expressive therapy team.
  • Pharmacy group—Education is provided on psychiatric medications, and participants also have an opportunity to ask the pharmacist any questions relating to medication.
  • Dual diagnosis (DD) group—This group, called INTERSECT, explores substance abuse and offers support using the Twelve Steps. Participation in this group is ordered by a physician after consultation with the treatment team.

Additionally, adults will benefit from In Our Own Voice monthly presentations by the National Alliance on Mental Illness.

Adult PHP location

Our adult partial hospitalization program operates Monday through Friday from 8 a.m. to 4 p.m. and has relocated to a facility just a few blocks from Dominion Hospital. Features include:

  • Private entrance with easy access to a large free parking area
  • Up to five group therapy rooms
  • Five physician consultation suites
  • Onsite dining room
  • Welcoming reception area
  • Private restrooms

We are closed for all major holidays.

Eating disorder (ED) treatment

The Joint Commission National Quality Approval

Reflections Eating Disorder Treatment Center provides individualized treatment plans for ED as well as co-occurring issues, such as substance abuse, anxiety and depression. Our eating disorders program is the first and only program in Northern Virginia to provide inpatient, outpatient and partial hospitalization treatment and is the only Joint Commission-certified eating disorder treatment program on the East Coast.

INTERSECT program (dual diagnosis treatment)

When substance abuse occurs with psychiatric illness, the combination is known as dual diagnosis. Our program, INTERSECT, serves adults and adolescents and is rooted in a recovery model of individualized, clinically driven and evidenced-based care. Our goal is to treat the individual as a whole, addressing both symptoms of substance use and behavioral health.

INTERSECT's principles are:

  • Empowering patients to recovery
  • Belief in the human capacity to change
  • Dedication to evidence-based treatments
  • Belief that family and social support is the cornerstone of recovery
  • Dedication to trauma-informed care

What is a dual diagnosis?

Substance abuse with psychiatric illness—dual diagnosis (DD)—occurs when alcohol and/or other drugs are used to soothe symptoms of a psychiatric disorder or to cope with symptoms such as anxiety. Over time, a deep-seated addiction can develop. Sometimes, as the addiction progresses, depression, agitation and other psychiatric symptoms may appear. The combination compounds a person’s distress and disability.

Special challenges in treating dual diagnosis include:

  • Denial of both conditions
  • Resistance to treatment
  • Higher risk for relapses
  • Greater risk of suicide
  • Difficulty functioning and maintaining relationships at work and at home

Causes of dual diagnosis

Evidence shows that disturbances in the brain's neurochemistry are the foundation for addiction and psychiatric disorders, such as depression, anxiety and psychosis. This may explain why psychiatric and addictive illnesses often occur in the same individual and why symptoms overlap.

Individuals with dual diagnoses may display some of these common psychiatric illnesses:

  • Adjustment disorders
  • Anxiety
  • Bipolar disorder
  • Conduct disorder
  • Depression
  • Eating disorders
  • Learning disabilities
  • Mania
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Phobias
  • Post-traumatic stress disorder (PTSD)
  • Schizophrenia
  • Schizoaffective disorder

Many factors affect the treatment of individuals with coexisting substance abuse and mental illness, including:

  • Type and severity of psychiatric illness
  • Duration of illness, whether it's ongoing, occasional or triggered by specific events
  • Drug or combination of drugs used
  • Severity of addiction
  • Motivation for recovery
  • Family history

Dual diagnosis treatment

Many dual diagnosis individuals benefit from the 12-step approach endorsed by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). At Dominion, our treatment plan integrates medication evaluation and management.

Most medications used to treat psychiatric disorders—proven safe and effective for long-term use—are not addictive. However, other medications are highly addictive and should be avoided by individuals with a history of substance abuse.

When appropriate, special medications—including those to help reduce feelings of craving or euphoria—may be prescribed to assist recovery. But the combination of alcohol or drugs with some psychiatric medications can be toxic—even life-threatening—so close monitoring is advised.