Manalai is a board-certified psychiatrist and addiction medicine specialist with nearly two decades of experience helping adults navigate a range of psychiatric challenges—from depression and bipolar disorder to trauma, ADHD, OCD, schizophrenia, and substance use.
While Dr. Manalai specializes in severe and treatment-resistant illness, he has also found great meaning in helping high-achieving professionals—including college and graduate students, physicians, lawyers, and public figures—navigate the unique challenges they face. One patient, during a difficult winter, left him this poem:
"Within the prism
of the snow
a blade of grass
began to grow—
simmering lights
to still the green,
walls of brown
to it unseen."
Beneath the poem, the patient added:
"Thank you for being a blade of grass for me to step on, to propel me into the new."
Manalai is a board-certified psychiatrist and addiction medicine specialist with nearly two decades of experience helping adults navigate a range of psychiatric challenges—from depression and bipolar disorder to trauma, ADHD, OCD, schizophrenia, and substance use.
While Dr. Manalai specializes in severe and treatment-resistant illness, he has also found great meaning in helping high-achieving professionals—including college and graduate students, physicians, lawyers, and public figures—navigate the unique challenges they face. One patient, during a difficult winter, left him this poem:
"Within the prism
of the snow
a blade of grass
began to grow—
simmering lights
to still the green,
walls of brown
to it unseen."
Beneath the poem, the patient added:
"Thank you for being a blade of grass for me to step on, to propel me into the new."
We help adults facing mental health struggles such as trauma, anxiety, and dual diagnoses. Many of our clients are seeking a comprehensive approach to achieve lasting wellness.
We help adults facing mental health struggles such as trauma, anxiety, and dual diagnoses. Many of our clients are seeking a comprehensive approach to achieve lasting wellness.
With compassionate, outcomes-focused care, 96% of clients report reduced anxiety or depression.
At Anxiety Institute, we tailor our support to match the severity of each client's symptoms. Our Intensive Outpatient Program (IOP) is specifically designed for clients struggling with moderate to severe anxiety. For clients who require less intensive care, we offer Outpatient Therapy with the frequency and intensity of treatment based on the level of impairment. For those transitioning from a residential program, our Continuing Recovery Services provide essential support for maintaining progress. Family involvement is a cornerstone of our approach, with Family Coaching, Consultation, and Support Groups playing a crucial role in helping parents navigate their role in the recovery process. Our goal is to enhance treatment outcomes and support long-term wellness through individualized care, helping each client achieve a balanced and fulfilling life.
With compassionate, outcomes-focused care, 96% of clients report reduced anxiety or depression.
At Anxiety Institute, we tailor our support to match the severity of each client's symptoms. Our Intensive Outpatient Program (IOP) is specifically designed for clients struggling with moderate to severe anxiety. For clients who require less intensive care, we offer Outpatient Therapy with the frequency and intensity of treatment based on the level of impairment. For those transitioning from a residential program, our Continuing Recovery Services provide essential support for maintaining progress. Family involvement is a cornerstone of our approach, with Family Coaching, Consultation, and Support Groups playing a crucial role in helping parents navigate their role in the recovery process. Our goal is to enhance treatment outcomes and support long-term wellness through individualized care, helping each client achieve a balanced and fulfilling life.
Encore Outpatient Services in Arlington, VA provides comprehensive treatment for substance use, co-occurring disorders, process addictions and trauma through our intensive and general outpatient programs. Additionally, Encore is an approved VASAP treatment site. With flexible daytime and evening programming—including individual therapy, group therapy, experiential components, gender specific groups, family/loved ones support group and medication management—we support adults (18+) in achieving their recovery goals. Our integrated care model fosters lasting healing and long-term recovery.
Encore Outpatient Services in Arlington, VA provides comprehensive treatment for substance use, co-occurring disorders, process addictions and trauma through our intensive and general outpatient programs. Additionally, Encore is an approved VASAP treatment site. With flexible daytime and evening programming—including individual therapy, group therapy, experiential components, gender specific groups, family/loved ones support group and medication management—we support adults (18+) in achieving their recovery goals. Our integrated care model fosters lasting healing and long-term recovery.
More Treatment Centers Nearby
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Our team in Virginia includes clinical experts, licensed therapists, and teachers. We have assembled the best mental health leaders in the country to serve as the foundation for our treatment centers. Our skilled clinicians are innovative professionals who provide a truly comprehensive approach to individualized teen treatment.
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Our team in Virginia includes clinical experts, licensed therapists, and teachers. We have assembled the best mental health leaders in the country to serve as the foundation for our treatment centers. Our skilled clinicians are innovative professionals who provide a truly comprehensive approach to individualized teen treatment.
Our team specializes in the treatment of anxiety, depression, life transitions, trauma, school age issues, ADD/ADHD, parenting support/training, chronic illness/pain, and many more.
Thinking about therapy but not sure where to start? We get it! Whether you're frustrated by long waitlists or unsure of how to begin, we're here for you and offer immediate availability: Telehealth for anyone living in Virginia and In-person at our newest location in Ashburn. Let's get started today!
Our team specializes in the treatment of anxiety, depression, life transitions, trauma, school age issues, ADD/ADHD, parenting support/training, chronic illness/pain, and many more.
Thinking about therapy but not sure where to start? We get it! Whether you're frustrated by long waitlists or unsure of how to begin, we're here for you and offer immediate availability: Telehealth for anyone living in Virginia and In-person at our newest location in Ashburn. Let's get started today!
At Amen Clinics, we offer the highest level of psychiatric care with targeted treatment plans customized to our patient’s specific situation, using the least toxic, most effective methods. We are unique from the way traditional psychiatry is practiced because we look at the organ we treat through the use of SPECT (single-photon emission computed tomography) imaging. All of the practitioners at the nationwide Amen Clinics locations are board certified and have been personally handpicked and trained by Dr. Amen in his method.
At Amen Clinics, we offer the highest level of psychiatric care with targeted treatment plans customized to our patient’s specific situation, using the least toxic, most effective methods. We are unique from the way traditional psychiatry is practiced because we look at the organ we treat through the use of SPECT (single-photon emission computed tomography) imaging. All of the practitioners at the nationwide Amen Clinics locations are board certified and have been personally handpicked and trained by Dr. Amen in his method.
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Newport Institute’s clinical model includes individual, group, and family therapy to foster connections and heal family dynamics. Individual therapy benefits from modalities like CBT, DBT, and EMDR, enhancing self-awareness and communication. Clients also engage in Adventure Therapy, creative arts, Equine-Assisted Therapy, yoga, meditation, and more.
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Newport Institute’s clinical model includes individual, group, and family therapy to foster connections and heal family dynamics. Individual therapy benefits from modalities like CBT, DBT, and EMDR, enhancing self-awareness and communication. Clients also engage in Adventure Therapy, creative arts, Equine-Assisted Therapy, yoga, meditation, and more.
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Our integrated approach includes psychiatric care and medication management. We utilize clinical and experiential modalities to address the underlying trauma that catalyzes mental health and co-occurring disorders. Our modalities include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Attachment-Based Family Therapy (ABFT).
Our family-centered, integrated approach fosters sustainable healing from mental health and co-occurring disorders such as anxiety, depression, trauma, psychosis, eating disorders, and substance use.
Our integrated approach includes psychiatric care and medication management. We utilize clinical and experiential modalities to address the underlying trauma that catalyzes mental health and co-occurring disorders. Our modalities include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Attachment-Based Family Therapy (ABFT).
Mission Prep Virginia serves teens aged 13-17 struggling with anxiety, depression, trauma, PTSD, among others.
Our residential program combines evidence-based therapies like CBT and DBT with a family-centered approach. We create individualized plans tailored to each teen’s needs, fostering resilience and recovery.
Mission Prep Virginia serves teens aged 13-17 struggling with anxiety, depression, trauma, PTSD, among others.
Our residential program combines evidence-based therapies like CBT and DBT with a family-centered approach. We create individualized plans tailored to each teen’s needs, fostering resilience and recovery.
Our clients often face significant hurdles such as severe anxiety, depression, trauma, and mood instability that disrupt their education and home life.
Our "treatment persistent" philosophy combines evidence-based therapies like CBT, DBT, and EMDR with holistic interventions. In our Leesburg residential setting, we provide 24/7 clinical support. Each client receives a personalized plan including two weekly individual therapy sessions, family involvement, and daily mentoring in a comfortable home environment
Our clients often face significant hurdles such as severe anxiety, depression, trauma, and mood instability that disrupt their education and home life.
Our "treatment persistent" philosophy combines evidence-based therapies like CBT, DBT, and EMDR with holistic interventions. In our Leesburg residential setting, we provide 24/7 clinical support. Each client receives a personalized plan including two weekly individual therapy sessions, family involvement, and daily mentoring in a comfortable home environment
Our therapeutic practices help patients know when/ how to use effective coping skills for avoidant/restrictive food intake disorder (ARFID), binge eating disorder, anorexia nervosa, bulimia nervosa, orthorexia nervosa, other specified eating disorders and co-occurring disorders like anxiety, depression, PTSD and OCD.
Healing, growth and a positive relationship with food is possible with the Center for Discovery Dietary Program. We use the CARE Model, which stands for “consistent attuned relational eating.” This means patients have the steadiness of a dietary plan that is adaptable to what’s happening in their life. We believe in Health at Every Size because everyone can be healthy regardless of size, shape, weight or BMI. We encourage Intuitive Eating — nourishing ourselves when we’re hungry and recognizing when we feel full. We utilize the All Foods Fit model, which celebrates that all foods are nourishment, and no foods are off-limits in moderation. These core elements help our patients walk out of treatment feeling engaged, empowered and transformed so that they can manage long-term recovery. In fact, 86.5% of clients who completed treatment didn’t need to return to Center for Discovery or any other program for a higher level of care for eating disorder treatment.
Our therapeutic practices help patients know when/ how to use effective coping skills for avoidant/restrictive food intake disorder (ARFID), binge eating disorder, anorexia nervosa, bulimia nervosa, orthorexia nervosa, other specified eating disorders and co-occurring disorders like anxiety, depression, PTSD and OCD.
Healing, growth and a positive relationship with food is possible with the Center for Discovery Dietary Program. We use the CARE Model, which stands for “consistent attuned relational eating.” This means patients have the steadiness of a dietary plan that is adaptable to what’s happening in their life. We believe in Health at Every Size because everyone can be healthy regardless of size, shape, weight or BMI. We encourage Intuitive Eating — nourishing ourselves when we’re hungry and recognizing when we feel full. We utilize the All Foods Fit model, which celebrates that all foods are nourishment, and no foods are off-limits in moderation. These core elements help our patients walk out of treatment feeling engaged, empowered and transformed so that they can manage long-term recovery. In fact, 86.5% of clients who completed treatment didn’t need to return to Center for Discovery or any other program for a higher level of care for eating disorder treatment.
We specialize in depression, anxiety, PTSD, and treatment-resistant conditions—especially when therapy or medications haven't helped.
Many of our patients have already tried therapy or medications and remain stuck. At Washington Interventional Psychiatry, we focus on what comes next.
We are a psychiatrist-led practice that integrates traditional care with advanced treatments like ketamine, TMS, and Spravato—within a single, coordinated treatment plan. Decisions aren’t made by protocol or in isolation, but through ongoing clinical evaluation.
We specialize in depression, anxiety, PTSD, and treatment-resistant conditions—especially when therapy or medications haven't helped.
Many of our patients have already tried therapy or medications and remain stuck. At Washington Interventional Psychiatry, we focus on what comes next.
We are a psychiatrist-led practice that integrates traditional care with advanced treatments like ketamine, TMS, and Spravato—within a single, coordinated treatment plan. Decisions aren’t made by protocol or in isolation, but through ongoing clinical evaluation.
Beachway Mental Health provides high quality and innovative care to address issues of mental health. We offer a path towards healing through a multi-disciplinary team approach including combining evidenced based therapeutic interventions with medication management. Each member of the treatment team works together gain an understanding of the whole person – biological, social, and spiritual – to create an individualized treatment plan.
Beachway Mental Health provides high quality and innovative care to address issues of mental health. We offer a path towards healing through a multi-disciplinary team approach including combining evidenced based therapeutic interventions with medication management. Each member of the treatment team works together gain an understanding of the whole person – biological, social, and spiritual – to create an individualized treatment plan.
When depression, anxiety, trauma, or other mental health challenges start to take over daily life, it can be hard to know what kind of help will actually make a difference.
Mental health does not follow a straight line, and neither does recovery. Our clinical team builds personalized treatment plans focused on stability, emotional regulation, and real skill building, and adjusts them continuously as your needs become clearer throughout treatment.
When depression, anxiety, trauma, or other mental health challenges start to take over daily life, it can be hard to know what kind of help will actually make a difference.
Mental health does not follow a straight line, and neither does recovery. Our clinical team builds personalized treatment plans focused on stability, emotional regulation, and real skill building, and adjusts them continuously as your needs become clearer throughout treatment.
We know how difficult it can be to see your son or daughter struggling with severe mental health issues like anxiety, depression or suicidal ideation.
Our IOP and PHP offer personalized mental health care that provides intensive support and helps teens and young adults learn the skills necessary for long-term mental wellness. Our therapists work directly with each young person to identify where they are in their healing journey and develop a custom treatment program for their needs. We understand how difficult it can be for teens and their families struggling with severe mental health conditions like self-harm, depression and suicidal ideation. We're here to help overcome the challenges affecting your family’s everyday life.
We know how difficult it can be to see your son or daughter struggling with severe mental health issues like anxiety, depression or suicidal ideation.
Our IOP and PHP offer personalized mental health care that provides intensive support and helps teens and young adults learn the skills necessary for long-term mental wellness. Our therapists work directly with each young person to identify where they are in their healing journey and develop a custom treatment program for their needs. We understand how difficult it can be for teens and their families struggling with severe mental health conditions like self-harm, depression and suicidal ideation. We're here to help overcome the challenges affecting your family’s everyday life.
Our experienced clinicians offer areas of clinical expertise to include the treatment of anxiety disorders, depression, mood disorders, borderline personality disorders, trauma, and emotion dysregulation with a passion and experience in supporting individuals struggling with racial and gender-related issues.
The journey of choosing a therapist can be difficult, but there is joy in finding one who matches your needs and understands your experiences. Caring Through Healing (CTH), LLC has been serving the DC and Virginia areas since 2018. Our mission is to deliver exceptional mental health services with compassion and to significantly improve the mental health and well-being of individuals seeking treatment through counseling, education, support, and advocacy. At CTH, we believe that individuals are the experts in their lives.
Our experienced clinicians offer areas of clinical expertise to include the treatment of anxiety disorders, depression, mood disorders, borderline personality disorders, trauma, and emotion dysregulation with a passion and experience in supporting individuals struggling with racial and gender-related issues.
The journey of choosing a therapist can be difficult, but there is joy in finding one who matches your needs and understands your experiences. Caring Through Healing (CTH), LLC has been serving the DC and Virginia areas since 2018. Our mission is to deliver exceptional mental health services with compassion and to significantly improve the mental health and well-being of individuals seeking treatment through counseling, education, support, and advocacy. At CTH, we believe that individuals are the experts in their lives.
Pasadena Villa Outpatient McLean treats anxiety, depression, trauma-related disorders, mood disorders, and personality disorders in adults.
Easily accessible to those in the DMV area, Pasadena Villa Outpatient McLean provides specialized mental health treatment for adults facing complex emotional and psychiatric challenges. Our experienced clinical team delivers individualized outpatient care using evidence-based therapies such as CBT, DBT, and trauma-informed approaches. Through a collaborative treatment model that includes individual, group, and family therapy, we help clients strengthen emotional regulation, develop effective coping strategies, and improve relationships while building the skills needed for long-term stability and recovery.
Pasadena Villa Outpatient McLean treats anxiety, depression, trauma-related disorders, mood disorders, and personality disorders in adults.
Easily accessible to those in the DMV area, Pasadena Villa Outpatient McLean provides specialized mental health treatment for adults facing complex emotional and psychiatric challenges. Our experienced clinical team delivers individualized outpatient care using evidence-based therapies such as CBT, DBT, and trauma-informed approaches. Through a collaborative treatment model that includes individual, group, and family therapy, we help clients strengthen emotional regulation, develop effective coping strategies, and improve relationships while building the skills needed for long-term stability and recovery.
Have you suffered from PTSD, depression, anxiety, or grief related issues?
At Living Free we understand that you want to improve your health, general state of well-being, memory, concentration, and feel more energetic. We focus on treating the person as a whole and treat a wide variety of problems including: Depression, stress, mood disorders, fears and phobias, post-traumatic stress, relationship issues, self-esteem disorders, and anxiety. Clients previously treated have experienced reduced depression, anxiety, PTSD symptoms, and have enjoyed a better quality of life.
Have you suffered from PTSD, depression, anxiety, or grief related issues?
At Living Free we understand that you want to improve your health, general state of well-being, memory, concentration, and feel more energetic. We focus on treating the person as a whole and treat a wide variety of problems including: Depression, stress, mood disorders, fears and phobias, post-traumatic stress, relationship issues, self-esteem disorders, and anxiety. Clients previously treated have experienced reduced depression, anxiety, PTSD symptoms, and have enjoyed a better quality of life.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety.
At our residential treatment center, we believe that family involvement is key to a teen’s healing process. Our program fosters open communication, trust and connection between parents and teens, offering family involvement to strengthen trusting relationships. We work closely with families to ensure they’re involved every step of the way, offering support and guidance to help everyone heal together. Through family workshops and regular check-ins, we aim to rebuild bonds and create a supportive environment both during treatment and at home.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety.
At our residential treatment center, we believe that family involvement is key to a teen’s healing process. Our program fosters open communication, trust and connection between parents and teens, offering family involvement to strengthen trusting relationships. We work closely with families to ensure they’re involved every step of the way, offering support and guidance to help everyone heal together. Through family workshops and regular check-ins, we aim to rebuild bonds and create a supportive environment both during treatment and at home.
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Nearby Depression Treatment Centers Searches for Tysons
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What is the goal of therapy for depression?
Therapy for depression has several major goals. One is to relieve the mental pain of depression, which distorts feeling and thinking so that sufferers cannot see beyond their current state of mind or envision feeling better. Another is to give people the mental tools to recognize and correct the kinds of distorted thinking that turn a problem into a catastrophe and lead to despair. Therapy also teaches people how to process negative emotions in constructive ways, so they have more control over their own emotional reactivity. And it helps people regain the ability to see themselves positively, the motivation to do things, and the capacity for pleasure.
What happens in therapy for depression?
Perhaps most important, no matter the type of therapy, patients form an alliance with the therapist; that connection is therapeutic in itself, plus it becomes an instrument of change. Patients learn to identify and to challenge their own erroneous beliefs and thoughts that amplify the effects of negative experiences. They learn to identify situations in which they are especially vulnerable. And they learn new patterns of thinking and behaving. They may be given “homework” assignments in which they practice their developing skills. In addition, good therapists regularly monitor patients to assess whether and how much the condition is improving.
What therapy types help with depression?
Several types of short-term therapy have been found effective, each targeting one or more areas of dysfunction. Cognitive behavioral therapy (CBT) helps clients challenge their negative thoughts and beliefs, learn new behavioral strategies, and curb reactivity to distressing situations. Behavioral activation (BA) is a form of therapy often used in conjunction with CBT; it focuses on engagement in rewarding activity as a pathway to changing negative feelings and disturbed mood. Another widely used approach is interpersonal therapy (IPT), which targets the social difficulties that both give rise to and get exacerbated by depression. Therapists may combine approaches as needed.
Can therapy for depression be done online?
Studies have found that online therapy can be highly effective for treating depression, although it may be more challenging to build a good therapist-patient alliance on screen than in person—at least at first. However, online therapy can offer considerable advantages. Accessibility and convenience are tops among them. Some people actually find it easier to talk about problems online than in person. While online therapy typically limits visibility of facial expression and body gestures that give important nonverbal cues to a patient’s state of mind, it can give therapists a glimpse into a patient’s world and life, providing information that can be highly useful in guiding therapy.
How effective is therapy for depression?
Many studies show that therapy is highly effective provided that patients complete the prescribed course of therapy, commonly 16 to 20 sessions. Over the long term, it is more effective than medication and the effects are more enduring. As a result, psychotherapy has the power not just to relieve current suffering but to prevent future episodes of the disorder. Therapy reverses the dysfunction in neural circuitry that disposes individuals to a negative view of themselves, the world, and their future and they acquire coping techniques, problem-solving skills, and understanding of their own vulnerabilities that are useful over the course of a lifetime.


