Behavioral and mental health services in Richmond, Virginia

Tucker Pavilion Behavioral Health Services

Chippenham Hospital's Tucker Pavilion offers hope, help and mental health needs in central Virginia.

Tucker Pavilion provides patients with the best-quality care by using innovative and personalized therapeutic services in safe, healthy, confidential and calming environments.

If you think you or a loved one may be in crisis, Tucker Pavilion can help. Call our 24-hour behavioral health access line at (804) 483-0050.

We work closely with community partners, including The Jason Foundation, which is dedicated to the prevention of the “silent epidemic” of youth suicide. Through educational and awareness programs, the foundation equips young people, educators, youth workers and parents with the tools and resources needed to help identify and assist at-risk youth.

Our behavioral health center's programs

Our physicians and staff at Chippenham excel in identifying symptoms, developing personalized recovery plans and providing care programs for all ages in a healing environment, including:

  • Child and adolescent behavioral health programs for those five to 17 years old
  • Adult behavioral health programs
  • Senior behavioral health programs available for patients 65 years old and older
  • Partial hospitalization programs (PHPs) for behavioral health (open to teenagers and adults)

We also provide a full range of inpatient, outpatient and emergency services for children, adolescents, adults and geriatric patients. Additionally, we offer an outpatient, short-term partial hospitalization program (PHP) for both adults and adolescents.

Our inpatient behavioral health services are designed to provide intensive inpatient treatment to voluntary and involuntary adult patients aged 18 years old and older. Our inpatient services range from medication management to relapse prevention programs. Supportive involvement from your family or support network is strongly encouraged. To provide the highest quality of care in a comfortable setting, patients are grouped with others of similar age and needs.

Each patient is unique, and progress toward treatment goals is evaluated daily; however, the average length of a hospital stay is five to seven days. Our inpatient recovery team includes professionals from multiple disciplines who provide a wide range of services, including medical care, therapies, discharge planning and education groups and electroconvulsive therapy (ECT.)

The primary treatment team members communicate daily to identify strengths, progress toward treatment goals and provide continuing care needs.

Primary treatment team members include:

  • Patient and family
  • Psychiatrist, who is the attending physician
  • Nursing staff
  • Clinical care manager
  • Activities therapist

Supportive treatment team members can include:

  • Social worker
  • Psychologist
  • Primary care physician
  • Specialty physicians, as clinically indicated

Mental health disorders we treat

We are committed to providing high-quality mental health services to our community, including comprehensive treatment for:

Treatment for anxiety

At Tucker Pavilion, we provide comprehensive treatment for the conditions that make up the continuum of anxiety disorders. Anxiety can take many forms, and it's important that it be diagnosed correctly so that treatment can be adjusted to your or your loved one's individual needs.

Anxiety disorders affect more than 28 million Americans annually. Common symptoms include:

  • Racing heartbeat
  • Trouble concentrating
  • Uncontrolled repetitive behavior
  • Unreasonable fears

Characterized by overwhelming fear and unrealistic worries that appear for no apparent reason, anxiety disorders can dramatically impair a person's ability to function and perform everyday activities.

There are five conditions that fall under the category of anxiety disorders:

  • Generalized anxiety disorder
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Phobias
  • Post-traumatic stress disorder (PTSD)

The symptoms of these disorders can be very similar, so it is important that you seek the counsel of one of our behavioral health specialists to receive proper diagnosis and treatment.

Treatment for bipolar disorder

Bipolar disorder is a complicated disease that can be difficult to recognize, diagnose and treat. At Tucker Pavilion, we provide comprehensive treatment for bipolar disorder and can help you feel better and get back to managing and enjoying your life.

Bipolar disorder is caused by a biochemical imbalance in the brain and is not a sign of mental or emotional weakness. Bipolar disorder is a mood disorder, a cyclical disease of highs and lows.

During the mania stage, individuals may feel so good that when family or friends recognize the mood swings, they will deny that anything is wrong. During this stage, some individuals may go on spending sprees, travel long distances, become promiscuous or disturb public peace and end up at the police station. The feeling can exceed pleasantness so severely that the manic episode may be accompanied by hallucinations and distorted thinking.

Symptoms of mania include:

  • Extreme irritability and ditractibility
  • Excessive 'high' or euphoric feelings
  • A sustained period of behavior that is different from normal
  • Increased energy, activity, restlessness, racing thoughts or rapid speech
  • Decreased need for sleep
  • Unrealistic beliefs in one's ability and power
  • Uncharacteristically poor judgment
  • Increased sexual drive
  • Substance abuse
  • Obnoxious, provocative or intrusive behavior
  • Denial that anything is wrong
  • Thoughts of death or suicide attempts
  • Inability to concentrate or remember details
  • Racing uncontrollable thoughts
  • Rage and paranoia

In the depression phase of this disease, the person may fall into a state indistinguishable from major depression. These mood swings can be so severe that the effect on the individual's life can be devastating.

Bipolar disorder is not often recognized by the patient, relatives, friends or even physicians. An early sign of bipolar disorder is a persistent, intense elevation in mood far beyond what's considered usual for the individual. In its early stages, bipolar disorder may appear to masquerade as a problem other than mental illness. It may first appear as alcohol or drug abuse, or poor school or work performance. Unlike clinical depression, which can occur at any age, bipolar disorder is typically diagnosed before 35 years old.

Treatment for depression

At Tucker Pavilion, we provide comprehensive treatment for individuals dealing with major depressive disorder (MDD), or as it is more commonly known, clinical depression.

Depression is not a sign of weakness or a condition that can be willed away. Clinical depression affects more than just emotions. Depression can change a person's behavior, physical health, appearance, job performance, sleep patterns and even the ability to handle everyday decisions and pressures. Depression goes beyond the grief and sadness that a person experiences when reacting to life's losses and disappointments, such as a death in the family, a relationship gone wrong or a conflict at work. In fact, sadness is only one of the symptoms of depression—feelings of anxiety, apathy or irritability may also be present.

Symptoms of depression include:

  • Irregular sleep patterns
  • Frequent awakening in the middle of the night
  • Thoughts of death or suicide
  • Inability to function at work or school
  • Lack of energy or constant fatigue
  • Persistent feelings of sadness, anxiety or hopelessness
  • Headaches, digestive disorders, nausea or pain with no medical basis
  • Excessive crying
  • Slowed thinking
  • Irregular eating patterns
  • Loss of sex drive
  • Restlessness and irritability
  • Loss of interest in daily activities
  • Feelings of guilt or worthlessness

Treatment for dual-diagnosis

The co-existence of mental illness and substance abuse is referred to as dual-diagnosis, also known as co-occurring disorders. This condition can occur when alcohol and/or drugs are used to self-medicate symptoms of psychiatric disorders or as a coping mechanism to alleviate symptoms.

More than 50 percent of individuals with mental illness also have a substance abuse problem.

Often, the use of alcohol or drugs goes undetected by families and is misdiagnosed by treating professionals. This is partially due to similarities in symptoms for both conditions. There may also be a 'dual denial' of both the psychiatric disorder and the addiction. Viewed from the other side, studies show as many as 40 percent of individuals with substance abuse have an undetected or under treated co-existing psychiatric illness, which is often depression or an anxiety disorder.

Indicators of substance abuse include:

  • Inability to control or limit substance use
  • Preoccupation with substance use
  • Failure to fulfill obligations at home, school or work
  • Continued use despite persistent social or medical problems
  • Need for increased amounts of substance
  • Recurrent use in situations that are physically hazardous (e.g., DUI)
  • Withdrawal symptoms

Treatment for self-injury

At Tucker Pavilion, we are uniquely equipped to treat the underlying causes of self-injurious behavior and any other conditions that may also be, and commonly are, present. Services include intensive therapy, education, coping skill enhancement and peer support for all ages.

Approximately one percent of Americans use physical injury, such as cutting, bruising or burning, as a way of dealing with overwhelming feelings or situations.

Studies have suggested that when people who self-injure get emotionally overwhelmed, an act of self-harm brings their levels of psychological and physiological tension and arousal back to a bearable baseline level almost immediately.

Self-injurers commonly report they feel empty inside, over or under stimulated, unable to express their feelings, lonely, not understood by others and fearful of intimate relationships and adult responsibilities. Self-injury is their way to cope with or relieve painful or hard-to-express feelings and is generally not a suicide attempt. However, relief is temporary and a self-destructive cycle often develops without proper treatment.

Warning signs of self-injuring include:

  • Unexplained frequent injury including scratches, cuts or burns
  • Wearing long pants and sleeves in warm weather
  • Low self-esteem
  • Difficulty handling feelings
  • Relationship problems
  • Poor functioning at work, school or home
  • Hoarding of sharp objects, such as razors, knives and scissors
  • Severe mood swings

Risk factors include:

  • Impulsive tendencies
  • Physical or sexual abuse during childhood
  • Broken homes
  • Alcoholic homes
  • Rigid households where expression of emotion is discouraged
  • Emotionally absent loved ones
  • Tendency toward perfectionism
  • Inability to express emotions verbally
  • Dislike for body and self

Self-injury is a coping mechanism that temporarily provides relief. If not properly treated, it will escalate. It's important for someone who self-injures to learn how to combat the thoughts that lead them to believe harming themselves is the only way to deal with emotion and to learn that all emotions come and go, even the uncomfortable ones.

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