
By: Ainika Akuthota
Posted: 9/1/2025
Involuntary Hospitalization in Psychiatry

Involuntary hospitalization in psychiatry can refer to admitting a patient into a psychiatric facility contrary to their will due to them being at a serious risk of harm to themselves and/or to others. Involuntary hospitalization is a serious process that is not done unless other suitable options are not working. In order for a patient to be in this situation, they would have to show clear signs of mental illness disorders or substance use disorders and be considered dangerous to the environment.
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In Virginia, a patient can be taken into custody by law enforcement or a health professional for evaluation under the ECO (Emergency Custody Order). After this order is in place, a health professional from the Community Service Board or a hospital can evaluate the patient up to 8 hours for adults and 24 hours for minors and decide if they need any further intervention. If the clinician deems that a patient needs further evaluation, then the next step would be to get a Temporary Detention Order from the magistrate to keep a patient in psychiatric hold for up to 72 hours until a hearing. In the hearing, the judge will decide, given the evidence, if a patient needs to stay at a psychiatric facility for further help. During this hearing, the patient is allowed to have an attorney to plead their case and is also allowed to be at the hearing. If they do not agree with the outcome of the hearing, the patient has the right to appeal the decision through the courts.
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California is another state that has a process for involuntary hospitalization in psychiatry. Their process is very similar to Virginia’s in which a patient can be taken into hold for up to 72 hours if they are deemed as a danger to themselves and/or others. Though a difference in California than Virginia is that an individual can be placed on hold for 14 extra days if deemed necessary. If more than 14 days is required, a court order needs to be present for the patient to be admitted into a state hospital. All patients have the same rights in California as they do in Virginia.
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In many cases, involuntary hospitalization may be required for the safety of the patient and for their surroundings. It gives patients a safe environment to access treatment and stabilize any dangerous and harmful symptoms. This hospitalization also gives patients a longer period for a chance of recovery that they may not have allowed themselves to access or get if not for involuntary hospitalization. Although this concept has many pros, it also has many potential negative aspects. For example, ethical concerns are a major area of conversation within this topic. Some feel that involuntary hospitalization strips patients of rights that they are rightly given and therefore is unethical. It is also a situation that causes much distress for the patient and their family and may cause negative implications in the process.
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Citations
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California’s protection & advocacy system. (n.d.). Understanding the Lanterman-Petris-Short (LPS) Act. In California’s Protection & Advocacy System (Report Pub. #5608.01). https://www.disabilityrightsca.org/system/files/file-attachments/560801Ch1.pdf
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Corderoy, A., Kisely, S., Zirnsak, T., & Ryan, C. J. (2024). The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review. Psychiatry Psychology and Law, 1–48. https://doi.org/10.1080/13218719.2024.2346734
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Emergency custody, temporary detention, and involuntary commitment. (n.d.). https://www.arlingtonva.us/Government/Departments/DHS/Behavioral-Healthcare/ECO-TDO-and-Involuntary-Commitment#:~:text=The%20involuntary%20hospitalization%20process%20typically,individual%20will%20be%20involuntarily%20hospitalized.
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EXPLANATION OF INVOLUNTARY COMMITMENT PROCESS. (2022). In Commonwealth of Virginia, FORM DC-493. https://www.vacourts.gov/static/forms/district/dc493.pdf
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Involuntary Psychiatric Hospitalization of Adults | Community Services Board. (n.d.). https://www.fairfaxcounty.gov/community-services-board/involuntary-psychiatric-hospitalization-adults#:~:text=is%20also%20available.-,Overview,Temporary%20Detention%20Order%20(TDO)?
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Specialist, T. (2025, August 5). What is a Voluntary Psychiatric Hold? | Mental Health Hope. Mental Health Hope. https://mentalhealthhope.com/voluntary-psychiatric-hold/#:~:text=A%205150%20hold%20allows%20mental,e.g.%2C%205250%20for%2014%20days)
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Stallman, H. M., & Gupta, V. (2025, January 20). Involuntary commitment. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK557377/#:~:text=Involuntary%20hospitalization:%20Compulsory%20admission%20to,and%20attendance%20at%20psychotherapy%20sessions.
Sullivan, M., Scherban, B., & Bera, S. (2024). Involuntary commitment: a humanitarian treatment. Psychiatric Services, 75(12), 1281–1283. https://doi.org/10.1176/appi.ps.20240145
Unknown. (2016). Guide to Psychiatric Crisis and civil commitment process in Virginia.


By: Siri Yakkala
Posted: 8/25/2025
A Day in the Life of My Future Self: Dr. Me
A Day in the Life of My Future Self: Dr. Me
It’s 7:03 a.m. and I’m sitting in my car in the parking lot of Improve Life PLLC, sipping a coffee I didn’t have time to finish at home. I like to take a few minutes before going in, just to breathe, center myself, and glance over the day’s schedule. It’s a mix of checkups, one first-time patient, and a couple of chronic care visits. Nothing I haven’t done a hundred times before, but I’ve learned that in medicine, every patient has the potential to surprise you.
Even now, 10 years after I first imagined being a doctor, I still get a weird mix of calm and nerves before walking through those clinic doors.
I Never Thought I’d Choose Family Medicine
If you had asked me in high school what kind of doctor I wanted to be, I probably would have said something like pediatric surgeon or ER doctor. It sounded exciting and intense. But family medicine turned out to be the best fit for me, not just because of the variety, but because of the relationships. I get to know my patients over time. I see them through milestones, challenges, and everything in between.
That’s what I care about the most. Being someone people can rely on, not just for medical answers, but for support and real connection.
A Patient Who Reminded Me Why This Matters
One of the most meaningful visits today was with a teenage girl named Natalie. She came in for abdominal pain, but something felt off. She barely made eye contact, and when I asked about her home life and school, she got quiet. Eventually, she admitted she’d been skipping meals and struggling with body image.
I paused before responding. I didn’t want to sound clinical or judgmental. So I just said, “I’m really glad you told me. That takes a lot of courage.”
We talked more, and by the end of the visit, we had a plan. I referred her to a therapist, a nutritionist, and set up follow-up appointments with me. I told her she wasn't alone and that I’d be here to help however I could.
Those are the moments that matter the most to me. When someone walks in feeling scared or ashamed, and walks out knowing they're seen and supported.
Looking Back at Where It All Started
On my lunch break, I scrolled past an old photo from high school. It was from my pre-med internship at Improve Life PLLC psychiatry, which is the same place I work at now. Back then, I was wearing a borrowed white coat, standing next to one of the doctors who let me shadow her during a busy clinic day. I remember being amazed at how she stayed calm even when things were hectic. She made patients feel heard, and she explained everything so clearly. That summer changed everything for me.
The internship gave me my first real look into what being a doctor was actually like. I helped with intake forms, watched patient visits, and even learned how to take vitals. I realized that being a doctor wasn't just about memorizing science. It was about listening and communicating. That experience helped me understand how to prepare for medical school and what kind of doctor I wanted to be.
My Medical Shadowing Experience
During my junior year, I also shadowed a surgeon at a local hospital. I remember feeling completely out of place. I stood awkwardly in the corner, hoping no one would notice how nervous I was. I didn’t know what to say, so I said almost nothing. But even then, I learned a lot just by watching. I saw how every person in the room had a role, and how much trust was required between patient and provider.
That’s what I tell high school students interested in medicine now. Get in there early, even if it's uncomfortable. Volunteer, shadow someone, ask questions. You learn so much more by being in those spaces than you ever could from a textbook.
Fictional Photo Caption
“Dr. Yakkala between appointments at Improve Life PLLC. Still caffeinated. Still grateful.”
Patient Thank-You Note (Or Google Review, LOL)
Dear Dr. Yakkala,
Thank you for listening to me without judgment. You helped me open up about things I didn’t even know how to talk about. I left your office feeling a little lighter, and more hopeful.
I don’t think I’ve ever felt that comfortable talking to a doctor before.
— Anonymous
3 Tips I’d Give My Younger Self
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Don’t try to impress people. Be honest about who you are and why you care about medicine.
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Take care of your mental health. Burnout doesn’t wait until residency.
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Step out of your comfort zone. Some of the best lessons come from situations that feel awkward at first.
Wrapping Up the Day
By 5:30 p.m., I’m finishing my notes and grabbing my stuff to head out. It’s been a full day, and I’m tired, but I feel good. This job isn’t always easy, and there are definitely tough days. But helping people, even in small ways, is what keeps me going.
Sometimes I think back to that version of myself who was googling pre-med tips and nervously walking into her first shadowing opportunity. If she could see me now, she’d probably be shocked I made it this far, but also proud. Being a doctor turned out to be even more rewarding than I expected.