You keep using despite frightening episodes
K2, Spice, Bizzaro, Kronic, and similar lab-created chemicals are unpredictable. Many people come to us after a bad batch caused panic, paranoia, or a trip to the ER — and still found it hard to stop.
Confidential help, 24/7 — outpatient care across Virginia
(571) 586-2883K2 / Spice treatment · Arlington, VA
CBT, psychiatric stabilization, PHP and IOP for K2, Spice, and synthetic cannabinoid use — including paranoia, psychosis, and withdrawal — for adults in Arlington, Washington, DC, and Northern Virginia.
Medically reviewed by the VABH Medical Team
When treatment helps
Synthetic cannabinoids are unregulated, unpredictable, and often more dangerous than people realize. If use has become hard to control, treatment can help you stabilize and rebuild.
K2, Spice, Bizzaro, Kronic, and similar lab-created chemicals are unpredictable. Many people come to us after a bad batch caused panic, paranoia, or a trip to the ER — and still found it hard to stop.
Synthetic cannabinoids can trigger intense agitation, hallucinations, delusions, and violent paranoia that outlast the high. Repeat episodes raise the risk of longer-lasting psychiatric symptoms, especially in young adults.
Unlike cannabis, synthetic cannabinoids are linked to tachycardia, severe vomiting, chest pain, kidney damage, and seizures. The physical toll is real and often lands people in emergency departments before they seek treatment.
Headaches, sweating, irritability, insomnia, and strong cravings can set in within hours. The cycle of using to feel normal, then feeling worse, is the hallmark of dependence — and it responds to structured treatment.
Money, relationships, work, and safety take a back seat to obtaining the product. Synthetic cannabinoids are cheap, accessible, and constantly reformulated, which makes self-directed quitting unusually difficult.
Many people use Spice or K2 to numb anxiety, PTSD symptoms, or depression. Treating only the substance leaves the driver untouched, which is why our approach integrates mental health care from day one.
How we treat synthetic cannabinoid use
The chemical keeps changing, but the treatment principles are proven: manage the acute symptoms, treat the mental health underneath, and give you skills that last.
We identify the triggers — stress, boredom, trauma memories, social pressure — and build concrete skills to ride cravings without using. CBT is the backbone of lasting change after synthetic cannabinoid dependence.
Most people feel conflicted: they want the chaos to stop but aren't sure they can quit. MI meets that ambivalence with respect and helps you build your own reasons for change, which predicts better outcomes than confrontation.
Board-certified assessment for persistent paranoia, mood swings, anxiety, or psychotic symptoms. We treat what's real and what's substance-related with careful differentiation, not assumptions.
While there is no FDA-approved medication specifically for synthetic cannabinoids, we use evidence-based symptom management for sleep, anxiety, irritability, and nausea so the first week is survivable rather than overwhelming.
Synthetic cannabinoid use often overlaps with PTSD, anxiety disorders, depression, or bipolar symptoms. We treat both together under one plan so recovery isn't undermined by untreated mental health needs.
We map high-risk people, places, and emotional states; rehearse refusal skills; and build a plan for the moment a craving shows up. Structure in the first months is what protects the progress made in treatment.
Levels of care
Most people aren't sure which level of care they need — that's what the assessment is for, and you can step up or down as things change.
Our most intensive outpatient level. Daily groups, individual therapy, and psychiatric oversight for people recovering from severe synthetic cannabinoid episodes, psychosis, or polysubstance use. You sleep at home and receive intensive support during the day.
Several sessions a week of CBT, skills groups, and relapse-prevention planning with morning and evening tracks. The standard starting point for people who need more than weekly therapy but can work or attend school.
Weekly individual therapy, psychiatric follow-up, and medication management as cravings fade and life stabilizes. Many people continue here for months after completing PHP or IOP.
If inpatient psychiatric stabilization or medically supervised withdrawal management is the safer first step, we coordinate placement with trusted, vetted providers and take the guesswork out of the handoff — then resume your outpatient plan with us.
Across the river from Maryland
Our Arlington center is a short drive from Bethesda, Montgomery County, and Prince George's County. Many Maryland clients choose in-person PHP and IOP here because the commute is manageable and evening tracks fit around work or classes. Telehealth is available for Virginia residents between in-person visits.
Common questions
No. K2, Spice, and similar products are lab-created chemicals sprayed on plant material. They interact with the same brain receptors as THC but with unpredictable strength and effects. The risk of paranoia, psychosis, seizures, and cardiovascular problems is much higher than with natural cannabis.
Yes. Synthetic cannabinoid use disorder is a recognized clinical pattern. People can develop tolerance, withdrawal, cravings, and continued use despite serious consequences. The constantly changing chemical formulations make it especially hard to stop without support.
Common symptoms include headaches, irritability, anxiety, insomnia, sweating, nausea, and strong cravings. Because the chemicals vary by batch, withdrawal can also include mood swings or physical symptoms that need medical monitoring.
Yes. Synthetic cannabinoids are linked to acute psychotic episodes, paranoia, hallucinations, and agitation. Risk is higher with frequent use, high-potency products, and in people with a personal or family history of psychosis or bipolar disorder. A psychiatric evaluation is important if this has occurred.
Most major commercial plans cover outpatient substance use treatment, including PHP and IOP for synthetic cannabinoid use disorder. Our admissions team verifies your benefits and gives you an expected cost before you start. Self-pay options are available if you're uninsured.
Yes. IOP runs day and evening tracks so Arlington and DC professionals can stay employed while receiving structured care. PHP is a larger time commitment, and we can explain FMLA or short-term disability options if needed.
Yes, for Virginia residents — our clinicians are licensed in Virginia, so telehealth sessions are available statewide. In-person care at our Arlington center is open to Virginia, Maryland, and Washington, DC residents.
In-person K2 / Spice treatment at 5400 Shawnee Road, Arlington, VA for VA, MD, and DC residents. Telehealth for Virginia residents only.
If you are in crisis or thinking about harming yourself, call or text 988 for the Suicide & Crisis Lifeline, or call 911.
Get help today
Whether you're calling for yourself or for someone you love, the first conversation is free and completely confidential.
Insurance accepted
Outpatient substance use treatment for synthetic cannabinoid use is a covered behavioral health benefit under most commercial plans — Anthem, CareFirst BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, Optum, Sentara Health Plans, UMR, and Johns Hopkins Health Plans. Send us your card and we'll confirm your PHP, IOP, and outpatient benefits before you start.
















Don't see your plan? Call us — we also work with out-of-network benefits and self-pay.