About Hold On Pain Ends
Hold On Pain Ends (HOPE) was founded with a simple belief: people deserve mental health care that is compassionate, individualized, and accessible.
Mental health concerns can affect every part of life, including relationships, sleep, school, work, physical health, and overall well-being. At HOPE, we take the time to understand not only the symptoms someone is experiencing, but also the person behind those symptoms.
We provide psychiatric care to children, adolescents, and adults throughout Virginia and Maryland, with both telehealth and in-person appointments available. Our services include comprehensive psychiatric evaluations, medication management, and ongoing mental health treatment.
Our Approach
We believe effective mental health treatment begins with listening. Every person comes to us with a different history, different challenges,
and different goals. Treatment should reflect those differences.
Our approach is collaborative and personalized. When medication is appropriate, we believe it should be prescribed thoughtfully and monitored carefully. We also recognize that medication is only one part of mental health care. Psychotherapy, coping skills, lifestyle factors, relationships, trauma history, sleep, and life circumstances can all play important roles in emotional well-being and recovery.
Most importantly, we want our patients to feel heard, respected, and involved in decisions about their care.
Meet Our Providers
Rachael McCarthy, PMHNP-BC
Founder and Board-Certified Psychiatric Mental Health Nurse Practitioner
Rachael is a board-certified Psychiatric Mental Health Nurse Practitioner who provides psychiatric evaluations, medication management, and psychotherapy to children, adolescents, and adults. In addition to her psychiatric training, she is certified in Dialectical Behavior Therapy (DBT), trauma therapy, and grief therapy. Her approach focuses on individualized treatment and understanding the experiences and circumstances that contribute to each patient's mental health.
Juliann Johnson, PMHNP-BC
Board-Certified Psychiatric Mental Health Nurse Practitioner
Juliann is a board-certified Psychiatric Mental Health Nurse Practitioner with more than 20 years of nursing experience in emergency care, critical care, medical-surgical nursing, and behavioral health. Her extensive clinical background gives her a broad understanding of the connection between physical and mental health and contributes to her holistic approach to psychiatric care.
Juliann is committed to providing compassionate, evidence-based, and patient-centered treatment across the lifespan. She has experience in crisis intervention, comprehensive psychiatric assessment, and caring for individuals with complex medical and behavioral health needs. Her approach focuses on listening to each patient's concerns, understanding the whole person, and working together to develop a treatment plan based on each person's individual needs and goals.
Why HOPE?
Our name represents what we want every person who comes to us to remember:
Hold. On. Pain. Ends.
Mental health struggles can make it difficult to see beyond what you are experiencing today. Treatment cannot promise that life will always be easy, but you do not have to face those challenges without support.
At HOPE, our goal is to help you move toward greater stability, understanding, resilience, and hope.
